Keywords
deliveries
maternal
neonatal
mortality
morbidity
partial
How to Cite
Abstract
Background: Antenatal care (ANC) is beneficial for preserving the health of mothers and babies. This study aimed to investigate the prevalence and outcomes of deliveries among women with different ANC statuses.
Methods: This prospective study included 1,349 deliveries, classified into 3 groups: A, no ANC; B, full or partial ANC at another hospital without any documentation; and C, full ANC at our institute. Data were collected prospectively using a standardized data collection sheet. The primary outcomes were maternal and neonatal all-cause mortality. Secondary outcomes included maternal and neonatal morbidity indicators.
Results: Of the 1,349 deliveries, 274 (20.3%) were among women with no ANC, who also had the highest mean patient age (30.1 ± 6.2 years; p < 0.001). Mothers without ANC were more likely to be non-citizens and to have higher parity. Deliveries in this group were associated with significantly higher odds of maternal Intensive Care Unit (ICU) admission, neonatal ICU (NICU) admission, low birth weight, early neonatal death, and intrauterine fetal death compared with mothers who received adequate ANC. Outcomes for women with undocumented or partial ANC were comparable to those with adequate ANC, without statistically significant differences.
Conclusion: Targeted initiatives should focus on high-risk populations to promote the importance of planned delivery and consistent ANC throughout pregnancy.