{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T17:31:55Z","timestamp":1790875915788,"version":"4.1.0"},"reference-count":19,"publisher":"King Faisal Specialist Hospital and Research Centre","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ann Saudi Med"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:sec>\n            <jats:title>BACKGROUND:<\/jats:title>\n            <jats:p>Perinatal fetal mortality and maternal mortality remains relatively high in Saudi Arabia. Antenatal care aims to improve outcomes; however, evidence to demonstrate its impact on outcomes in Saudi Arabia is lacking.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>OBJECTIVES:<\/jats:title>\n            <jats:p>Investigate whether booking status for antenatal care impacted outcomes for pregnant women and identify outcomes that predicted booking status.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>DESIGN:<\/jats:title>\n            <jats:p>Retrospective observational cohort study.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>SETTINGS:<\/jats:title>\n            <jats:p>Tertiary care center<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>PATIENTS AND METHODS:<\/jats:title>\n            <jats:p>All Saudi women admitted to the labor or delivery units between January 2011 and December 2019 were included. Outcomes were compared between booked and unbooked women, and logistic regression was used to identify outcomes that predicted booking status, adjusted for age.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>MAIN OUTCOME MEASURES:<\/jats:title>\n            <jats:p>Booked\/unbooked status and perinatal mortality of Saudi women.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>SAMPLE SIZE:<\/jats:title>\n            <jats:p>10 781 women; 9546 (88.5%) booked, (11.1%) 1192 unbooked.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>RESULTS:<\/jats:title>\n            <jats:p>\n              Unbooked mothers had higher incidences of meconium-stained liquor (\n              <jats:italic>P<\/jats:italic>\n              =.040), ruptured uterus (\n              <jats:italic>P<\/jats:italic>\n              =.017), and blood loss &gt;1000 mL during cesarean deliveries (\n              <jats:italic>P<\/jats:italic>\n              =.003), but a lower episiotomy rate (\n              <jats:italic>P<\/jats:italic>\n              &lt;.001). Perinatal fetal mortality and maternal mortality were equivalent between the two groups. Episiotomy, higher birth weight, higher mother age, perinatal death, delivery mode, onset of labor, and use of analgesics were all independent predictors of the mother being booked when adjusted for all outcomes and age.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CONCLUSIONS:<\/jats:title>\n            <jats:p>The rate of perinatal and maternal mortality in this cohort was relatively low and equivalent between booked and un-booked mothers, contrary to our expectations. More analysis of the socioeconomic data may explain this striking result.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>LIMITATIONS:<\/jats:title>\n            <jats:p>Retrospective chart-review with incomplete data retrieval that affected the completeness of data retrieved. The results of the multivariate analysis cannot be used to infer causality because the study is observational.<\/jats:p>\n          <\/jats:sec>","DOI":"10.5144\/0256-4947.2023.357","type":"journal-article","created":{"date-parts":[[2023,12,10]],"date-time":"2023-12-10T07:31:08Z","timestamp":1702193468000},"page":"357-363","source":"Crossref","is-referenced-by-count":3,"title":["Mortality outcomes between pregnant women booked for antenatal care and unbooked pregnant women"],"prefix":"10.5144","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8601-0397","authenticated-orcid":true,"given":"Abdulrahim","family":"Rouzi","sequence":"first","affiliation":[{"name":"From the Department of Obstetrics and Gynecology, King Abdulaziz University, Jeddah, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nora","family":"Sahly","sequence":"additional","affiliation":[{"name":"From the Department of Obstetrics and Gynecology, King Abdulaziz University, Jeddah, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdullah Mohammed","family":"Kafy","sequence":"additional","affiliation":[{"name":"From the Department of Obstetrics and Gynecology, King Abdulaziz University, Jeddah, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rana A.","family":"Alamoudi","sequence":"additional","affiliation":[{"name":"From the Department of Obstetrics and Gynecology, King Abdulaziz University, Jeddah, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renad Mazen","family":"Abualsaud","sequence":"additional","affiliation":[{"name":"From the Department of Obstetrics and Gynecology, King Abdulaziz University, Jeddah, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wejdan A.","family":"Alsheri","sequence":"additional","affiliation":[{"name":"From the Department of Obstetrics and Gynecology, King Abdulaziz University, Jeddah, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wasayf M.","family":"Almehmadi","sequence":"additional","affiliation":[{"name":"From the Department of Obstetrics and Gynecology, King Abdulaziz University, Jeddah, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahad T.","family":"Khayyat","sequence":"additional","affiliation":[{"name":"From the Department of Obstetrics and Gynecology, King Abdulaziz University, Jeddah, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Razan M.","family":"Altumaihi","sequence":"additional","affiliation":[{"name":"From the Department of Obstetrics and Gynecology, King Abdulaziz University, Jeddah, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3134","reference":[{"key":"e_1_3_2_2_2","unstructured":"The Maternal Mortality Estimation Inter-Agency Group (MMEIG). WHO UNICEF UNFPA WBG and the UNPD. Maternal mortality in 2000-2017. https:\/\/www.who.int\/gho\/maternal_health\/countries\/sau.pdf. Accessed December 2021."},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/0020-7292(95)02556-1"},{"key":"e_1_3_2_4_2","unstructured":"World Health Organization. WHO recommendations on antenatal care for a positive pregnancy experience. https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/250796\/97892415?sequence=1. Accessed December 2021."},{"issue":"1","key":"e_1_3_2_5_2","first-page":"5","article-title":"The Public Health Importance of Antenatal Care","volume":"7","author":"EBCOG Scientific Committee","year":"2015","unstructured":"EBCOG Scientific Committee. The Public Health Importance of Antenatal Care. Facts, Views Vis ObGyn 2015;7(1):5.","journal-title":"Facts, Views Vis ObGyn"},{"issue":"1","key":"e_1_3_2_6_2","first-page":"9","article-title":"Maternal mortality\u2014a sharper focus on a major issue of our time","volume":"1","author":"Harrison KA","year":"1988","unstructured":"Harrison KA. Maternal mortality\u2014a sharper focus on a major issue of our time. Trop J Obs Gynaecol 1988;1(1):9\u201313.","journal-title":"Trop J Obs Gynaecol"},{"issue":"7","key":"e_1_3_2_7_2","first-page":"526","article-title":"Maternal complications and perinatal outcomes in booked and unbooked Nigerian mothers","volume":"49","author":"Owalabi T","year":"2008","unstructured":"Owalabi T, Fatusi A, Kuti O, Adeyemi A, Faturoti S, Obiajuwa P. Maternal complications and perinatal outcomes in booked and unbooked Nigerian mothers. Orig Artic Singapore Med J 2008;49(7):526.","journal-title":"Orig Artic Singapore Med J"},{"issue":"4","key":"e_1_3_2_8_2","first-page":"280","article-title":"A comparative review of maternal morbidity and perinatal outcome in booked and un-booked mothers","volume":"28","author":"Aamir F","year":"2012","unstructured":"Aamir F, Fasih A, Mahesh A, Charles E. A comparative review of maternal morbidity and perinatal outcome in booked and un-booked mothers. Pak J Surg 2012;28(4):280\u20134.","journal-title":"Pak J Surg"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/S00404-009-1152-7"},{"issue":"4","key":"e_1_3_2_10_2","first-page":"260","article-title":"A proposal for a new method of evaluation of the newborn infant","volume":"32","author":"Apgar V","year":"1953","unstructured":"Apgar V. A proposal for a new method of evaluation of the newborn infant. Curr Res Anesth Analg 1953;32(4):260\u20137.","journal-title":"Curr Res Anesth Analg"},{"key":"e_1_3_2_11_2","unstructured":"IBM Corp. IBM SPSS Statistics for Windows 2015."},{"issue":"1","key":"e_1_3_2_12_2","first-page":"26","article-title":"Maternal death in the booked and unbooked patients: University of Port Harcourt Teaching Hospital experience","volume":"1","author":"Briggs ND","year":"1988","unstructured":"Briggs ND. Maternal death in the booked and unbooked patients: University of Port Harcourt Teaching Hospital experience. Trop J Obs Gynaecol 1988;1(1):26\u20139.","journal-title":"Trop J Obs Gynaecol"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1186\/S12884-017-1425-2"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1186\/S12884-018-1901-3"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.7196\/SAMJ.7299"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1371\/JOURNAL.PONE.0251084"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-1253(17)30295-9"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1186\/S12889-018-6178-Y"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/J.HEALTHPLACE.2008.07.005"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1371\/JOURNAL.PONE.0203130"}],"container-title":["Annals of Saudi Medicine"],"original-title":[],"language":"en","deposited":{"date-parts":[[2023,12,10]],"date-time":"2023-12-10T07:31:13Z","timestamp":1702193473000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.annsaudimed.net\/doi\/10.5144\/0256-4947.2023.357"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11]]},"references-count":19,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,11]]}},"alternative-id":["10.5144\/0256-4947.2023.357"],"URL":"https:\/\/doi.org\/10.5144\/0256-4947.2023.357","relation":{},"ISSN":["0256-4947","0975-4466"],"issn-type":[{"value":"0256-4947","type":"print"},{"value":"0975-4466","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11]]}}}