Maternal Complications and Perinatal outcome Associated with Un-booked Women in King Saud Medical City in Riyadh, Saudi Arabia

Background: Numerous studies have revealed a strong correlation between un-booked mothers and poor maternal problems. Determining the impact of booking status on maternal and perinatal mortality was the aim of this study. Method: The research design in this research was a quantitative design, non-experimental descriptive comparative study. The was conducted in King Saud Medical City in Maternity Hospital in the Obstetrics Unit in Riyadh city, the population of the study were all un-booked and booked pregnant women in the hospital in the study duration. This study included 488 mothers in total which include all women eligible for inclusion in the study and presented during the study period from Sep to Dec 2023 in King Saud Medical City in Maternity Hospital in the Obstetrics Unit in Riyadh city. Results: This study included 488 patients in total (332 scheduled and 166 unscheduled). The difference in mean age between the two groups was statistically significant. The booking status correlation with parity and obstetric complications was statistically significant. Preeclampsia was 7.2% and PIH was 21.1% more common in un-booked mothers than in booked mothers (p values of 0.04 and 0.001, respectively). Compared to booked mothers, the percentage of emergency cesarean sections among un-booked respondents was greater at 6% versus 3.6%. Conclusion: Compared to booked mothers, un-booked mothers had worse intra-partum, maternal, and obstetric outcomes.