Innovative Journal Journal of Medical Research and Health Sciences 2589-9031 4 7 2021 7 22 Out-of-Hours Delivery and Pregnancy Outcomes Among Low-Risk Parturients in a Hospital Without Advanced Fetal Surveillance Technology 1 Adeola Olabisi Awoleke Chief Nurse Tutor, Ekiti State University Teaching Hospital School of Nursing, Ado – Ekiti, Nigeria Jacob Olumuyiwa Awoleke Associate Professor, Department of Obstetrics and Gynaecology, Ekiti State University, Ado – Ekiti, Nigeria Babatunde Ajayi Olofinbiyi Senior Lecturer, Department of Obstetrics and Gynaecology, Ekiti State University, Ado – Ekiti, Nigeria Anthony Tosin Agbesanwa Lecturer, Department of Family Medicine, Ekiti State University Teaching Hospital, Ado – Ekiti, Nigeria Journal Article https://doi.org/10.15520/jmrhs.v4i7.367 Abstract Purpose: The effect of out-of-hours delivery on obstetric and perinatal outcomes in centres without advanced fetal surveillance has not been fully explored. Methods: Pregnancy, labour, and neonatal outcomes were compared for women who delivered ‘out-of-hours’ (00:00 – 07:59 hours) or at other times/‘within-hours’ (08:00 – 23:59 hours). Results: Twenty-nine percent of the women studied had out-of-hours’ deliveries. Women who had reduced perception of fetal movements had more babies out-of-hours. Hypertensive disease in pregnancy and occurrence of at least one adverse obstetric outcome were associated with lower odds of out-of-hours’ birth. The mean duration of labour augmentation (minutes) was significantly longer in women who had out-of-hours’ delivery (p = 0.032). Vaginal birth (p < 0.001), fifth-minute APGAR scores at least 7 (p = 0.038), and augmentation of labour (p = 0.041) occurred commonly out-of-hours. Conclusion: There was no evidence of poorer outcomes with out-of-hours’ births despite the absence of advanced fetal surveillance technology. 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