Oct. 2010. A total of 106 high risk cases meeting the inclusion criteria were subjected to admission CTG testing in this prospective study. Result of admission CTG testing was correlated with perinatal outcome. Results: The admission test had sensitivity of 38.1%, specificity of 100% and positive predictive value of 100% for predicting an Apgar score<5 at birth with diagnostic accuracy of 87.7%. Neonatal admission to neonatal intensive care (NICU) was required in 76.2% of patients with an abnormal test result while only 36.5% of patients with the normal test results were subjected to NICU admission and this was statistically significant ( 2 =10.76; p<0.01). Conclusions:The results suggested that electronic fetal monitoring (CTG) is mandatory in all high risk obstetric cases on admission.

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