BACKGROUND Non-stress test is a non-invasive test, most commonly used for the antepartum evaluation of foetal well-being. Admission cardiotocogram is usually a 20 mins. recording of foetal heart rate immediately after admission to labour ward. Abnormal tracing might indicate and identify potential foetal compromise at an early stage and allow early intervention. Admission test enable the obstetrician to concentrate more on those foetuses having abnormal tracings than those with reactive tracings. MATERIALS AND METHODS It is a prospective study of assessing the validity of admission test as a screening test to differentiate high and low observational antenatal women. The study was conducted at Institute of Social Obstetrics and Govt. Kasturba Gandhi Hospital, Triplicane, Chennai during the period of April 2007 to April 2008; 800 number of antenatal women who were admitted through casualty were taken for the study based on the inclusion and exclusion criteria. After eliciting the history and complete clinical examination of the patient, the admission test is performed on each patient for 20 minutes. The admission test tracings were typed into-(i) Reactive, (ii) Suspicious, (iii) Ominous. Depending on the type of tracings, the mode of management varies. Patient can be divided into low and high observational status depending upon the tracings. RESULTS In this study, the number of patients in the age group between 18 to 20 years were 80 (10%), 21 to 29 years were 600 patients (75%) and the patients in 30 to 35 years were 120 (15%). In this study, the patients in primi were 496 (62%) and second gravida were 304 patients (38%). Highest number of patients were primi. Among them 784 patients were booked ones and 16 were unbooked. The admission test tracing pattern was such as reassuring pattern in 481 patients, suspicious in 267 patients and ominous in 52 patients. CTG observational status was low in 481 (60.13%) patients and it was high in 319 patients (39.87%). Spontaneous labour occurs in 624 patients (78%) and induced labour in 176 patients (22%). Since "p" value is less than 0.05, there is a significant correlation between type of tracings and mode of delivery. Among the total of 800 patients in this study, 380 (47.5%) number of the patients had the spontaneous labour in the primi gravida and 116 (14.5%) patients had the induced labour. In second gravida, it was about 244 patients (30.5%) in spontaneous labour and 304 (38%) were in induced labour; P value-0.226; statistically no significant relationship exists between Gravida and type of Labour. In this study, APGAR score more than 7 patients were 561 number (70.1%) and foetal outcome was good in 561 patients and it is poor in 239 patients. In this study the highest number of patients, 361 had the babies with birth weight of 2.4 to 2.7 Kgs. CONCLUSION The study shows that there is a good correlation between reactive tracings and good foetal outcome even with less frequent monitoring. Hence, the admission test can be used as a useful tool to differentiate between thes...