Admission cardiotocography as a screening test in high risk pregnancies and its co-relation with peri-natal outcome

Behuria, Sasmita; Nayak, Rohani

doi:10.18203/2320-1770.ijrcog20163436

Cited by 9 publications

(11 citation statements)

References 3 publications

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“…,15 Hafizur et al, had a 57.1 % of NICU and cesarean birth rate as high as 100% with an ominous AT and with fetal distress. Blessy D17 et al conducted a study on 400 women and the incidence of caesarean delivery with non-reactive AT was 93.25% and the same group had 43.7% babies in the NICU 16,17. This is consistent with the present study where pathological AT group births had 33.3% of NICU admission as compared 6.3 % of the normal AT group births.…”

supporting

confidence: 90%

Admission test cardiotocography in labour as a predictor of foetal outcome in high risk pregnancies

Kumar

Jaju

2019

Int J Reprod Contracept Obstet Gynecol

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Background: Continuous fetal heart monitoring in all pregnant women in labour has gained prominence in obstetric practice in the recent years. The aim of this study was to emphasize on the role of admission cardiotocography (CTG) in labour as a predictor of foetal outcome in high risk pregnancies. Methods: This was a prospective observational study done on 340 high risk patients admitted in labour with a period of gestation of ≥37 weeks. An admission CTG which consists of a 20-minute recording of FHR and uterine contractions was taken and the foetal outcome was correlated with it. The non-parametric Chi-square test was used for statistical calculations and a p valve of <0.05 was considered to designate statistical significance. Results: The admission CTG was reactive in 69.4% of all patients, equivocal in 22.2% and pathological in 8.4% of the 340 recruited patients. A total of 37.5% of the patients were post-dated followed by 20.6% of pregnancy incuded hypertensive patients. The neonatal outcomes in terms of fetal distress, meconium stained liquor, NICU admission were considerably higher in pathological test. The specificity of the test was 53.3%, and the negative predictive was 86.49%. Conclusions: Admission CTG is a simple, useful screening test and serves as a non-invasive tool in forecasting the adverse foetal outcomes in high risk pregnancies.

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confidence: 90%

Admission test cardiotocography in labour as a predictor of foetal outcome in high risk pregnancies

Kumar

Jaju

2019

Int J Reprod Contracept Obstet Gynecol

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“…Results of studies done by Behuria, Goyal and Khursheed were comparable with our results. [7][8][9] in the study done by Khursheed APGAR score at birth was low (<6) in 44 (30.98%) babies of reactive group and 33 (53.22%) babies of non-reactive group. 9 The results were statistically significant, meaning that CTG can detect poor APGAR in compromised fetuses.…”

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confidence: 99%

Pregnancy outcomes of normal versus abnormal cardiotocography in a tertiary centre in Nepal

Faruqi

Shrestha

Bhatta

2019

Int J Reprod Contracept Obstet Gynecol

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Background: Pregnancy and childbirth is normal physiological process with great pathological potential. The obstetricians are more concerned with the early recognition of fetal distress during labour and such an adverse outcome should be detected at the earliest point of time by an effective surveillance method. Cardiotocography as a part of biophysical profile has become an established diagnostic tool for fetal surveillance. To compare early perinatal outcome of normal and abnormal cardiotocography in terms of APGAR scores, need for neonatal resuscitation, NICU admission, perinatal death and mode of delivery.Methods: It was a cross-sectional study. 200 nulliparous/multiparous women with singleton pregnancy in cephalic presentation at gestational age 37-42 weeks in latent stage of labor were enrolled in the study and subjected to admission test in left lateral position using fetal monitor. Baseline FHR and contraction pattern were determined for 20 minutes and classification of patients was done into normal, and suspicious or abnormal according to the FIGO guidelines 2015.Results: Low APGAR scores, rate of LSCS, need for neonatal resuscitation, neonatal admission were more in the abnormal cardiotocography group. Cardiotocography in the current study has high sensitivity and high negative predictive value for detecting fetal distress.Conclusions: From the analysis of this study, it would be safe to conclude that an ominous cardiotocography should be managed appropriately without delay and obstetrician should be vigilant in suspicious as well as in normal admission test group for timely intervention for bettering the neonatal outcome.

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“…Regarding the perinatal outcome, babies of women with non-reactive CTG were more likely to have low Apgar score (0-4) in 1 minute and Apgar score (5)(6)(7) in five minutes, and babies were more likely to be admitted to NICU (Neonatal Intensive Care Unit). Some other studies (Faruqi et al, 2019;Sood, 2002;Behuria and Nayak, 2016) have found that the patients with non-reactive CTG tracing have less Apgar score compared to the patients with reactive CTG tracing 11,13,14 . In a study conducted by Faruqi et al, (2019) reported that Apgar score of the babies in the reactive CTG tracing in the first min was >7 among 98% babies, 5-6 in 2% babies, and <5 in 0% compared to 92%, 5%, and 3% in nonreactive CTG tracing group 11 .…”

Section: Discussionmentioning

confidence: 92%

The Role of Cardiotocography in Monitoring Fetal Condition During Labour in High Risk Pregnancy and Its Correlation with Perinatal Outcome

2022

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Background: Cardiotocography (CTG) is considered to be a non-invasive prenatal screening technique. It is used to monitor fetal condition during labor. Objectives: this study aimed to evaluate the role of Cardiotocography as a screening tool during labor in high risk pregnancy for determining perinatal outcomes. Methods: In this cross-sectional study, Cardiotocography was performed randomly on 200 pregnant women with risk factors (postdate, oligohydronomia, Pregnancy-induced hypertension, diabetes mellitus, anemia, intrauterine growth retardation, Antepartum hemorrhage, and pre-labor rupture of membrane who attended the labor ward of Duhok Teaching Hospital of Obstetrics and Gynecology from 20 October 2019 to 15 February 2020 and the results of CTG were categorized a reactive and non-reactive cardiotocography tracing groups and the perinatal outcomes were correlated with cardiotocography results. Results: In this study, the mean age of patients was 27.41±6.09 years; ranged 18-42 years. There was no significant difference in the mean age of the patients (27.48±6.17 vs. 27.33±6.05 years), gravida (2.49±1.73 vs. 2.10±1.53) and gestational age (39.85±1.40 vs. 39.84±1.41weeks) between patients with reactive and non-reactive cardiotocography tracing, respectively. Patients with reactive cardiotocography were significantly more likely to have live babies (1.52±1.77 vs. 0.54±0.67) and no dead babies was recorded between reactive and non-reactive cardiotocography groups. The rate of caesarean section was significantly higher in patients with non-reactive cardiotocography (64.4% vs. 38.4%) and for bloody liquor (7.9% vs. 2.0%). It was also observed that low Apgar score 0-4 in first minute (12.9% vs. 4.0%) and 5-7 Apgar score in five minutes (34.7% vs. 9.1%) and admission to neonatal intensive care unit were significantly higher in patients with non-reactive than in those with reactive cardiotocography (59.4% vs. 26.3%), respectively. Conclusions: This study showed that cardiotocography is a useful technique to determine perinatal outcomes in high-risk pregnancies.

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Admission cardiotocography as a screening test in high risk pregnancies and its co-relation with peri-natal outcome

Cited by 9 publications

References 3 publications

Admission test cardiotocography in labour as a predictor of foetal outcome in high risk pregnancies

Admission test cardiotocography in labour as a predictor of foetal outcome in high risk pregnancies

Pregnancy outcomes of normal versus abnormal cardiotocography in a tertiary centre in Nepal

The Role of Cardiotocography in Monitoring Fetal Condition During Labour in High Risk Pregnancy and Its Correlation with Perinatal Outcome

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