Efficacy of Admission Cardiotocography (Admission Test) to Predict Obstetric Outcome

Dwarakanath, Linga S.; G, Lakshmikantha; K, Chaitra S.

doi:10.14260/jemds/281

jemds

2013

DOI: 10.14260/jemds/281

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Efficacy of Admission Cardiotocography (Admission Test) to Predict Obstetric Outcome

Linga S. Dwarakanath¹,

Lakshmikantha G²,

Chaitra S. K³

Abstract: Admission test can be used as an effective screening technique to detect pre-existing fetal distress. ABSTRACT: OBJECTIVE: To determine the efficacy of admission test on perinatal outcome and levels of obstetric interventions. METHODS: Prospective study on 200 pregnant women at admission by cardiotocography and assess the perinatal outcome and obstetric interventions. RESULTS: Incidence of reactive trace was 69%, suspicious 24% and ominous 7%. Out of 200 cases 159(80%) had vaginal delivery, 28(14%) had LSCS an… Show more

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2024

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Cited by 3 publications

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Admission Cardiotocography and Neonatal Outcomes at a Tertiary Health Facility in Southwestern Nigeria

Oluwasomidoyin,

Emmanuel,

Folasade

2024

Annals of African Medicine

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Background: Admission cardiotocography (CTG), a noninvasive procedure, is used to indicate the state of oxygenation of the fetus on admission into the labor ward. Objective: This study assessed the association of admission CTG findings with neonatal outcome at a tertiary health facility. Materials and Methods: A prospective, observational study of 206 pregnant women who were admitted into the labor ward with singleton live pregnancies. Information on the demographic characteristics, obstetrics and medical history, admission CTG tracing, and neonatal outcome was obtained using a structured data collection form. Data were analyzed using the SPSS software version 20.0 with the level of significance set at P < 0.05. Results: The admission CTG findings were normal in 73.3%, suspicious in 13.6%, and pathological in 13.1% of the women. The occurrence of low birth weight, special care baby unit (SCBU) admission, asphyxiated neonates, neonatal death, and prolonged hospital admission was significantly more frequent among those with pathological admission CTG results compared with normal and suspicious results (P < 0.05). The incidence of vaginal delivery was more common when the CTG findings were normal, whereas all women with pathological CTG result had a cesarean delivery. Conclusion: Admission CTG was effective in identifying fetuses with a higher incidence of perinatal asphyxia. Neonatal outcome such as low birth weight, APGAR score, SCBU admission, and prolonged hospital admission was significantly associated with pathological CTG findings. In the absence of facilities for further investigations, prompt intervention for delivery should be ensured if admission CTG is pathological.

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Admission Cardiotocography and Neonatal Outcomes at a Tertiary Health Facility in Southwestern Nigeria

Oluwasomidoyin,

Emmanuel,

Folasade

2024

Annals of African Medicine

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Efficacy of Admission Cardiotocography in Early Stage of Labour in Predicting Perinatal Outcome among Parturients in a Tertiary Health Facility in Ogun State, Southwest Nigeria

Adenaya¹,

Ojo²,

Awonuga

et al. 2022

Nigerian Journal of Medicine

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Background: Some fetuses will present with hypoxia at admission into the labour room and may not be able to withstand the stress of frequent and adequate uterine contractions. Admission cardiotocography (CTG) in early labour has been thought to be useful in detecting babies with such conditions therefore affording the obstetrician early intervention to prevent adverse perinatal outcome. Aim: This study aims to determine the predictive value of admission cardiotocogram in early labour in the early detection of fetal hypoxia and its adverse perinatal outcome. Patients, Materials and Methods: It was a prospective cross-sectional study among low- and high-risk pregnant women in a tertiary health institution in Abeokuta, Southwest Nigeria. Two hundred participants with singleton fetus in cephalic presentation were recruited consecutively at term in early first stage of labour and were subjected to 20 min admission CTG (ACTG). The resulting cardiotocograms were classified into reactive, suspicious or pathological and further management was based on the cardiotocogram findings. Perinatal outcomes were assessed and statistical analysis done using IBM SPSS version 20. The main outcome measures were mode of delivery and perinatal outcome using Apgar scores, neonatal pulse oximetry, and neonatal unit (NNU) admission. Results: Seventy percent of the participants were multipara, 42% were aged between 26 and 30 years. Suspicious and pathological CTGs were 9% and 1%, respectively. Operative delivery, birth asphyxia, and NNU admission of babies were more common among the non-reactive (suspicious/pathological) CTG groups compared to reactive CTG group. The test, in predicting perinatal asphyxia, has low sensitivity (42.86%) and positive predictive values (15%) but high specificity (91.19%) and negative predictive values (97.78) Conclusion: ACTG is a simple, noninvasive screening tool in labour. It is highly effective in predicting fetuses unlikely to develop birth asphyxia but not so effective at predicting those likely to develop asphyxia. The test should be used with caution.

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Role of Admission Tests in Predicting Perinatal Outcome: A Prospective Study

Das¹

2015

J Preg Child Health

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Efficacy of Admission Cardiotocography (Admission Test) to Predict Obstetric Outcome

Cited by 3 publications

References 2 publications

Admission Cardiotocography and Neonatal Outcomes at a Tertiary Health Facility in Southwestern Nigeria

Admission Cardiotocography and Neonatal Outcomes at a Tertiary Health Facility in Southwestern Nigeria

Efficacy of Admission Cardiotocography in Early Stage of Labour in Predicting Perinatal Outcome among Parturients in a Tertiary Health Facility in Ogun State, Southwest Nigeria

Role of Admission Tests in Predicting Perinatal Outcome: A Prospective Study

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