Increasing rate of Caesarean Section Due to Non-Reassuring Cardiotocography

Abstract

Objective: To evaluate increasing rate of caesarean section due to non-reassuring cardiotocography. Methods: This study is carried out in obs/gyn department of Liaquat university hospital from 2012 to 2013. After permission from ERC, patients enrolled for study meeting inclusion criteria with nonreactive cardiotocography undergo caesarean section, and results are analysis through SSPS version 17. Results: There was wide variation of maternal age ranging from a minimum of 20 years to 30 years. The mean age was 26 ± 2.1 years. In our study mostly patients were primigravida 58 (58%) between 2 -4 were 22 (22%) more than para 5 were 20 (20%) patients. In our study mostly patients undergone caesarean section 81 (81%) 19 delivered vaginally (19%). In our study the gestational age was >37 weeks, ranging from a minimum of 37 weeks to 42 weeks. The mean age was 37 + 2.4 week. Mostly patients observed 37 -38 wks in (52.67%), 39 -40 wks in (32.14%) and 41 -42 wks in (15.17%). In our study mostly Apgar score were more than 7 was 63 (63%) cases and less than 7 Apgar score in 37 (37%). Conclusion: Cardiotocography is a useful and indispensable adjunct to monitor the condition of endangered fetus. However, there is a need to develop a standardized and unambiguous definition of FHR tracing to reduce the incidence of false positive findings that may result in increased incidence of unnecessary intervention particularly caesarean section.

Outcomes of Pregnant Females Presented with Non-Reactive CTG

“…Results of our study was comparable to the studies conducted in past. [15,16] Predicting fetal discomfort with cardiotocography in low and high risk pregnancies. Several options exist for dealing with "high risk" women, but there has to be a better way to identify "fetal distress" in "low risk" women [17].…”

Facteurs associés à une première grossesse chez les femmes Malgaches ayant accouché dans un hôpital de maternité d'Antananarivo: une étude de cohorte rétrospective

“…En effet, Zarko Alfirevic et al avaient démontré que cette différence du taux de césarienne dans les établissements serait fonction de la présence et du suivi d'un guide de recommandation sur le partogramme ou sur le monitorage du travail dans l'établissement [ 13 ]. Cette assertion était appuyée par Pushpa Chetandas et al pour une décision de césarienne basée sur la cardiotocographie [ 14 ]. Concernant la souffrance fœtale révélée chez les primigestes de notre étude, nous pensons que ce sont la dystocie ou le prolongement du temps de travail après rupture des membranes qui seraient à leur origine plutôt que les autres maladies gestationnelles.…”