Intrapartum assessment of fetal well-being: any role for a fetal admission test?

Elimian, Andrew; Lawlor, Peadar G.; Figueroa, Reinaldo; Wiencek, Vandy; Garry, David; Quirk, J. Gerald

doi:10.1080/jmf.13.6.408.413

Cited by 19 publications

(19 citation statements)

References 7 publications

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“…They found the fetal admission test to be useful in low-risk populations. 12 Blix et al reported lower sensitivity (15%) and PPV (16%) of labor AT in high-and low-risk populations compared to this study. They also indicated that there were no differences in women with equivocal labor AT and those with an ominous one delivering a baby with fetal distress.…”

Section: Discussioncontrasting

confidence: 64%

“…If admission CTG were suspicious, other tests would be more reliable predictors. 11 Elimian et al (2003) stated that patients in the non-reactive group were six times as likely to have fetal distress, and that fetuses with distress were more likely to have a non-reactive AT. They found the fetal admission test to be useful in low-risk populations.…”

Section: Discussionmentioning

confidence: 99%

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Normal and indeterminate pattern of fetal cardiotocography in admission test and pregnancy outcome

Sharbaf¹,

Amjadi²,

Alavi³

et al. 2013

J of Obstet and Gynaecol

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Section: Discussioncontrasting

confidence: 64%

Section: Discussionmentioning

confidence: 99%

Normal and indeterminate pattern of fetal cardiotocography in admission test and pregnancy outcome

Sharbaf¹,

Amjadi²,

Alavi³

et al. 2013

J of Obstet and Gynaecol

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“…A systematic review has previously assessed the prognostic values of the admission CTG . Eleven observational studies including 5831 women were included in the review . A new literature search was performed in June 2012, and one study that met the inclusion criteria was identified .…”

Section: The Prognostic Values Of the Admission Ctgmentioning

confidence: 99%

The admission CTG: is there any evidence for still using the test?

Blix

2013

Acta Obstet Gynecol Scand

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Admission cardiotocography (CTG) was introduced as a screening test for fetal distress in labor in the late 1980s. No systematic assessments of the test were performed before it was taken into widespread use. A screening test is meant to identify individuals with an increased risk for a disease or condition before symptoms occur, to prevent and reduce morbidity or mortality. A screening test should be evaluated according to its effectiveness, prognostic values and reliability. A careful review of the research literature states that routine use of the admission CTG in low-risk women increases the incidence of minor obstetric interventions, may increase the incidence of cesarean sections, but has no impact on other important outcomes. The prognostic values are poor, and the reliability varies from good to poor. There is no evidence showing that the admission CTG is beneficial, and the test should not be offered to low-risk women.

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“…A study by Kulkarni and Shroti also showed a progressive rise in operative deliveries for fetal distress from 5.17% in the reactive group to 28.5% in the ominous group [15]. Other studies also established the association between a high Cesarean Section rate and an abnormal cardiotocography [16] [17]. It was noticed that rate of Cesarean Section increased when cardiotocography were performed for low risk pregnancies.…”

Section: Discussionmentioning

confidence: 91%

Increasing rate of Caesarean Section Due to Non-Reassuring Cardiotocography

Chetandas¹,

Zahiruddin²,

Jabeen³

et al. 2017

OJOG

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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.

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Intrapartum assessment of fetal well-being: any role for a fetal admission test?

Abstract: The fetal admission test is useful in predicting the absence of intrapartum fetal distress irrespective of the criterion used for evaluation. Redefined reactivity appears to be most predictive of intrapartum fetal distress.

Cited by 19 publications

References 7 publications

Normal and indeterminate pattern of fetal cardiotocography in admission test and pregnancy outcome

Normal and indeterminate pattern of fetal cardiotocography in admission test and pregnancy outcome

The admission CTG: is there any evidence for still using the test?

Increasing rate of Caesarean Section Due to Non-Reassuring Cardiotocography

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