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

Das, Subrat Panda Ananya

doi:10.4172/2376-127x.1000171

Cited by 3 publications

(2 citation statements)

References 11 publications

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“…Moreover, our study endorsed findings by Panda et al In their study, patients with reassuring CTG had reduced MSL rates (4.65%); only 3.48% had an Apgar score below 7, and 9.3% had NICU admissions. While patients in whom CTG was not reassuring, MSL increased dramatically to 85.71%, one-third had a low Apgar score, and 78.57% were admitted to NICU [15]. In our study, the percentages of grade-2 MSL, Apgar scores below 8, and NICU admission in cases with reactive CTGs were 7%, 46%, and 0% compared to 39%, 77%, and 59% in non-reactive CTG.…”

Section: Discussioncontrasting

confidence: 51%

Admission Cardiotocography as a Predictor of Low Apgar Score: An Observational, Cross-Sectional Study

Nazir

Lakhta

Anees

et al. 2021

Cureus

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Background and objectiveCardiotocography (CTG) has been used more frequently in recent decades to reduce intrapartum fetal mortality rates. The purpose of this study was to determine whether pathological or non-reactive CTG could predict a low Apgar (Appearance, Pulse, Grimace, Activity, and Respiration) score. An abnormal trace would indicate a distressed fetus, whereas a normal trace would indicate a well-oxygenated fetus. MethodsThis study included a total of 470 women with a gestational period of more than 37 weeks. Based on the results of their CTGs, they were divided into three groups. An emergency cesarean section (CS) was performed if there was any sign of fetal distress on CTG. The Apgar scoring for newborns was recorded in the proforma following delivery. ResultsThe study was carried out at two major tertiary-care hospitals in Pakistan. A reactive CTG was found in more than one-third (39.36%) of the 470 patients. An Apgar score above 8 was obtained by 34.26% of the newborns, while an Apgar score below 8 was obtained by more than half (63.40%). Only 2.34% of newborns had an Apgar score below 6. A third (30.64%) of the patients had grade-1 meconium-stained liquor (MSL), 24.89% had grade-2 MSL, 19.79% had grade-3 MSL, and 24.68% had no MSL. One-third (32.34%) of the neonates were admitted to the neonatal intensive care unit (NICU) shortly after birth. When CTG was pathological or non-reactive, the odds of securing a higher Apgar score decreased by 70.45% (OR: 0.30; 95% CI: 0.20-0.44; p<0.001). ConclusionThe main conclusion drawn from this study's findings is that a pathological CTG is an indicator of a low Apgar score.

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Section: Discussioncontrasting

confidence: 51%

Admission Cardiotocography as a Predictor of Low Apgar Score: An Observational, Cross-Sectional Study

Nazir

Lakhta

Anees

et al. 2021

Cureus

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“…This study was comparable to those of Panda et al, in their study reassuring CTG group had 9.3% NICU admission and 78.57% NICU admission was seen in non-reassuring group. 14 while in the study by Dr. K. Sowmya et al, NICU admission rate was 27.08% in non-reassuring CTG group and 34.6% in abnormal CTG group. 15 Thus the incidence of foetal distress and NICU admission was more in the patients with ominous CTG and had similar results to our study.…”

Section: Discussionmentioning

confidence: 87%

Correlation of Cardiotocography with neonatal outcome in term pregnancies at a tertiary care centre in Bihar, India: A prospective observational study

Ranjana

Goel²,

Rani³

2023

PJMS

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Early recognition of foetal distress by intrapartum cardiotocography (CTG) has a pivotal role in the improvement of perinatal outcome. So, the aim of this study was to correlate the findings of CTG with neonatal outcome.This Prospective Observational study was conducted on 300 pregnant women in labour having singleton term pregnancy with cephalic presentation. Intrapartum cardiotocography was done. CTG pattern was correlated with neonatal outcomes by analysing Apgar score, NICU admission and neonatal mortality rate. Statistical analysis was done by using chi square test and Fisher Exact test and p value < 0.05 was considered as statistically significant.Out of 300 patients, reactive CTG pattern was observed in 67% while suspicious and pathological pattern was observed in 22% and 11% of pregnancies respectively. The percentage of caesarean deliveries were significantly more among abnormal CTG group as compared to reactive group (p value < 0.0001). The sensitivity and specificity of CTG for predicting foetal distress and NICU admission was 80 % and 78.75% respectively. There was high NPV of 94.03%, and the diagnostic accuracy of test was 79%.Reactive CTG is more predictive of favourable neonatal outcomes while Pathological CTG tracing requires immediate intervention. Suspicious CTG requires close observation during intrapartum period after correcting underlying causes and taking conservative measures and Immediate delivery is not required unless it became pathological and hence caesarean section rate can be reduced in this group Overall, intrapartum CTG is an important screening tool for early identification of foetal distress.

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This Study Assesses the Role of NST in Detecting Fetal Compromise in Cases of Reduced Maternal Perception of Fetal Movement

Kiran¹,

Mondal²,

Jana

2021

ijsr

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Introduction:In modern era of medicine, antenatal fetal monitoring is an essential way that assess the fetal well being. Aims and objectives: This study was performed to test the association between non-stress test ( NST) results and fetal and perinatal outcomes in pregnant women with perceived decrease in fetal movements attending our hospital. To determine the role of Non stress test on fetal and prenatal outcome of pregnant women with perceived decrease in fetal movements attending labor room. Materials and methods: Study is carried out at 'Imambara District Hospital', at the Dept. Of obstetrics and gynaecology, Hooghly, WB. All the pregnant mother with decreased fetal movement perception in the 3rdtrimester, attending OBG (OPD) and ANC or getting admitted in Dept. OF OBSTETRICS AND GYNAECOLOGY, at IMAMBARADIST. HOSPITAL, Chinsurah, Hooghly, WB. 1st May 2018 – April 30, 2019. Conclusion: The antenatal surveillance of cases with reduced perception of fetal movement by mother with NST can effectively screen for identication of high risk foetuses and segregate the cases that are at risk for poor perinatal outcome.

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

Cited by 3 publications

References 11 publications

Admission Cardiotocography as a Predictor of Low Apgar Score: An Observational, Cross-Sectional Study

Admission Cardiotocography as a Predictor of Low Apgar Score: An Observational, Cross-Sectional Study

Correlation of Cardiotocography with neonatal outcome in term pregnancies at a tertiary care centre in Bihar, India: A prospective observational study

This Study Assesses the Role of NST in Detecting Fetal Compromise in Cases of Reduced Maternal Perception of Fetal Movement

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