Role of Cardiotocography in Predicting Perinatal Outcome

Qureshi, Ambreen; Rather, Shagufta; Muzaffar, Ufaque; Shah, Ulfat

doi:10.29322/ijsrp.10.05.2020.p10168

Cited by 2 publications

(5 citation statements)

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“…In a study conducted by Rehman et al [8] on 192 patients, a sensitivity of 60%, a specificity of 94.8% with PPV 57%and NPV of 90% for fetal distress were shown. Ingemarsson et al [5] and Qureshi et al [15] also reported a very high specificity in their studies. The high specificity of the test means that the normal test accurately excludes hypoxic fetal status at the time of testing.…”

Section: Discussionmentioning

confidence: 90%

Role of Cardiotocography in predicting perinatal outcome in high-risk pregnancy

Jha,

Singh

2021

Ann Clin Anal Med

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Aim: In this study, it was aimed to evaluate the efficacy of fetal cardiotocography in predicting perinatal outcome. Materials and method: In this retrospective observational study, 400 gravid women with high-risk pregnancy fulfilling the eligibility criteria were enrolled. The results of CTG were studied according to NICE 2017 guidelines. Perinatal outcomes were studied by the color of liquor, Apgar score at one minute and five minutes, and NICU admission. Statistical analysis was done using a t-test and p-value <0.05 was considered statistically significant. Results: PIH was the most common risk factor in 32 % of females. CTG was reactive in 163(40.7%) patients and nonreactive (suspicious and pathological) in 237(59.2%) patients. One hundred thirty (54%) females with nonreactive CTG had meconium-stained liquor compared to only 18(11%) in the reactive group (p-value<0.05). In the reactive group, only 4% of babies had Apgar 5min <7 compared to 32.4% in the non-reactive group. Perinatal morbidity in the form of NICU admission was higher in the non-reactive group in 77 (32.4%) patients compared to 7 (4%) patients in the reactive group. The sensitivity and specificity of CTG for predicting neonatal morbidity were 63% and 80.4%, while it's PPV and NPV were 49.4% and 89.4%, respectively. Discussion: CTG has shown high specificity and negative predictive value for detecting adverse perinatal outcomes in this study. This appears to be a simple, non-invasive test that can serve as a screening tool to detect fetal distress that is already present or likely to develop during labor in high-risk obstetric patients in centers with a heavy workload.

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Section: Discussionmentioning

confidence: 90%

Role of Cardiotocography in predicting perinatal outcome in high-risk pregnancy

Jha,

Singh

2021

Ann Clin Anal Med

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“…Table 1 provides the characteristics of the included studies. Our review identified eight intervention studies, including randomized controlled trials (RCTs) 12,13,18–20,23 and quasi‐experimental studies 17,22 ; and 59 observational studies, including cohort studies, 15,24–26,28–30,32,34,36–38,40,41,43,46,47,50,56–58,61,63,65–71,73–75,77,78 case–control studies, 27,33,35,39,42,44,45,48,49,52,53,55,62,64,72 before and after studies, 14,16,21,31 and cross‐sectional studies 51,54,60,76,79 . These studies were published between 1974 and 2023.…”

Section: Resultsmentioning

confidence: 99%

“…We then performed a full‐text review of 210 articles and excluded an additional 143. Finally, we included 67 studies in the study for extraction of data 12–79 …”

Section: Resultsmentioning

confidence: 99%

“…Table 1 provides the characteristics of the included studies. Our review identified eight intervention studies, including randomized controlled trials (RCTs) 12,13,[18][19][20]23 and quasi-experimental studies 17,22 ; and 59 observational studies, including cohort studies, 15,[24][25][26][28][29][30]32,34,[36][37][38]40,41,43,46,47,50,[56][57][58]61,63,[65][66][67][68][69][70][71][73][74][75]77,78 case-control studies, 27,33,35,39,42,44,…”

Section: Included Studiesmentioning

confidence: 99%

“…51,54,60,76,79 These studies were published between 1974 and 2023. Of the 67 studies included in the review, which were all conducted in lower-middle or upper-middle income countries, 28 (54%) were in India, 13,15,19,23,24,29,32,34,37,41,44,46,50,57,58,61,65,[67][68][69][71][72][73][74][75][76][77]79 followed by five (7%) each in China 28,33,53,55,66 and Pakistan, 22,35,40,54,60 and four (6%) each in South Africa 21,[25][26][27] and Iran. 18,47,49,…”

Section: Included Studiesmentioning

confidence: 99%

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Cardiotocography use for fetal assessment during labor in low‐ and middle‐income countries: A scoping review

Takeshita,

Toyomoto,

Marui

et al. 2024

Intl J Gynecology & Obste

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BackgroundThe use of cardiotocography (CTG) to improve neonatal outcomes is controversial. The medical settings, subjects, utilizations, and interpretation guidelines of CTG are unclear for low‐ and middle‐income countries (LMICs).ObjectivesTo assess and review CTG use for studies identified in LMICs and provide insights on the potential for effective use of CTG to improve maternal and neonatal outcomes.Search StrategyThe databases Medline, CINAHL, EMBASE, and Cochrane Central Register of Controlled Trials (CENTRAL) were searched for published and unpublished literature through September 2023.Selection CriteriaPublications were identified which were conducted in LMICs, based on the World Bank list of economies for 2019; targeting pregnant women in childbirth; and focusing on the utilization of CTG and neonatal outcomes.Data Collection and AnalysisPublications were screened, and duplicates were removed. A scoping review was conducted using PRISMA‐ScR guidelines.ResultsThe searches generated 1157 hits, of which 67 studies were included in the review. In the studies there was considerable variation and ambiguity regarding the study settings, target populations, utilizations, timing, frequency, and duration of CTG. While cesarean section rates were extensively investigated as an outcome of studies of CTG itself and the effect of additional techniques on CTG, other clinically significant outcomes, including neonatal mortality, were not well reported.ConclusionsVariations and ambiguities were found in the use of CTG in LMICs. Due to the limited amount of evidence, studies are needed to examine CTG availability in the context of LMICs.

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Role of Cardiotocography in Predicting Perinatal Outcome

Cited by 2 publications

References 0 publications

Role of Cardiotocography in predicting perinatal outcome in high-risk pregnancy

Role of Cardiotocography in predicting perinatal outcome in high-risk pregnancy

Cardiotocography use for fetal assessment during labor in low‐ and middle‐income countries: A scoping review

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