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Indian Journal of Obstetrics and Gynecology Research


Admission Cardiotocography as a screening test to predict foetal outcome and mode of delivery


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Author Details: Rajalekshmi M, Chithra Jayakrishnan, Nithya R, Vijay Narayanan S

Volume : 3

Issue : 1

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 43

Article End Page : 50


Abstract

Background: A screening test is ideally needed at the time of onset of labour which can detect the already existing compromise on the foetus and which can also predict its well-being for following hours in labour, which will pave way for timely intervention that will curtail the neurological damage and death. Assessment of foetal wellbeing in labour ward through admission cardiotocography (CTG) helps us to look for already prevailing high risk factors vigilantly and also new factors that have recently appeared.
Aim: To ascertain admission CTG as an effective tool in predicting the foetal outcome and mode of delivery.
Materials and Methods: In this study 400 women’s Admission CTG’s will be compared for pregnancy and neonatal outcomes such as mode of delivery, APGAR score, admission into neonatal intensive care unit (NICU) and duration of stay in NICU. Statistical analysis is done using Chi square test and p<0.05 is considered as statistically significant. Sensitivity, specificity, positive and negative predictive values, diagnostic accuracy of the admission CTG is also measured.
Results: There is a statistically significant co-relation between the admission CTG and the mode of delivery, APGAR score and NICU stay of the neonates.
Conclusion: We conclude that the admission test can be used as a useful tool to analyse CTG tracings of women in early labour to give quality care and to predict the mode of delivery and foetal outcome.

Keywords:
Admission CTG, mode of delivery, foetal outcome, APGAR score, NICU, diagnostic accuracy