International Journal of Health and Clinical Research
Yazarlar: Pooja Gupta, Rekha Wadhwani, Pallavi Singh
Konular:-
Anahtar Kelimeler:Cardiotocography (CTG) ,Erinatal Outcome,Fetal Distress,Meconium Stained Liquor,Labor admission test (LAT).
Özet: Background During the transition from intrauterine to extrauterine environment, all fetuses are subjected to physiological stress. Admission CTG is a test of fetal well-being that is performed when a woman with a low-risk pregnancy is admitted in early labor. It can be utilized to differentiate between mothers, in whom continuous fetal monitoring is needed and those who can be managed by intermittent auscultation. It is a good predictor of fetal condition on admission and during the next few hours of labor in term fetuses.Aims and Objective The objective of this study was to ascertain the efficacy of admission CTG to identify the already compromised or likely to become compromised fetus of an apparently normal pregnancy on admission and to know the efficacy of admission CTG in predicting the mode of delivery& perinatal outcome in term pregnancy at onset of labor.Material & Method This was a prospective observational study conducted in department of obstetrics and gynaecology, GMC Bhopal. This study included 400 antenatal women admitted in hospital with term pregnancy in early labor without high risk and Singleton pregnancy with cephalic presentation. All women were subjected to an admission CTG, which included a 20minute recording of fetal heart rate and contractions.Result The Majority of women were primigravida in the 20-24 years age group. The admission CTG were reassuring in 84.3%, non reassuring in11.8% and pathological in 4.0%women. Incidence of fetal distress, meconium stained liquor and NICU stay was significantly more frequent among patients with pathological pattern. Spontaneous vaginal delivery commonest mode of delivery in reassuring CTG pattern.Conclusion Admission CTG can be used as a simple, economic, non- invasive screening procedure to detect pre-existing fetal hypoxia and plan early intervention to prevent adverse perinatal outcomes in hospital settings with limited resources and heavy patient load.