A STUDY OF FETAL OUTCOME BASED ON NST IN POST DATED PREGNANCY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2015, Vol 2, Issue 13
Abstract
OBJECTIVES: Postdate pregnancy is the most common indication for Antepartum fetal heart rate testing because of its increased perinatal morbidity and perinatal mortality. Immediate neonatal problems such as asphyxia, meconium aspiration, respiratory distress, seizures and metabolic derangements are particularly common. Postdated patients accounted for 1/3 of the pregnancies requiring caesarean section for fetal distress because these fetuses tolerate labour poorly. MATERIALS AND METHODS: The study population considered of 100 inpatients whose pregnancy was beyond 41 weeks and underwent Antepartum fetal heart rate testing and delivered within seven days from the last NST at Vani vilas Hospital attached to Bangalore Medical College and Research Institute. Study period: 16.01.2014 to 15.01.2015. RESULTS: NST’s were recorded for 100 patients out of which 82 were reactive and 18 were non-reactive. The patients were induced in all 82 reactive patients before induction CPD was ruled out and the state of Cervix was assessed and primed in some cases. Out of 82 reactive cases 47 delivered vaginally, 9 Forceps delivery, 26 cases underwent LSCS for Various indications. Out of 18 non- reactive cases there was no CPD in any patients. 2 Patients delivered vaginally, another 16 cases under went LSCS (Fetal distress-10, Meconium-03, Cord Factor-03). CONCLUSION: NST is used as a primary antepartum surveillance test in postdate patients. At our Institution, the reactive NST has proved a reliable indicator of fetal well-being. However when viewed at the reports it shows that reactivity alone is insufficient to assure fetal well-being. The presence FHR decelerations during and NST was associated with a less favourable outcome for the fetus.
Authors and Affiliations
Krishnaveni M
Keywords
Related Articles
- EP ID EP226823
- DOI 10.18410/jebmh/2015/298
- Views 100
- Downloads 0
PROFILE OF SPINAL TRAUMA IN KASHMIR
Spinal cord injury is a devastating condition that affects all regions of the world. A high incidence of spinal cord injury in younger populations has resulted in enormous financial and physical costs for individual and...
STUDY OF PERINATAL OUTCOME OF PREGNANCIES WITH INTRAUTERINE GROWTH RESTRICTION IN A TERTIARY CARE CENTRE IN NORTH KERALA
BACKGROUND Intrauterine Growth Restriction (IUGR) remains one of the main challenges in maternity care. Intrauterine Growth Restriction (IUGR) is commonly defined as an estimated foetal weight of less than the 10th perce...
FUNCTIONAL OUTCOME EVALUATION OF PHALANGEAL AND METACARPAL FRACTURES TREATED WITH JESS FIXATION
BACKGROUND Fractures of metacarpals and phalanges are the most common fractures of the upper extremity and account for 10% of total such cases. The outer rays of the hand are most commonly injured. The incidence of metac...
A STUDY OF HIGH DOSE VERSUS LOW DOSE FUROSEMIDE THERAPY IN PATIENTS WITH ACUTE DECOMPENSATED HEART FAILURE
BACKGROUND In cases of Acute Decompensated Heart Failure (ADHF) Loop diuretics are an important component of current treatment and are administered to approximately 90% of patients who are hospitalized with heart failure...
A STUDY OF SURGICAL MANAGEMENT OF SPINAL TUBERCULOSIS
BACKGROUND Tuberculosis has been a major public health problem. As the 20th century began, tuberculosis was a leading cause of death in the Western countries. The development and the introduction of antituberculosis chem...