Caesarean section for foetal distress and correlation with perinatal outcome
Journal Title: MedPulse -International Medical Journal - Year 2018, Vol 5, Issue 10
Abstract
Objective: To find out the efficacy of continuous fetal heart monitoring by analyzing the cases of cesarean section for non-reassuring fetal heart in labor, detected by cardiotocography (CTG) and correlating these cases with perinatal outcome. Methods: This was a prospective observational study of 200 patients who underwent cesarean section at 36 weeks fornon-reassuring fetal heart in labor detected by CTG. The adverse immediate neonatal outcomes in terms of Apgar score <7 at 5 minutes, umbilical cord þH <7.2, neonates requiring immediate ventilation and NICU admissions were recorded. The correlation between non-reassuring fetal heart and neonatal outcome was analyzed. Results: Out of the 1010 caesarians,200 (15.54%) are being performed for non-reassuring fetal heart rate. The mean age of the patients in the study group was 24.1 years. 128 (64%) women were primigravida, 72 (36%) were multigravida. Only 29 (14.5%) actually shows poor neonatal outcome with NICU admission. Conclusion: Non-reassuring fetal heart rate detected by CTG did not correlate well with adverse neonatal outcome.
Authors and Affiliations
Parikh Rana, Pooja Sharma, Sandeep Sharma, Mandeep Sharma, Preeti Chouhan
Keywords
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