Correlation of cardiotocography results and perinatal outcome in gestational hypertension
Journal Title: Obs Gyne Review: Journal of Obstetric and Gynecology - Year 2018, Vol 4, Issue 1
Abstract
Background: Early recognition of foetal distress in labour is the primary concern for the obstetrician to avoid adverse perinatal outcome. cardiotocograph is a simple non-invasive test that can serve as a screening tool in assessing foetuses of high risk obstetric patients. Use of electronic FHR monitoring during labour can detect hypoxia timely & unnecessary delay in intervention can be avoided. Methods: Study was conducted at NSCB MCH Jabalpur, Department of obstetrics & Gynaecology. Total 200 patients selected who were admitted for hypertensive disorder & were included in the study. NST was used for fetal surveillance from 32 weeks of gestation weekly, biweekly, alternate day & daily basis depending on the severity of gestation. patients were followed till delivery & maternal & foetal outcome recorded & correlated with CTG findings. Result: Out of 200 patients 107 delivered by LSCS & most of these cases had non-reactive NST 70/107 & 93 delivered by Vaginal route & most of them have reactive NST 71/93. In non-reactive NST group newborns APGAR score at 5 minute<7 in 40/92 cases while in reactive NST group it was in 30/102cases. Total 70 new-born admitted in NICU out of which 63 were from nonreactive group & 7 were from reactive group. Conclusion: CTG can serve as a screening tool in high risk obstetric pregnancy, particularly in preeclampsia where decrease utero-placental circulation cause considerable fetalcompromise. It helps to detect fetal distress already present or likely to develop during labour.
Authors and Affiliations
Vineeta Ghanghoriya, Kirti Patel, Pratibha Raghuwansh
Keywords
Related Articles
- EP ID EP342407
- DOI 10.17511/jobg.2018.i1.01
- Views 191
- Downloads 0
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