Electronic fetal monitoring at onset of labor to predict obstetric and neonatal outcome
Journal Title: International Journal of Clinical Obstetrics and Gynaecology - Year 2018, Vol 2, Issue 5
Abstract
Objective: to determine that electronic fetal monitoring (EFM) can be used as a screening test to predict obstetric and neonatal outcome. Methods: It’s a prospective study conducted on 400 pregnant women at onset of labor by electronic fetal monitoring to assess obstetric and neonatal outcome. Results: Incidence of normal traces was 69%, suspicious 24% and pathological traces was 7%. Out of 400 cases 318(80%) had vaginal delivery, 56(14%) had LSCS and 26(6%) had instrumental delivery. There was increased incidence of operative delivery and NICU admissions in suspicious and pathological tracings. This study has 76% sensitivity, 77% specificity, 96% positive predictive value and 33% negative predictive value for a normal test. Conclusion: Electronic fetal monitoring (EFM) at the onset of labor is an effective predictive technique to predict fetal outcome and plan an early intervention to prevent adverse perinatal outcome.
Authors and Affiliations
Lakshmikantha G, Sangeetha C
Keywords
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