INTERMITTENT FETAL HEART AUSCULTATION – CORRELATION WITH APGAR SCORE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2014, Vol 3, Issue 11
Abstract
[b]AIM OF THE STUDY[/b]: To study the effectiveness of intermittent Fetal Heart auscultation in detecting fetal distress and its correlation with Apgar score. [b]STUDY DESIGN:[/b] The Study includes 1000 women in labor with live fetuses between 29-40 weeks of gestation. All patients were monitored by intermittent fetal heart auscultation (IA) using a stethoscope or a hand held Doppler device. Monitoring was done every 15 min. in the 1ststage of labor and every 5min in the 2nd stage of labor. FHR was counted for at least 1 min. immediately following a contraction and the rate as well as rhythm was noted. Results of fetal monitoring were correlated with the Apgar score of the neonate.[b]PLACE OF STUDY:[/b] The study was conducted in the department of Obstetrics and Gynecology, ESI Hospital, Sanathnagar, Hyderabad, A.P. over an 8 month period from May 2013 to December 2013 after taking permission of the ethics committee.[b] RESULT:[/b] Out of the 1000 cases, 75 cases were detected to have fetal distress on auscultation (7.5%). At delivery, 16 patients (21.3%) of these 75 cases had an Apgar score less than 7. Out of the remaining 925 patients who had no clinical evidence of fetal distress, 6 of them (0.6%) delivered a neonate with an Apgar score less than 7. Statistical analysis of this data showed a sensitivity of intermittent auscultation in detecting fetal distress resulting in low Apgar score as 93.7% with a specificity of 74.3%. These results are similar to the published results of continuous Electronic Fetal Monitoring (EFM). [b]CONCLUSION:[/b] Detection of fetal distress by IA is not inferior to the more invasive and expensive methods of EFM. In a country like India, where expensive monitoring gadgets are available at only a few centers, IA is an effective alternative.
Authors and Affiliations
Anitha P, Jagathyayini G
Keywords
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- EP ID EP106460
- DOI 10.14260/jemds/2014/2230
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