NON-STRESS TEST- A PREDICTION OF NEONATAL OUTCOME
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 34
Abstract
BACKGROUND Intrapartum foetal monitoring to assess foetal well-being during labour and delivery process has been a central component of intrapartum care for decades. The aim of the study was to evaluate the role of Non-Stress Test (NST) in intrapartum foetal monitoring and to assess its role in predicting neonatal outcome. MATERIALS AND METHODS A prospective observational study was conducted in the Department of Obstetrics and Gynaecology in Subharti Medical College and Associated Hospital, Meerut, for two years on 150 women. Pregnant women who came in labour were selected for the study. All women were subjected to NST. At delivery, Apgar score at 1 and 5 minute, cord blood pH and neonatal ICU admissions were noted. RESULTS NST showed a high sensitivity of 93% and a specificity of 69% in predicting neonatal outcome. The diagnostic accuracy of NST was 84.8%. Every neonate born to the mother with non-reactive NST had severe acidosis and required NICU admission. CONCLUSION It was concluded that NST had a high diagnostic accuracy in predicting neonatal outcome.
Authors and Affiliations
Sonal Agarwal, Anurag Aggarwal
Keywords
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