Role of Cardiotocography to Improve Perinatal Outcome in High Risk Pregnancy
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 4
Abstract
Introduction: FHR monitoring is very important role in labouring patient when incidence of fetal hypoxia and progressive asphyxia increases mainly in high risk pregnancy. Now a day’s cardiotocography (CTG) become a popular method to monitor fetal wellbeing and it is assisting the obstetrician in making decision on the mode of delivery to improve perinatal outcome. Study aimed to assess the benefit of cardiotocography to improve perinatal outcome in high risk pregnancy. Material and methods: In this prospective observational study 201 gravid women with high risk pregnancy in first stage of labour were taken. Result was assessed in the form of liquor status, apgar score at one minute and five minute, birth weight, NICU admission, Perinatal mortality. Statistical analysis is done by using Chi square test and p<0.05 is considered as statistically significant. Results: Perinatal morbidity in the form of NICU admission is higher in nonreactive group as compare to reactive group (75.7%v/s 22.8%). The admission CTG was reactive in 127 patients (63.1%) and nonreactive in74 patients (36.9%). This study concluded that there is statistically significant role of reactivity of CTG and NICU admission.(P< 0.001). The sensitivity of CTG for NICU admission 75.7%, specificity 77.2% with Positive predictive value 65.9% and however a high Negative predictive value (84.5%) was also seen. Conclusion: Cardiotocography is the best non invasive screening test to evaluate the fetal health and to predict the perinatal outcome in high risk pregnancy. Incidence of fetal distress, MSL, abruption, low birth weight and NICU admission was more frequent in those cases that have nonreactive traces
Authors and Affiliations
Manisha Gupta, Teena Nagar, Punit Gupta
Keywords
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