Value of CTG M Onitoring in Misoprotol Induction Cases for Better Perinatal Outcome
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 8
Abstract
Purpose: To study the efficacy of Misoprostol for induction of labour, to know induction delivery interval in the patients induced with misoprostol and to assess the role of intermittent CTG monitoring in induction of labour. Materials and methods: During the 8 months study period a total number of 150 women were studied. 25 mcg of misoprostol was used for induction of labour. 75 women in Group-1 FHR was monitored using intermittent CTG and group-2 other 75 with intermittent auscultation using a stethoscope. These women were compared with respect to age, parity, cervical status, mode of delivery, induction delivery interval, the total number of doses required, incidence of meconium, various fetal heart rate patterns, maternal and fetal complications. Results: Induction of labour was required in 60% in group 1 and 76% in group 2 who were primigravidae. The incidence of meconium stained liquor was 18.6% in group 1 and 21.3% in group 2. The operative vaginal delivery rate was 4% in group 1 and 2% in group 2. The incidence of APGAR <7 was 5.3% in group 1 and 9% in group 2. NICU admission rate was 13.3% in group 1 and 21.3% in group 2. Neonatal death rate was 4% in group 2 whereas there were no neonatal deaths in Group 1. Conclusion: Intermittent CTG monitoring of fetal heart rate is better than intermittent auscultation in deducting fetal distress early in labour and thus avoiding neonatal morbidity and mortality.
Authors and Affiliations
Dr. Athota Smitha
Keywords
Related Articles
- EP ID EP209115
- DOI -
- Views 66
- Downloads 0
Evaluation of Serum Apo B and A-I as Cardiac Biomarkers in Young Adult Population
Clinically normal young adults with no well-known risk factors may present with metabolic syndrome, hypertension, atherogenic dyslipidemia and type-II diabetes. Age and sex are two non-modifiable risk factors for develop...
Institutional Study of Primary Cesarean Section among Multigravida
Background & Objectives: It is a study of the analysis of primary caesarean section done in women who had previous vaginal delivery of a viable neonate. The various indications for caesarean section, incidence according...
Clinical and Immunological Profile of Patients on Antiretroviral Therapy
Availability of antiretroviral therapy has changed the scenario of HIV endemic and now HIV disease has become a chronic manageable condition. Under NACP III nationwide free ART program was started. The purpose of this st...
An Observational Study of Proportion and Risk Factors of Hypotension in Parturients Undergoing Spinal Anaesthesia for Caesarean Section
Background: Spinal Anaesthesia (SA) is the most common preferred anaesthesia technique for Caesarean section (CS), because of its superior analgesia, favourable relaxation and decreased risk of complications over general...
Retrospective Study of Non-Responding Patients to ATT Presenting To the RNTCP Center of a Tertiary Care Hospital
Tuberculosis (TB) is a pandemic and half of the cases are in six Asian countries. WHO estimates that at least one third of the world population is infected with Mycobacterium tuberculosis. It is a major health issue; its...