Role of admission cardiotocography in predicting pregnancy outcome in postdated pregnancies
Background: Admission cardiotocography (CTG) comprises recording of foetal heart rate and uterine contractions for 20 minutes done at the time of admission to labour room. This test can identify foetuses who are compromised during early labour and are in need for continuous foetal monitoring. Aim:...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Barpeta Obstetrics and Gynaecological Society
2024-05-01
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| Series: | New Indian Journal of OBGYN |
| Subjects: | |
| Online Access: | https://journal.barpetaogs.co.in/pdf/10334.pdf |
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| Summary: | Background: Admission cardiotocography (CTG) comprises recording of foetal heart rate and uterine contractions
for 20 minutes done at the time of admission to labour room. This test can identify foetuses who are compromised
during early labour and are in need for continuous foetal monitoring. Aim: To evaluate the role of admission
cardiotocography in predicting the pregnancy outcome in post-dated pregnancies. Methodology: This study was a
hospital based cross-sectional study conducted in the department of obstetrics and gynaecology, Jorhat Medical
College and Hospital from July 2021 to June 2022. Admission cardiotocography was done in 90 post-dated pregnant
women with singleton pregnancies admitted in labour room. Results: The admission CTG was normal in 70 % of all
patients, suspicious in 10% and pathological in 20 %. The neonatal outcomes in term of foetal distress, meconium
stained liquor and NICU admissions were considerably higher in patients with pathological result. The sensitivity of
test was 81.4% and specificity was 92%.Conclusion: Admission CTG is a simple, useful screening test and serves as
a non-invasive tool in forecasting the adverse foetal outcomes in high risk pregnancies. |
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| ISSN: | 2454-2334 2454-2342 |