Admission Test: Cardiotocograph as a Marker of Fetal Outcome: A Case Series Study
Creators
- 1. Assistant Professor ,Dept. of Obg, Mahadevappa Rampure Medical College, Klb
Description
Background and Objectives: To study the cardiotocography at admission. To assess the fetal outcome of in relation to cardiotocograph. Materials and Method: Pregnant woman with term gestation, singleton pregnancy, vertex presentation with no associated high risk factors, in active labour were included. Admission cardiotocography was done and checked weather it was assuring or non-assuring, and perinatal outcome was tested with APGAR scoring at 1 and 5 minute. This study was conducted at H.S. Kumareshwara Hospital and research centre over a period of 18 months from January 2014 to May 2015, 185 patients were included. Results: The reassuring CTG had no significance for perinatal outcome, whereas the non-reassuring CTG had significance at APGAR score of 5 minutes. The sensitivity at 1 minute APGAR score was 65.89% and specificity was 30.36%, the sensitivity and specificity at 5 minute APGAR was 70.32% and 50% respectively. We found the T value of 1.280, and P value of 0.934 at APGAR score at 1 minute which doesn’t seem to be significant. The T value at APGAR score at 5 minute was 2.923 and P value of 0.004 which has high significance. Conclusion: CTG can be a reliable testing to prevent birth asphyxia in low resource setting, and to take decision about surgical intervention. Hence with a high significance we can use CTG to predict the fetal outcome.
Abstract (English)
Background and Objectives: To study the cardiotocography at admission. To assess the fetal outcome of in relation to cardiotocograph. Materials and Method: Pregnant woman with term gestation, singleton pregnancy, vertex presentation with no associated high risk factors, in active labour were included. Admission cardiotocography was done and checked weather it was assuring or non-assuring, and perinatal outcome was tested with APGAR scoring at 1 and 5 minute. This study was conducted at H.S. Kumareshwara Hospital and research centre over a period of 18 months from January 2014 to May 2015, 185 patients were included. Results: The reassuring CTG had no significance for perinatal outcome, whereas the non-reassuring CTG had significance at APGAR score of 5 minutes. The sensitivity at 1 minute APGAR score was 65.89% and specificity was 30.36%, the sensitivity and specificity at 5 minute APGAR was 70.32% and 50% respectively. We found the T value of 1.280, and P value of 0.934 at APGAR score at 1 minute which doesn’t seem to be significant. The T value at APGAR score at 5 minute was 2.923 and P value of 0.004 which has high significance. Conclusion: CTG can be a reliable testing to prevent birth asphyxia in low resource setting, and to take decision about surgical intervention. Hence with a high significance we can use CTG to predict the fetal outcome.
Files
IJPCR,Vol15,Issue10,Article64.pdf
Files
(741.0 kB)
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Additional details
Dates
- Accepted
-
2023-10-05
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue10,Article64.pdf
- Development Status
- Active
References
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