Admission Cardiotocography as a screening test to predict foetal outcome and mode of delivery

Rajalekshmi, M; Jayakrishnan, Chithra; Raghunath, Nithya; Narayanan, Vijay S

doi:10.5958/2394-2754.2016.00009.6

Cited by 6 publications

(8 citation statements)

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“…7 Rajalekshmi et al in their study had 267/400 (66.755) low risk cases whereas 133 (33.25%) high risk case. 5 In a study conducted on 201 high risk cases by Gupta et al, similar results as ours was found 63.2% had reactive CTG pattern and 36.8% had nonreactive CTG pattern. Kushtagi et al also found low sensitivity and PPV of 53% and 61%, and high specificity and NPV of 93% and 91%, respectively.…”

Section: Resultssupporting

confidence: 86%

“…4 Rajalekshmi et al studied on 400 women, out of which 267 (66.75 %) had reactive tracing, 133 (33.25 %) had abnormal tracings, respectively. 5 In study by Dhanalakshmi et al out of 481/800 (60.1%) of women had reassuring CTG, 33.4% belonged to non-reactive group and 6.5% belonged to ominous. 6 In a study conducted in Kandan Karibu Hospital, Singapore (1998) on 1000 antenatal women, tracings were reactive in 982 (4.3%), suspicious in 49 (4.7%), and ominous 10 (1%).…”

Section: Resultsmentioning

confidence: 94%

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Comparative efficacy of admission cardiotocography in high risk and low risk pregnancies in predicting neonatal outcome

Nandmer

Jaiswal

Namdeo

2021

Int J Reprod Contracept Obstet Gynecol

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Background: Admission cardiotocography (CTG) is a test of fetal wellbeing performed during labor. A normal CTG is for 20-30 minutes and ranges from 110-160 bpm with beat to beat variability, two accelerations and no decelerations with two contractions (as per NICE 2018 guidelines). To study comparative efficacy of admission CTG in predicting neonatal out in high risk, low risk and universally in all pregnancy.Methods: All high risk as well as low risk patients coming to labor room in labor were included in the study. CTG print was taken, and neonatal outcome as NICU admission were noted after taking written consent.Results: 189 cases were taken.138 were high risk cases, CTG was taken: 91were reassuring, 47were abnormal (non-reassuring +abnormal). In terms of NICU admission, 21 and 26 neonates were admitted. Out of 51 low risk cases, 33 had reassuring CTG, and18 had abnormal; 7and 6 was the number of NICU admission, respectively. When compared, highest sensitivity, specificity and positive predictive value of 55.31%, 77% and 55.3% was seen in high risk pregnancy, whereas negative predictive value (78.8%) was slightly higher in low risk cases.Conclusions: Admission CTG is a good predictor of neonatal outcome. Its predictive efficacy is more in high risk cases. It’s practicality in revealing poor neonatal outcome is more.

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Section: Resultssupporting

confidence: 86%

Section: Resultsmentioning

confidence: 94%

Comparative efficacy of admission cardiotocography in high risk and low risk pregnancies in predicting neonatal outcome

Nandmer

Jaiswal

Namdeo

2021

Int J Reprod Contracept Obstet Gynecol

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“…Rajalekshmi et al [16] documented that out of 400, 267 (66.75 %) women had reactive tracings, 114 (28.5 %) had suspicious and 19 (4.75 %) had ominous tracings. In reassuring group, 179 (44.75 %) had vaginal deliveries.…”

Section: Discussionmentioning

confidence: 99%

Admission Cardiotocography: A Predictor of Neonatal Outcome

Bhartiya

Sharma

Kumar³

et al. 2016

J Obstet Gynecol India

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Background Screening for fetal distress is a big challenge for obstetricians. Labor admission test by cardiotocography (CTG) can be utilized to differentiate between mothers, in whom continuous fetal monitoring is needed and those who can be managed by intermittent auscultation. Admission CTG is commonly used screening test which aims to identify on admission to the delivery unit the fetus at increased risk of intrapartum hypoxia. We conducted a study to evaluate the efficacy of CTG in low-and high-risk women. Methods A prospective longitudinal study was conducted on 200 low-risk and high-risk antenatal women, beyond 32-week gestation with live pregnancy in labor and admitted in labor ward.

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“…12 Rajalekshmi et al studied on 400 women, out of which 267 (66.75 %) had reactive tracing, 133 (33.25%) had abnormal tracings, respectively. 13 In study by Dhanalakshmi et al, 60.1% women had reassuring CTG, 33.4% belonged to non-reactive group and 6.5% belonged to ominous. 14 In present study, LSCS deliveries were significantly more among high risk group whereas vaginal births were significantly more among low risk group.…”

Section: Discussionmentioning

confidence: 91%

Predictive value of admission and intrapartum cardiotocography in normal and high risk antenatal women

Nagpal

Tyagi

Gupta

et al. 2023

Int J Reprod Contracept Obstet Gynecol

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Background: Cardiotocography is the most common method for assessing fetal health and reveals brain oxygenation. This study is done for admission and intrapartum cardiotocography in high- and low-risk pregnancies and its correlation with neonatal outcome. Methods: All high-risk and normal antenatal women with more than 34 weeks of pregnancy and vertex presentation who came to the labor room were included in the study. 200 cases were taken, 100 were in the "high risk group," and the remaining 100 were in the "low risk group." On admission CTG and intrapartum CTG tracing were taken after written and informed consent, neonatal outcomes were observed, and adverse neonatal outcomes were noted. Results: Admission CTG results were unsatisfactory for 9% of women in the high-risk group and none in the low-risk group. Intrapartum NST was non reassuring in 51% of high-risk women and 6% of the low-risk group. Of the total number of neonates admitted to the NICU, 14 were from the low-risk group, while 50 were from the high-risk group. Conclusions: On admission NST in both low and high-risk women, the absence of category III NST predicted the absence of an adverse neonatal outcome most accurately. Even during labor in both high-risk and low-risk women, the absence of category III reassured the fetal well-being most precisely.

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Admission Cardiotocography as a screening test to predict foetal outcome and mode of delivery

Cited by 6 publications

References 0 publications

Comparative efficacy of admission cardiotocography in high risk and low risk pregnancies in predicting neonatal outcome

Comparative efficacy of admission cardiotocography in high risk and low risk pregnancies in predicting neonatal outcome

Admission Cardiotocography: A Predictor of Neonatal Outcome

Predictive value of admission and intrapartum cardiotocography in normal and high risk antenatal women

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