Admission cardiotocography:Its role in predicting foetal outcome in high risk

Rahman, Hafizur; Renjhen, Prachi; Dutta, Sudip; Kar, Sumit

doi:10.4066/amj.2012.1267

Cited by 24 publications

(36 citation statements)

References 5 publications

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“…The most common indication in non -reactive group was for fetal distress (75%). The present study has similar findings with Rahman et al 14 where in reactive AT group of 123 cases, 65 (52.8%) had normal vaginal delivery, 44 (35.8%) had LSCS and 14(11.4%) had instrumental delivery. In equivocal AT group of 23 cases, 12(52.2%) had normal vaginal delivery, 10 (43.5%) had LSCS and 1 (4.3%) had instrumental delivery.…”

Section: Figure 1: Admission Test Resultssupporting

confidence: 80%

“…This high percentage in ominous AT group shows the significant relationship between the abnormal CTG pattern and fetal distress as evident by babies with Apgar score <7 at five minutes after birth. In a study by Rahman et al 14 8.9% of the cases from reactive AT group of 77% had moderate to thick MSL where 6.5% had babies with Apgar score <7. Likewise in 14.4% of equivocal AT group, 39.1% had moderate to thick MSL where 26.1% had babies born with Apgar score <7.…”

Section: Figure 1: Admission Test Resultsmentioning

confidence: 99%

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Admission Cardiotocography in High Risk Pregnancies

Thapa

Sah

2018

Nepal j. obstet. gynaecol.

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Aims:The objective of the study was to evaluate the relationship between admission cardiotocography and fetal outcome among high risk obstetrics patients. Methods:The study was a hospital based observational study of 130 patients, conducted at Paropakar maternity and Women's Hospital, Kathmandu from January 2014 to June 2014. A 20-minute cardiotocography reading was done in admission room and reading was categorized in 3 groups-reactive, equivocal and ominous. The results were compared to see the relationship between normal and abnormal admission test in terms of color of liquor, mode of delivery, Apgar score at 5 minutes, neonatal resuscitation needed and NICU admission. Results:Result of admission test (AT) was reactive in 95(73.1%), equivocal in 19(14.6%) and ominous in 16(12.3%) which has significant relationship with mode of delivery (p-value=0.003), color of liquor (p-value=0.000), Apgar score at 5 minutes (p-value=0.000) and perinatal outcome (p-value=0.00). Incidences of vaginal deliveries were more common when the test was reactive whereas operative deliveries were more common when the AT was ominous/equivocal. Conclusions:Admission test is simple, cost effective and non-invasive technique for detecting fetal hypoxia and predicting fetal outcome that can serve as a screening tool in triaging fetuses of high-risk patients in developing countries with a heavy workload and limited resources.

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Section: Figure 1: Admission Test Resultssupporting

confidence: 80%

Section: Figure 1: Admission Test Resultsmentioning

confidence: 99%

Admission Cardiotocography in High Risk Pregnancies

Thapa

Sah

2018

Nepal j. obstet. gynaecol.

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“…LSCS (16.2%) and IUGR (16.2%). This was compared to a study conducted by Rahman et al 10 where the majority of women (73.8%) were in the 21-30 years age group. 61.9% were primigravida while 38.1% females were multigravida.…”

Section: Discussionmentioning

confidence: 88%

“…The association was statistically significant (p< 0.05). The study by Rahman et al 10 have 72% patients with an ominous test had moderate-thick meconium stained liquor, compared to 39% and 9% in the equivocal and reactive CTG group respectively. (p<0.001)…”

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confidence: 97%

A Study of Cardiotocography During Active Labour to Assess the Perinatal Outcome in High Risk Pregnancy

Dhakare¹,

Patole²

2016

mvpjms

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Introduction: Cardiotocography is a test performed duringactive labour. It was used to assess the fetal wellbeing. Aim: To evaluate the CTG in high risk pregnancies and assess the perinatal outcome. Materials and Methods: Prospective observational study was conducted on 105 high risk pregnant patients fulfilling the eligibility criteria & written informed consent. Complete clinical & obstetrics examination was done. CTG monitoring was done during active labour. The results of CTG were studied according to NICE guidelines. Perinatal outcome were studied by Apgar score, NICU admission. Results: Out of 105 patients 56.2% were primigravida. Post datism was the most common risk factor present in 35.2% females followed by PIH (31.4%), oligohydramnios (18.1%), Anaemia (17.1%), Prev. LSCS (16.2%) and IUGR (16.2%). Normal CTG pattern was observed in 62.9% while suspicious and abnormal pattern was observed in 13.3% and 23.8% pregnancies respectively. Over one third of females with suspicious and abnormal CTG pattern had Thick Meconium Stained Liquor (MSL) during pregnancy. (p< 0.05) The association of abnormal pattern in CTG and caesarean section was found to be statistically significant (p<0.001). The Sensitivity and Specificity of CTG for predicting neonatal morbidity was 81.25% and 82.2%, while it's PPV and NPV was 66.6% and 90.9%. Conclusion: CTG appears to be a simple non-invasive test that can serve as a screening tool in assessing fetuses of high risk obstetric patients in hospitals/centers with a heavy workload and limited resources.

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“…Although the evidence from previous randomised trials, and a systematic review, for IA use on labour admission, is compelling, conflicting findings from recent non‐randomised studies continue to provide some clinicians with a rationale for ACTG use. Rahman et al for example, in a study evaluating the role of ACTG, reported a low risk of fetal compromise during labour for women with a reactive ACTG compared with women with equivocal and ominous ACTGs; 6.9%, 39.9% and 84.6%, respectively ( P < 0.001) . The incidence of thick meconium‐stained liquor, admission to NICU and neonatal mortality were also significantly higher in the ominous and equivocal groups compared with the reactive ACTG group and operative birth for suspected fetal compromise was required in 5.5% ( n = 8/145) of women in the reactive group compared with 27.8% ( n = 5/18) in the equivocal group and 84.6% ( n = 11/13) of women in the ominous group.…”

Section: Discussionmentioning

confidence: 99%