Publication: Admission Cardiotocography in Predicting Perinatal Outcome
Date
2019
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Background
Antepartum assessment of the fetus is very important to prevent intra-uterine
demise, birth asphyxia, neurological defect of newborns and neonatal mortality.
Cardiotocography is the best indicator for fetal surveillance during labour in low
resource country.
Objective
To assess on admission cardiotocography and predict perinatal outcome of antenatal
mothers admitted to labour room for delivery at Dhulikhel Hospital, Kathmandu
University Hospital.
Method
A prospective, observational study was conducted from 1st January 2016 to 31st
December 2017. Antenatal mothers were evaluated in admission cardiotocography
for 20 minutes. Cardiotocography studies were interpreted and categorized
according to the classification proposed by National Institute of Clinical Excellence
(NICE)- clinical guidelines 2007.
Result
Total 204 mothers were enrolled, the mean age is 24.06±4.331. Cardiotocography
interpretation shows, 81.4% of Normal, 13.7% suspected and only 4.9% accounts
pathological. Mother having CTG of pathological had more operative delivery 80%
compare to normal and suspicious (0.0001). Similarly, more meconium stained liquor
fall in pathological group with p value of 0.002. Fetal distress in labour is seen in all
groups, showing 13.3% in normal, 32.1% in suspicious and 80% in pathological with
p value 0.000. The duration of on admission cardiotocography to occurrence of fetal
distress found to be mean hour of 9.57.
Conclusion
The admission cardiotocography test is useful to detect fetal distress which is
already present at the time of test and can predict fetal wellbeing during the next
few hours of labour. This test might lead to higher incidence of operative delivery at
low resource countries because of lack of fetal blood sampling test to confirm fetal
hypoxia during labour.
KEY WORDS
Admission cardiotocography, Perinatal outcome, Obstetrical outcome
Description
Shrestha S, Shrestha I
Department of Nursing
Dhulikhel Hospital, Kathmandu University Hospital,
Kathmandu University School of Medical Sciences,
Dhulikhel, Kavre, Nepal
Keywords
Admission cardiotocography, Perinatal outcome, Obstetrical outcome