Admission Cardiotocography in High Risk Pregnancies

  • Thapa J, Sah R Paropakar Maternity and Women’s Hospital, Thapathali, Kathmandu


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.

Keywords: admission test, Apgar score, cardiotocography, labour, mode of delivery, neonatal resuscitation


Feb 1, 2018
How to Cite
SAH R, Thapa J,. Admission Cardiotocography in High Risk Pregnancies. Nepal Journal of Obstetrics and Gynaecology, [S.l.], v. 12, n. 1, p. 50-54, feb. 2018. ISSN 1999-8546. Available at: <>. Date accessed: 18 sep. 2019.
Original Articles