Admission Cardiotocography in High Risk Pregnancies

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

Abstract

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


DOI: http://dx.doi.org/10.3126/njog.v12i1.18982

Published
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: <http://njog.org.np/njog/index.php/njog/article/view/870>. Date accessed: 17 oct. 2018.
Section
Original Articles