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The Journal of Obstetrics and Gynecology of India

Published in:

01-10-2016 | Original Article

Admission Cardiotocography: A Predictor of Neonatal Outcome

Authors: Vishnu Bhartiya, Richa Sharma, Anand Kumar, Himsweta Srivastava

Published in: The Journal of Obstetrics and Gynecology of India | Special Issue 1/2016

Abstract

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.

Results

Correlation of labor admission test with meconium in low risk and high risk was found statistically significant (p = 0.0010 and p = 0.000046, respectively). Correlation of labor admission test with low Apgar score, NICU admission and mortality was found statistically insignificant in low-risk and high-risk groups.

Conclusion

Admission CTG does not benefit the neonatal outcome in normal- or low-risk women and rather results in increased obstetric intervention. Thus, it is not beneficial as a screening test to detect intrapartum fetal distress in normal- or low-risk women.

NICE. Inherited clinical guideline C. The use of electronic fetal monitoring. London: National Institute of Clinical Excellence; 2001.

Smith JH. Obstetrics in the 1990s; Current controversies. Oxford: Blackwell Scientific; 1992. p. 192–201.

Schifrin BS, Amsel J, Burdof G. The accuracy of auscultation detection of fetal cardiac deceleration: a computer simulation. Am J Obstet Gnaecol. 1992;166:566–76.CrossRef

Chaudhari KR, Pai SS. Admission test for screening labor. Hyderabad in: A comparative study by Dr. Reddy’s Laboratories; 2009.

Mires G, Williams F, Howie P. Randomized controlled trial of cardiotocography versus Doppler auscultation of fetal heart at admission in labor in low risk obstetric population. BMJ. 2001;322:1457–60.CrossRefPubMedPubMedCentral

Impey L, Reynolds M, MacQuillan K, et al. Admission cardiotocography: a randomized controlled trial. Lancet. 2003;361(9356):465.CrossRefPubMed

Mahomed K, Nyoni M, Lambo T, et al. Intra-partum fetal heart rate monitoring continuous electronic versus intermittent Doppler: a randomized controlled trial. Cent Afr J Med. 1992;38(12):458.PubMed

Haverkamp AD, Thompson HE, McFee JG, et al. The evaluation of continuous fetal heart rate monitoring in high-risk pregnancy. Am J Obstet Gynecol. 1976;125(3):310–20.CrossRefPubMed

Cruzen P, Bekir JS, McLintock DG, et al. Reliability of cardiotocography in predicting baby’s condition at birth. Br Med J. 1984;289(6455):1345–7.CrossRef

10.

Ingemarsson I, Arulkumuran S, Ingemarsson E, et al. A screening test for fetal distress in labor. Am J Obstet Gynecol. 1986;68:800–6.

11.

Ducey J, Guzman E, Schulman H, et al. Value of screening fetal heart rate tracing in the latent phase of labor. J Reprod Med. 1990;35:899–900.PubMed

12.

Capt GP, Sandhu GS, Raju R, et al. Admission cardiotocography screening of high risk obstetric patients. Med J Armed Forces India. 2004;64(1):43–5.

13.

Sandhu GS, Raju R, Bhattacharyya TK, et al. Admission cardiotocography screening of high risk obstetric patients. Med J Armed Forces India. 2008;64(1):43–5.CrossRefPubMedPubMedCentral

14.

Kansal R, Goel G, Mangala D, et al. Correlation of admission test with neonatal outcome. People’s J Sci Res. 2014;7:27–31.

15.

Bhangdiya S, Dadhe K, Khatod L. Labor admission test (cardiotocography) as intrapartum risk screening test and its efficacy to predict fetal outcome. Int J Recent Trends Sci Technol. 2015;16(2):459–62.

16.

Rajalekshmi M, Jayakrishnan C, Nithya R, et al. Admission cardiotocography as a screening test to predict foetal outcome and mode of delivery. Indian J Obstet Gynaecol Res. 2016;3(1):43–50.CrossRef

Title: Admission Cardiotocography: A Predictor of Neonatal Outcome
Authors: Vishnu Bhartiya
Richa Sharma
Anand Kumar
Himsweta Srivastava
Publication date: 01-10-2016
Publisher: Springer India
Published in: The Journal of Obstetrics and Gynecology of India / Issue Special Issue 1/2016
Print ISSN: 0971-9202
Electronic ISSN: 0975-6434
DOI: https://doi.org/10.1007/s13224-016-0912-0

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Admission Cardiotocography: A Predictor of Neonatal Outcome

Abstract

Background

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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