Admission Cardiotocography in High Risk Pregnancies

Authors

  • Jwala Thapa Paropakar Maternity and Women’s Hospital, Thapathali, Kathmandu
  • Rajib Sah Paropakar Maternity and Women’s Hospital, Thapathali, Kathmandu

Keywords:

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

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.

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Author Biographies

Jwala Thapa, Paropakar Maternity and Women’s Hospital, Thapathali, Kathmandu

Department of Obstetrics and Gynaecology

Rajib Sah, Paropakar Maternity and Women’s Hospital, Thapathali, Kathmandu

Department of Obstetrics and Gynaecology

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Published

2018-01-15

How to Cite

Thapa, J., & Sah, R. (2018). Admission Cardiotocography in High Risk Pregnancies. Nepal Journal of Obstetrics and Gynaecology, 12(1), 50–54. Retrieved from https://www.nepjol.info/index.php/NJOG/article/view/18982

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Section

Original Articles