CARDIOTOCOGRAPHY IN EARLY LABOUR- A SCREENING TEST FOR PREDICTION OF FETAL OUTCOME

International Journal of Innovative Medicine and Health Science, Vol. 4, 2015, 81-85

Rajlaxmi Jaysing Pardeshi, Dattatraya V Gopalghare, Mita Sase, P P Panigrahi

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ABSTRACT

Background:With the desire of viable and healthy fetus, its monitoring in antenatal and intranatal period has become necessory.The objectiveis to detect abnormal cardiotocographic findings,correlation, predictability of neonatal outcome and possible preventability of morbidity and mortality.

Methods:Study was conducted for a period of 2 years, subjects were taken with complaints of labour pain, more than 32 weeks of pregnancy and 3-5cmscervical dilatation. Cardiotocography was performed for 20 minutes and any ominous sign  found,  was continued for 30 minutes.

Results:300 cases were evaluated in which 259(86.3%) CTG’s were reactive and 41(13.6%) non-reactive. High risk factors were in which out of 65 cases with PIH, 56(28.1%) CTG’s were reactive and in those with anaemia 28 out of 34(14%) were non-reactive. Caesarean section rate was much higher in the non-reactive group 41.4% than the reactive 4.2%.Out of the reactive group, 24 cases needed NICU and 235 cases(90.7%) did not.  Whereas out of the non-reactive group of 41 cases, 17(41.4%) needed NICU  and the rest 24 cases did not. 49(18.1%) cases in reactive group had Apgar 8-10 at 1 minute, and 29(02%) in the non-reactive group.

Conclusion:Out of reactive group, caesarean section rate was 11(4.2%) while in non-reactive group was 17(41.1%). Apgar score were comparable to standard studies. The NICU admission was less and the perinatal death was nil. Thus CTG is a simple, non-invasive, easy to perform and a very useful diagnostic tool in early labour helpful in predicting fetal outcome and maternal well-being.