European Academic Research ISSN 2286-4822
ISSN-L 2286-4822
Impact Factor: 3.4546 (UIF)
DRJI Value : 5.9 (B+)
Article Details :
Article Name :
Abnormal Cardiotocography and Perinatal Outcome
Author Name :
EVA R. NANDI1, NURUN N. KHANAM, FATEMA ASHRAF, GOPEN K. KUNDU, JINNAT A. ISLAM, FARHANA PARVEEN, JANNATARA SHEFA
Publisher :
Bridge Center
Article URL :
Abstract :
Background: Cardiotocography is the graphic presentation of the fetal heart rate activity and the fetal hypoxia. It is the most commonly used test for antepartum and intrapartum fetal surveillance in the majority hospitals of developed countries. Methods: In this prospective observational study total 384 tracings, 192 consecutive normal & 192 abnormal were collected from admitted pregnant patients during July 2008 to December 2008 in the department of obstetrics in BSMMU. Results: Out of all patients of case group 92.7% had C/S & 7.3% had NVD & in control group 77.1% had C/S & 22.9% had NVD. Here abnormal CTG needed higher rate of C/S. Apgar score at 1st& 5th min was significantly less in case group. Immediate resuscitation needed in 82.3% newborns in case group & 22.4% of control group. On the other hand 67.7% newborns of case group needed NICU support where it is only 6.3% in control group. Death of newborn is 9.4% in case group & no death in control group. Conclusions: In current study, the group comprising abnormal CTG finding showed significantly higher incidence of lower birth weight, immediate resuscitation, NICU support, longer stay in NICU and neonatal death. So we conclude that abnormal CTG is a good predictor of poor perinatal outcome.
Keywords :
Cardiotocography (CTG), Neonatal Intensive Care Unit (NICU), Caesarian Section (C/S), Normal Vaginal Delivery (NVD).

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