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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