Admission test as a screening test for fetal distress in labour
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20180518Keywords:
Fetal distress, Foetal hypoxia, Labour admission testAbstract
Background: This study was undertaken with the purpose of evaluating the efficacy of labour admission test as a screening test to identify the compromised fetus or fetus at risk and to correlate with perinatal outcome.
Methods: This was a retrospective cohort study of 300 patients in 1st stage of labour admitted to labour room at tertiary care hospital over a period of one and a half years. Patients with Singleton pregnancy, Cephalic presentation & Gestational age beyond 34 weeks were included in this study. A BPL electronic foetal heart monitor was used to perform the admission test. With the patient in left lateral position a 20 minute continuous electronic recording (paper speed of 3 cm per minute) of foetal heart rate and uterine activity was obtained, on a cardiotocograph.
Results: Statistical significance was calculated between different categories for different parameters too. A p value of of<0.05 was considered to be statistically significant. Fetal distress was seen 64.71% in Category III group 33.33% with Category II group and 4.74 % in Category I trace. admission test has 97.75% specificity and 95.5% negative predictive value.
Conclusions: Admission test makes screening convenient. Since it is non-invasive, patients also cooperate. Admission test helps to plan subsequent management of labour. It is a good predictor of foetal well-being at the time of admission and for the next few hours.
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References
Cunningham F, Leveno K, Bloom S, Spong CY, Dashe J. Williams Obstetrics, 24e. Mcgraw-hill; 2014.
Nelson MD, Alan Leviton. How much of neonatal encephalopathy is due to birth asphyxia? Am J Dis Child. 1991;145(11):1325-31.
Ingemarsson I, Arulkumaran S, IngemarssonE,Tambyraja RL, Ratnam SS. Admission test: Ascreening test for fetal distress in labor. Obstet Gynecol. 1986;68(6):800-6.
Rahman H, Renjhen P, Dutta S, Kar S. Admission cardiotocography; its role in predicting fetal outcome in high risk obstetric patients. Australas Med J.2012;5(10);522-7.
American College of Obstetricians and Gynaecologists. Practice Bulletin No 106, July;2009
Nikita V, Kumare B. Labour Admission Test (LAT) as a Predictor of Intrapartum Fetal Distress. Panacea Journal of Medical Sciences. 2016;6(1):26-30.
Nagure A, Umashankar M, Dharmavijay N, Mahedarakshan S. Admission cardiotocography: Its role in predicting foetal outcome in high–risk obstetric patient. Indian Journal of Basic and Medical Research 2013;3(1):156-164.
Kansal R, Panjeta P, Mahendra R, Bansal I, Goel G, Agrawal N. To study the association between labour admission test and mode of delivery. Int J Pharm Med Res 2014;2(4):109-112.
Hegde A, Kore S, Srikrishna S, Ambiye VR, Vaidya PR. Admission test: Screening for prediction of fetal outcome in labour. J ObstetGynecol India 2001;51(2):35-8.
Talaulikar VS, Arulkumaran S. Labour admission test. Intl J Infer Fetal Med. 2011;2(3):89-95.
Gurung G, Rana A, Giri K. Detection of intrapartum fetal hypoxia using admission test (AT) N. J. Obstet. Gynaecol. 2006;1(2):10-3.
Kulkarni AA, Shroti AN. Admission Test: A predictive test for distress in high risk labor. J ObstetGynecol Res. 1998;24(4):255-9.
Bhat RA. Labour admission test: A screening tool. Obs and Gynae Today. 2006;9(6):328-31.
Dwarakanath L, Laxmikantha G, Chaitra SK. Efficacy of admission cardiography (Admission test) to predict obstetric outcome. Journal of Evolution of Medical and Dental Sciences 2013;2(5):418-23.
Buckshee K, Deka D, Padmaja V. Admission test as predictor of fetal outcome. J ObstetGynecol India 1999;49(2);36-7.
Shakira P, Haleema H. Effectiveness of admission test. J Dow Univ Health Sci 2007;1(1):20-25.
Kushtagi P, Naragonis S. Labour admission test: An effective risk screening tool. J Indian Med Assoc 2002;100:234-6.
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