Intrapartum fetal monitoring by cardiotocography and its correlation with labour outcome
Keywords:Fetal Monitoring, Cardiotocograph, Reassuring/non-reassuring pattern
Background: The intrapartum fetal surveillance has gained significant importance. Avoidance of adverse fetal outcome is the objective of intrapartum fetal monitoring. This study helps in forming the aims to provide simple and clear approach to intrapartum fetal surveillance in high risk population.
Methods: In present study 80 laboring patients were analyzed retrospectively who were admitted in GCS Hospital from December 2017 to May 2018. Continuous fetal monitoring was done and results were correlated with maternal and fetal outcome.
Results: Cases with high risk (23) had more non-reassuring pattern of 8.7% as compared to low risk which had 5%. With non-reassuring pattern, C-section was done in 38% whereas in reassuring pattern 85% had vaginal delivery. NICU admission in non-reassuring pattern were 7 (63.6%) whereas in reassuring were only 2 (2.89%). This makes false positivity as 36.4%.
Conclusions: Predictive value of CTG of reassuring pattern is quite high. In spite of false positives, it is a very effective tool in labor room.
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