Key result
Pathological admission cardiotocography linked to a ~93% absolute increase in fetal distress versus normal results.
Why the study?
The study was conducted to evaluate the role of admission cardiotocography in predicting pregnancy outcomes in post-dated pregnancies.
Does admission cardiotocography predict adverse pregnancy outcomes in post-dated pregnant women?
Cross-Sectional (n=90)
No
Does admission cardiotocography predict adverse pregnancy outcomes in post-dated pregnant women?
Admission cardiotocography is a highly specific screening tool for predicting adverse fetal outcomes and the need for intervention in post-dated pregnancies.
Answers are grounded in this paper and cite their sources.
May support admission CTG as specific screening in postdated pregnancies; cross-sectional data leaves open prospective validation before practice change.
Background: Admission cardiotocography (CTG) comprises recording of foetal heart rate and uterine contractions for 20 minutes done at the time of admission to labour room. This test can identify foetuses who are compromised during early labour and are in need for continuous foetal monitoring. Aim: To evaluate the role of admission cardiotocography in predicting the pregnancy outcome in post-dated pregnancies. Methodology: This study was a hospital based cross-sectional study conducted in the department of obstetrics and gynaecology, Jorhat Medical College and Hospital from July 2021 to June 2022. Admission cardiotocography was done in 90 post-dated pregnant women with singleton pregnancies admitted in labour room. Results: The admission CTG was normal in 70 % of all patients, suspicious in 10% and pathological in 20 %. The neonatal outcomes in term of foetal distress, meconium stained liquor and NICU admissions were considerably higher in patients with pathological result. The sensitivity of test was 81.4% and specificity was 92%.Conclusion: Admission CTG is a simple, useful screening test and serves as a non-invasive tool in forecasting the adverse foetal outcomes in high risk pregnancies.
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Bhattacharya et al. (2024) conducted a cross-sectional in Postdated pregnancy (n=90). Pathological admission cardiotocography (CTG) vs. Normal admission CTG was evaluated on Fetal distress (p=<0.0001). Pathological admission cardiotocography in postdated pregnancies was associated with fetal distress compared to normal results, yielding a diagnostic sensitivity of 81.4% and specificity of 92%.
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