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April 1, 2024The New Indian Journal of OBGYNOpen Access

Pathological admission cardiotocography linked to a ~93% absolute increase in fetal distress versus normal results.

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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?

Population

90 post-dated pregnant women with singleton pregnancies admitted to the labour room

Comparison

Admission cardiotocography categorization (normal vs suspicious vs pathological)

Design

Hospital-based cross-sectional study

Key result

Pathological admission cardiotocography in postdated pregnancies was significantly associated with fetal distress compared to normal results (100% vs 7%, p<0.0001), yielding a diagnostic sensitivity of 81.4% and specificity of 92%.

Authors

ABApurba Kumar BhattacharyaPMPranabika MahantaDCDebojit Changmai

Discussion

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Member takes

Overview

May support admission CTG as specific screening in postdated pregnancies; cross-sectional data leaves open prospective validation before practice change.

Study Design

Type

Cross-Sectional (n=90)

Multicenter

No

Structured PICO

Does admission cardiotocography predict adverse pregnancy outcomes in post-dated pregnant women?

P
Population
90 pregnant women with singleton pregnancies who had crossed 40 weeks of gestation, evaluated using admission cardiotocography.
E
Exposure
Admission cardiotocography (recording of foetal heart rate and uterine contractions for 20 minutes at the time of admission to labour room)
O
Outcome
Pregnancy outcome including foetal distress, meconium-stained liquor, APGAR score <7 at 5 minutes, NICU admission, and mode of delivery

Main Result

Absolute Event Rate: 100% vs 7%

p-value: p=<0.0001

Admission cardiotocography is a highly specific screening tool for predicting adverse fetal outcomes and the need for intervention in post-dated pregnancies.

Limitations

  • Small sample size
  • Single-center study design
  • Routine use in low-risk cases may lead to unnecessary obstetric interventions and increased caesarean delivery rates

Cite This Study

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 significantly associated with fetal distress compared to normal results (100% vs 7%, p<0.0001), yielding a diagnostic sensitivity of 81.4% and specificity of 92%.

synapsesocial.com/papers/6a1f8ea6e47f012c48073595https://doi.org/10.21276/obgyn.2024.10.2.17
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Admission Cardiotocography and Neonatal Outcomes at a Tertiary Health Facility in Southwestern Nigeria2024 · 3 citations
  2. 2Admission Cardiotocography in Term Pregnancies for Predicting Intrapartum Interventions and Early Neonatal Outcomes: A Systematic Review2026
  3. 3Reliability of Admission Cardiotocography with and without Amniotic Fluid Index in Predicting Maternal and Fetal Outcomes: A Comparative Observational Study2025
  4. 4Revisiting the Value of Admission Cardiotocography in Term Pregnancies: An Updated Systematic Review and Meta‐Analysis2025 · 2 citations
  5. 5Association of Pathological Cardiotocograph with Adverse Fetal Outcomes2025