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Objective: To determine the neonatal outcomes in women with non-reactive cardiotocography (CTG).Methodology: This prospective observational study was conducted at Department of Gynecology & Obstetrics in Chiniot General Hospital, Karachi. Consecutive women of age between 20 to 35 years presented to labour room with non-reactive CTG were included in this study. Non-reactive CTG was defined as per the FIGO criteria of fetal tachycardia> 150bpm, fetal Bradycardia < 110, Reduce or absent beat to beat variability, late deceleration & extreme variable deceleration. During the hospitalization neonatal Apgar score, color of liquor, neonatal death, and need for admission in a neonatal intensive care unit (NICU) were recorded. Data was analyzed using SPSS version 21. Mann-Whitney test and Chi-Square test were applied and p-value ≤ 0.05 was taken as criteria for statistical significance.
Results: A total of 122 women were enrolled, mean ± standard deviation of age was 25.8±3.75 years with average gestational age of 38.24± 1.41 weeks. Satisfactory Apgar score was found in 109(89.3%) patients, meconium stained liquor was found in 43(35.2%) babies, need of NICU admission was observed in 38(31.1%) babies and five neonates died i.e.4.1%.
Conclusion: CTG was found to be helpful in monitoring and evaluating the state of a fetus that is in danger. With the satisfactory Apgar score in majority of patients, it is important to build up a consistent and clear-cut description of FHR tracing to decrease the occurrence of bogus positive results that may produce an elevated percentage of needless intervention principally caesarean section.
Rafia Saleem Ansari, Samina Kosar. (2019) The Neonatal Outcomes in Women with Non-Reactive Cardiotocography, Journal of the Society of Obstetrics and Gynaecologists of Pakistan , Volume-09, Issue-3.
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