P. Sree Sailaja1 , S. Silpahasa2 , R.V. Manasa3 , Chaduvula Suresh Babu4
BACKGROUND Routine electronic foetal monitoring has become an established obstetric practice. It is the most common utilized method for the assessment of foetal wellbeing during labour. The aim of this study is to evaluate the role of admission cardiotocography (CTG) in predicting perinatal outcome in low risk and high-risk antenatal women. METHODS This is a prospective study conducted in the department of Ob / Gyn, GIMSR, and Teaching Hospital. A total of 282 women in labour were selected for the study. All of them were subjected to admission test which is a 20-minute recording of foetal heart rate on a cardiotocograph machine at the time of admission in labour. Foetal and perinatal outcome were correlated with Admission CTG. RESULTS Out of 282 women, 68 % had a normal admission test, 21 % had a suspicious test and 11 % had pathological admission test. Foetal distress developed in 51.6 % in pathological group and 14 % in normal admission test group. The specificity of Admission CTG in predicting foetal distress was 91.62 % and the negative predictive value was 85.86 %. CONCLUSIONS Admission test is a simple, non-invasive screening tool to identify foetal distress already present at the time of admission in both high risk and low risk women and can thereby assist in avoiding unnecessary delay in obstetric intervention.
