ROLE OF ADMISSION TEST IN PREDICTING ADVERSE FOETAL OUTCOME

Abstract

M. Mumtaj1

BACKGROUND
The aim of the evaluation of admission test in high-risk and low-risk groups. Evaluation of role of admission test in predicting adverse outcome of foetus in both low and high-risk groups’.
MATERIALS AND METHODS
This is a cross-sectional study done in Tirunelveli Medical College in a period of six months for 100 patients with equally divided low and high-risk groups.
RESULTS
With normal tracing, 96.9% of babies have no asphyxia. With suspicious trace, 65.2% had no asphyxia. With ominous trace, 58.3% had no asphyxia. In high-risk cases with normal tracings, 85% had no asphyxia. With suspicious tracing, 68.4% had no asphyxia. With ominous tracing, 54.5% had no asphyxia. In short, it is 78.6% sensitive in high-risk cases. In low-risk cases with normal tracing, 97.8% had no asphyxia. With suspicious tracing, 100% had no asphyxia. In short, AT is 91.8% specific in low-risk cases.
CONCLUSION
Admission test is a good intrapartum test both in high-risk and low-risk groups. It is simple, highly acceptable and also it can be repeated. It has 78.6% sensitivity in high-risk cases, 91.8% specificity in low-risk cases and over all negative predictive value is 91%.

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