Role of Abnormal Intrapartum CTG in Predicting Adverse Fetal Outcome

Filza Habib; Maria Aslam; Hasina Sadiq; Irum Sohail; Mehak Asim; Maria Habib

Filza Habib
Maria Aslam Senior Registrar Obs & Gynae Shifa College of Medicine, Shifa Tameer-e-Millat University Islamabad
Hasina Sadiq Senior Registrar Obs & Gynae Shifa College of Medicine, Shifa Tameer-e-Millat University Islamabad
Irum Sohail Professor Obs & Gynae KRL General Hospital Islamabad
Mehak Asim Senior Registrar Obs & Gynae Shifa College of Medicine, Shifa Tameer-e-Millat University Islamabad
Maria Habib Senior Registrar Obs & Gynae Shifa College of Medicine, Shifa Tameer-e-Millat University Islamabad

Keywords: cardiotocography

Abstract

Objectives: To determine the frequency of adverse fetal outcomes (Apgar score <7 at 1 minute) in females with abnormal CTG.

Methodology: A descriptive case series was conducted Obstetrics & Gynecology department, KRL Hospital, Islamabad, from 30th September 2018 to 29th March 2019. Ninety six pregnant females with abnormal intrapartum CTG at term with cephalic presentation and ages between 18 to 40 years were included. Patients with elective caesarian sections, obstetric emergencies e.g. severe APH, Cord prolapse, hand prolapse, and intrauterine fetal death were excluded. CTG was conducted by the trained staff in the labor room of all selected patients in an active phase of labor. All cases were followed till delivery, and adverse fetal outcome with Apgar score <7 noted.

Results: The mean age was found to be 28.05 ± 5.06 years, with a mean gestational age of 38.82 ± 0.92 weeks, and parity was 1.45 ± 1.90. The mean BMI was 30.51 ± 2.33 kg/m2. Adverse fetal outcome (in terms of Apgar score <7 at 1 minute) in females with abnormal CTG was found in 36 (37.50%) while 60 (62.50%) patients showed no adverse fetal outcome.

Conclusion: This study concluded that the frequency of adverse neonatal outcomes (Apgar score <7 at 1 minute) in females with abnormal CTG is quite low.