INTERPRETATION OF ABNORMAL CARDIOTOCOGRAPHY AND PERINATAL OUTCOME

Dr. Rita D., *Dr. Md. Tofik Ahemad, Dr. Ravali G. and Dr. Smita Patil

ABSTRACT

Introduction: Monitoring of fetal heart rate is an essential component of antenatal care. Use of intrapartum electronic fetal monitoring (EFM) with cardiotocography has reduced the incidence of intrapartum fetal morbidity and mortality. Aim: The purpose of the study is to evaluate the neonatal outcome of abnormal CTG in labour in terms of mode of delivery, APGAR score at birth, neonatal resuscitation and NICU admission. Methodology: This clinical study conducted in department of OBG Navodaya medical college hospital and research center, Raichur. 80 patients with abnormal cardiotocography were included in the study who were between 37-42 weeks period of gestation who were meeting the inclusion criteria. OF 80 patients, 23 patients were with the suspicious CTG and 57 patients with pathological CTG. Results: Of 80 patients with abnormal CTG, 43(53.75%) were primigravida and 37(46.25%) were multi. LSCS rate were 65.2% and 80.68% in suspicious and pathological group (p=0.33 NS) respectively. Apgar score at 1 and 5 minutes found to be statistically significant (p<0.05). NICU admission rates were higher in pathological group (40.37 vs 13.05) which is statistically significant (p=0.018 <0.05) suggesting higher morbidity in pathological group compared to suspicious group. Conclusion: It is concluded that cardiotocography can be continued as good screening test of fetal surveillance in modern obstetrics. Abnormal CTG influence the fetal outcomes. In suspicious CTG, good clinical correlation is required to reduce increased incidence cesarean section.

Keywords: cardiotocography, fetal surveillance, fetal outcome, LSCS.