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Fetal Growth Restriction is one of those leading causes of high risk pregnancy, which can result in significant fetal/ perinatal morbidity and mortality if not properly diagnosed and managed. Cardiotocography is a useful and indispesable adjunct to monitor the condition of the endangered foetus. In the proposed study, our focus was to analyse the correlation between the results shown by CTG during intrapartum period and foetal/perinatal outcome in cases of FGR. The present study was conducted in the Department of Obstetrics and Gynecology, S N Medical college, Agra in 2015. Fifty Pateints diagnosed as a case of foetal growth restriction, clinically and by USG with gestation >32 weeks who were in active labour, were included in the study. Intrapartum CTG was performed and findings recorded. Where CTG was non reassuring, Meconium stained liquor was present in 80% cases, cesarean was conducted in 60%, mean birth weight was 1.99kg, mean Apgar scores both at 1 min and 5 min were found to be lower, NICU admissions rate was20% and 8% perinatal deaths all of which occurred with a non ressuring CTG. The perinatal outcome in terms of all above parameters were found to be poor in those cases when CTG was abnormal. On correlating CTG changes with the above parameters, a positive correlation was found which was also statistically significant. Thus Cardiotocography is an effective means for fetal surveillance for pregnancies complicated by fetal growth restriction and an abnormal CTG is an important predictor for poor fetal outcome.

Correlation of Intrapartum Cardiotocographic Changes with Perinatal Outcome, in Cases of Fetal Growth Restriction