Open AccessAnalysis of Normal and Abnormal Admission Cardiotocography (CTG) and Its Association with Perinatal Outcomes
Author(s) -
Nusrat Mahjabeen,
Shaikh Zinnat Ara Nasreen
Publication year - 2022
Publication title -
scholars international journal of obstetrics and gynecology
Language(s) - English
Resource type - Journals
eISSN - 2617-3492
pISSN - 2616-8235
DOI - 10.36348/sijog.2022.v05i02.002
Subject(s) - cardiotocography , medicine , apgar score , caesarean section , observational study , asphyxia , obstetrics , perinatal asphyxia , population , pregnancy , gynecology , pediatrics , fetus , genetics , environmental health , biology
Background: Cardiotocography (CTG) records changes in fetal heart rate and their temporal relation with uterine contractions. Its aim is to diagnose the hypoxia and prioritize the babies who need urgent delivery. Objective: The aim of the study is to assess the role and effectiveness of admission CTG and compare the abnormal and normal CTG regarding fetal outcomes. Methods: It is a prospective observational study held in Z.H. Sikder Women’s Medical College & Hospital for the period of 1 year (July 2020 to June 2021). 500 pregnant women were studied in this period. Admission and intermittent CTG was done according to need. Statistical level of significance was set at p <0.05. Result: Total 500 cases were taken as study population according to inclusion criteria and divided into two groups, normal and abnormal CTG. Abnormal CTG includes both suspicious and pathological varieties. Difference in Apgar score, NICU admission and perinatal asphyxia was statistically significant (p<0.05). Conclusion: A CTG is a non-invasive, reliable and cost-effective screening method to evaluate the fetal condition and to predict perinatal outcome in high risk and also in low-risk pregnancies. Caesarean section rates may be dramatically reduced by appropriate use of CTG.