scholarly journals Relationship between Abnormal Cardiotocography and Fetal Outcome

2016 ◽  
Vol 10 (2) ◽  
pp. 36-39
Author(s):  
S Banu
Keyword(s):  
Apgar Score ◽  
Mode Of Delivery ◽  
Neonatal Resuscitation ◽  
Lateral Position ◽  
Fetal Outcome ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Left Lateral Position ◽  
Oxygen Inhalation

Aims: This study aimed to determine the frequency of abnormal cardiotocography during labour and to evaluate the significance of these patterns in determining fetal well-being.Methods: This was cross-sectional study undertaken at sir Ganga Ram Hospital, Lahore from September 2009-September 2010. Hundred admitted pregnant women were enrolled for the study. Admission cardiotocography was done for 30 minutes in left lateral position and labeled as normal, suspicious or pathological. Suspicious pattern cardiotocography was repeated after hydration with 1000ml intavenous fluid and oxygen inhalation, if remained suspicious then action for delivery was taken. Mode of delivery was dependent on stage of labour.Results: Twenty three women had suspicious CTG traces and 77 had pathological.It was noticed that  the percentage of various mode of dellivery were not much different among suspicious and pathological CTG groups  with p value 0.668.The Apgar score observed as per mode delivery reveal that there was no  significant  association between Apgar score at 1 min and mode of delivery with pvalue 0.889. The association of poor Apgar in pathological CTG group was significant with p value 0.006. Fifteen (15.6%) neonates needed resuscitation and 81 (84.4%)did not require resuscitation.Conclusions: Abnormal CTG influence the fetal outcome, ie poor Apgar score at 1 min and 5 minutes, increased rate of caesarean section and neonatal resuscitation.

scholarly journals Admission Cardiotocography in High Risk Pregnancies

2018 ◽  
Vol 12 (1) ◽  
pp. 50-54
Author(s):  
Jwala Thapa ◽  
Rajib Sah
Keyword(s):  
High Risk ◽  
Apgar Score ◽  
Mode Of Delivery ◽  
Neonatal Resuscitation ◽  
Fetal Outcome ◽  
Invasive Technique ◽  
P Value ◽  
Vaginal Deliveries ◽  
Admission Test ◽  
The Relationship

Aims: The objective of the study was to evaluate the relationship between admission cardiotocography and fetal outcome among high risk obstetrics patients.Methods: The study was a hospital based observational study of 130 patients, conducted at Paropakar maternity and Women’s Hospital, Kathmandu from January 2014 to June 2014. A 20-minute cardiotocography reading was done in admission room and reading was categorized in 3 groups- reactive, equivocal and ominous. The results were compared to see the relationship between normal and abnormal admission test in terms of color of liquor, mode of delivery, Apgar score at 5 minutes, neonatal resuscitation needed and NICU admission.Results: Result of admission test (AT) was reactive in 95(73.1%), equivocal in 19(14.6%) and ominous in 16(12.3%) which has significant relationship with mode of delivery (p-value=0.003), color of liquor (p-value=0.000), Apgar score at 5 minutes (p-value=0.000) and perinatal outcome (p-value=0.00). Incidences of vaginal deliveries were more common when the test was reactive whereas operative deliveries were more common when the AT was ominous/equivocal.Conclusions: Admission test is simple, cost effective and non-invasive technique for detecting fetal hypoxia and predicting fetal outcome that can serve as a screening tool in triaging fetuses of high-risk patients in developing countries with a heavy workload and limited resources.

scholarly journals Gestational Anaemia and its Associated Factors in Normal Pregnant Women

2021 ◽  
pp. 120-126
Author(s):  
Feriha Fatima Khidri ◽  
Rubina Amjad ◽  
Farah Naz ◽  
Abid Hussain ◽  
Faiza Kamran Ali
Keyword(s):  
Pregnant Women ◽  
Gestational Age ◽  
Mode Of Delivery ◽  
Fetal Outcome ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Obstetrical Complications ◽  
Moderate Anemia ◽  
Antenatal Visits

Objectives: To determine the hemoglobin levels in normal pregnant women and investigate the association of anemia with gestational age, number of antenatal visits, obstetrical complications and mode of delivery. Methodology: This is a cross-sectional study conducted at the Lady Willingdon Hospital, Khairpur Mirs, Pakistan from May 2021 to August 2021. A total of 139 normal pregnant women were recruited during antenatal visits. Patients were grouped into normal and anemic groups based on serum hemoglobin levels. Gestational age, obstetrical complications, mode of delivery and fetal outcome were recorded to find its association with anemia. Data was analyzed on SPSS 20.0 and p-value < 0.05 was considered as statistically significant. Results: Out of n=139 normal pregnant women, n=26 women had normal hemoglobin levels, n=49 were mild anemic, n=46 had moderate anemia whereas n=18 had severe anemia. Overall, the prevalence of gestational anemia was 81%. There was significant association between hemoglobin status and number of antenatal visits and complications in previous pregnancies. Hemoglobin status was not significantly associated with gestational age and mode of delivery. Conclusion: In conclusion, we found that gestational anemia is highly prevalent in Pakistan. Early detection of anemia and its correction via supplementations are recommended.

scholarly journals Fetal outcome in Premature Rupture of Membrane – A study conducted in a tertiary level hospital in Bangladesh

Mediscope ◽  
2020 ◽  
Vol 7 (2) ◽  
pp. 108-112
Author(s):  
Sanchita Adhikary ◽  
Shaorin Tanira ◽  
Arifa Sultana ◽  
Feroza Wazed ◽  
Saleha Begum Chowdhury
Keyword(s):  
Birth Weight ◽  
Apgar Score ◽  
Mode Of Delivery ◽  
Birth Asphyxia ◽  
Fetal Outcome ◽  
Cross Sectional Study ◽  
Premature Rupture ◽  
Birth Process ◽  
Cross Sectional ◽  
History Of

Background: Perinatal mortality is high if premature rupture of membrane (PROM) occurs when fetuses are of previable gestational age. Objective: To find out the effect of premature rupture of membrane in pregnancy on its fetal outcome. Methods: A cross-sectional study was conducted in Department of Obstetrics and Gynaecology of Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh, from February to July of 2008, on 50 pregnant women with more than 28 weeks of pregnancy both primigravid and multigravid with rupture of membranes prior to labour. Women who were admitted with rupture of membranes with established labour, or having antepartum hemorrhage, pre-eclampsia or eclampsia were excluded from the study. Out of 775, only 95 patients were admitted with history of premature rupture of membrane (PROM). Among those patients, 50 cases were included in this study as per inclusion and exclusion criteria. Then their mode of delivery and outcome of fetal parameters were recorded. Results: 48 live births were observed and there were 2 fetal losses. Among 48 live newborns, 28 (58.33%) were male and 20 (41.66%) were female. 54.16% of babies had APGAR score at 5 minutes after birth was >7 and those needed no treatment. APGAR score was 7 in 45.82% babies; all of them were treated and cured. Among the newborns, 52.08% babies had birth weight >2500 gm, 45.83% had their birth weight in between 1500 and 2500 gm, while 1 (2.08%) was between 1000 and 1500 gm. However, 22 (45.83%) were affected by the consequences of PROM and birth process. Among them, 36.36% developed jaundice, 29.27% suffered from birth asphyxia, and RTI and neonatal sepsis were evident in 18.18% each. 15% babies were treated conservatively in Department of Obstetrics, while 7% babies were treated in the Neonatal Ward under Department of Paediatrics after admission.There was no neonatal loss. Conclusion: Despite progress in obstetric and neonatal care over the past few years, fetal outcomes in pregnancies with PROM remains disappointing to date. Mediscope Vol. 7, No. 2: July 2020, Page 108-112

The effect of attending a prenatal childbirth preparedness course on labor duration and outcomes

2018 ◽  
Vol 46 (1) ◽  
pp. 47-52 ◽  
Author(s):  
David Yohai ◽  
Debi Alharar ◽  
Ruthi Cohen ◽  
Zohar Kaltian ◽  
Barak Aricha-Tamir ◽  
...  
Keyword(s):  
Post Partum ◽  
Mode Of Delivery ◽  
Cross Sectional Study ◽  
P Value ◽  
Study Group ◽  
Cross Sectional ◽  
Positive Effects ◽  
Childbirth Experience ◽  
Labor Duration ◽  
Entire Duration

AbstractObjective:To evaluate the effect of attending a prenatal childbirth preparation course (CPC) on labor duration and outcomes.Methods:A cross sectional study of 53 primiparous women who attended and 54 women who did not attend a CPC was conducted. The state-trait anxiety inventory (STAI) score was used to diagnose anxiety. Clinical and obstetrical data were collected from the perinatal database of our center. Through post-partum interviews, coping strategies were assessed, patients graded their childbirth experience and breastfeeding was evaluated. Data were analyzed using description analyses and a P-value <0.05 was considered statistically significant.Results:The STAI score was significantly lower in the study group compared with controls (P=0.025). The first stage and the entire duration of labor were significantly shorter (P=0.036 and P=0.026, respectively) in women who attended the CPC. No significant differences were found with regard to the mode of delivery, rate of episiotomy, use of analgesics and neonatal outcomes between the groups. Women in the study group rated their labor experience significantly higher (P=0.016) and exhibited significantly higher rates of breastfeeding (P<0.001) than controls.Conclusions:The knowledge acquired in the CPC has positive effects on the course of labor and delivery outcomes as well as higher rates of breastfeeding.

scholarly journals Nuchal Cord and Perinatal Outcome

2015 ◽  
Vol 7 (1) ◽  
pp. 15-17
Author(s):  
K Shereen ◽  
K Patil
Keyword(s):  
South Asian ◽  
Apgar Score ◽  
Perinatal Outcome ◽  
Mode Of Delivery ◽  
Cross Sectional Study ◽  
Research Centre ◽  
Chi Square ◽  
Cross Sectional ◽  
Nuchal Cord ◽  
Chi Square Test

ABSTRACT Aims To establish the incidence of nuchal cord at the time of delivery and to assess its impact on the intrapartum and perinatal outcome. Materials and methods This was a cross-sectional study conducted at KLES Dr Prabhakar Kore Hospital and Medical Research Centre, Belgaum, India, from January 2011 to March 2011. A sample size of 429 was calculated. Informed consent was obtained and eligible women were enrolled. The babies born with a cord around the neck were compared to those without. The particulars noted were age, BMI, parity, loops of cord around the neck (single or multiple), type of loop, mode of delivery, weight of the baby and Apgar score at birth and 5 minutes. The parameters were then compared and statistically analyzed using Chi-square test. Results Incidence of nuchal cord at the time of delivery was 13.75%, of which single nuchal cord was highest (76.66%). The study revealed that age, BMI (in kg/m2), parity, gestational age and birth weight were not statistically significant to the presence of nuchal cord. Though instrumental deliveries were more in babies with nuchal cord, it was not statistically significant (p = 0.932). Apgar score < 7 at 1 minute was significantly low in nuchal cord group and Apgar score at 5 minutes and admission to neonatal unit was equivalent to those babies born without nuchal cord (p = 0.947). Conclusion Nuchal cord is not associated with adverse perinatal outcome. How to cite this article Shereen K, Patil K, Swamy MK. Nuchal Cord and Perinatal Outcome. J South Asian Feder Obst Gynae 2015;7(1):15-17.

scholarly journals Lamanya Persalinan Kala I dan II pada Ibu Multipara dengan Apgar Score Bayi Baru Lahir

2017 ◽  
Vol 2 (1) ◽  
pp. 6
Author(s):  
Halimatussakdiah Halimatussakdiah
Keyword(s):  
Apgar Score ◽  
Cross Sectional Study ◽  
Bivariate Analysis ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Second Stage ◽  
Consecutive Sampling ◽  
Minute Apgar Score ◽  
Banda Aceh

In the first stage of delivery, some obstacles are usually happened, including irregular contractions, inadequate duration, and unexpected contractions’ frequency. Consequently, the baby will have asphyxia and the duration of the first and the second stage of the childbrith process will be expanded. The objective of this study was to see the correlation between the duration of both deliveries’ stages on mother multigravida toward Newborn Apgar Score. The method of this study was an analytical correlation with a cross-sectional study. The sample was 35 mother obtained with consecutive sampling method. The data instrument was the observation from. The study was done on 5 and 20 August 2016 in Government Hospital Banda Aceh. The data was done analyzed with statistical test analysis using correlation computing devices. The result of the bivariate analysis showed that there is a correlation between the duration of the first stage of delivery with the first minute Apgar Score (p-value 0,010), fifth minute Apgar score (p-value 0,010), while the second stage with the first minute Apgar Score (p-value 0,000), fifth minute Apgar score (p-value 0,000). From this study, it is expected that the chosen of adequate intervention, the duration of delivery of the first and the second stage has not happened so that the asphyxia on the newborns are decreasing.Keywords: Apgar Score, labor, first and second stageKala I persalinan sering ditemukan hambatan atau kendala. Kendala tersebut antara lain kontraksi rahim yang irreguler, durasi kontraksi yang tidak adekuat dan frekuensi kontraksi yang irreguler sehingga bayi mengalami asfiksia dan menimbulkan perpanjangan waktu kala I dan II persalinan. Tujuan penelitian untuk mengetahui hubungan lamanya persalinan kala I dan II pada ibu bersalin multipara terhadap Apgar Score  Bayi baru lahir. Jenis penelitian Analitik Korelatif, dengan desain Cross Sectional study. Jumlah sampel 35 ibu bersalin multipara tehnik pengambilan sampel dengan metode Consecutive Sampling. Pengumpulan data  menggunakan lembar observasi. Penelitian dilakukan  tanggal 05 - 20 Agustus 2016 di Rumah Sakit Pemerintah Banda Aceh. Metode analisis data menggunakan uji Statistik Regresi Korelasi dianalisis menggunakan perangkat komputer. Hasil analisa bivariat menunjukan ada hubungan antara lama kala I dengan Apgar Score menit 1 (p-value 0,010), apgar score menit 5 (p-value 0,010), kala II dengan Apgar Score menit 1 (p-value 0,000), apgar score menit 5 (p-value 0,000). Diharapkan pemilihan tindakan yang tepat dapar mencegah lamanya persalinan pada kala I dan II dan tidak terjadi asfiksia pada bayi baru lahir.Kata kunci: Apgar score, kala I dan II, persalinan

scholarly journals FETAL OUTCOME;

2017 ◽  
Vol 24 (03) ◽  
pp. 462-465
Author(s):  
Afsheen Memon ◽  
Aisha Abdullah Sheikh ◽  
Anisa Kamal
Keyword(s):  
Caesarean Section ◽  
Apgar Score ◽  
Mode Of Delivery ◽  
Fetal Distress ◽  
Fetal Outcome ◽  
High Rate ◽  
P Value ◽  
Study Group ◽  
Nuchal Cord ◽  
Nicu Admission

Objectives: To compare the effect of nuchal cord versus without cord aroundthe neck on mode of delivery and fetal outcome. Study design: Case control comparativestudy. Period: 1st August 2013 to 31st March 2014. Setting: Gyn /Obs Department at Sir SyedHospital Karachi. Material and Methods: A comparative study was carried out on 2 groupsof parturient ladies. The study group comprised of those ladies who at the time of delivery(vaginal delivery/caesarean-section) had clinically cord around the neck while the other group(control) did not have nuchal cord. Duration of labour, mode of delivery were noted. Perinataloutcome was measured in terms of Apgar score and NICU admission. High risk pregnancieswere excluded from the study. Result: Incidence of nuchal cord at the time of delivery was22.7%. A high rate of caesarean delivery observed in study group as compared to controlgroup (70 % vs 40%) (P value 0.00006). Fetal heart rate irregularities & meconium stainedliquor finding was not significantly different in two groups (p< 0.161) & (p<0.169) respectively.Similarly fetal outcome measured in terms of Apgar score at 1 & 5 min & NICU admissionwas also not significantly different between the two groups. Conclusion: A significant highrate of caesareans section rate was observed in the study group mainly due to fetal distress(FHR irregularities). This means cord around the neck is a risk factor & needs extra monitoringspecially through intermittent CTG monitoring during labour so that fetal distress can be pickedup early & emergency caesarean section can be performed to avoid fetal compromise.

scholarly journals Antenatal Domestic Violence & Fetal Outcome: A Cross-Sectional Study

2020 ◽  
Vol 34 (4) ◽  
pp. 40-45
Author(s):  
Sohaib Ashraf ◽  
Muhammad Ahmad Imran ◽  
Hina Mahmood ◽  
Khawar Nawaz ◽  
Tayyab Mughal ◽  
...  
Keyword(s):  
Domestic Violence ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Associated Factors ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Fetal Outcome ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

Introduction: Antenatal domestic violence is a global public health and human rights concern. It increases the risk of maternal and fetal morbidity and mortality. Aims & Objectives: To assess the frequency of antenatal domestic violence and associated factors and also to determine effect of domestic violence on fetal outcome. Place and duration of study: This cross sectional study was conducted from January to June 2015 in post-natal wards of department of Gynecology & Obstetrics of six tertiary care hospitals of Lahore. Material & Methods: A total of 255 females admitted in post-natal wards of department of Gynecology & Obstetrics enrolled after proper verbal informed consent. A structured, self-constructed questionnaire was administered on females enrolled consecutively till the desired sample size was complete. Data on domestic violence (verbal or physical), its associated factors, gestational age at birth, mode of delivery and birth weight of the neonate was analyzed on SPSS version 21.0. Results: 22% (55/255) females experienced antenatal domestic violence during current pregnancy and out of 55, 72% faced verbal abuse while 27% experienced physical violence. In total 65/255(26%) w low birth weight neonates were born and out of them 58.18% (32/55) were born to mothers facing violence during pregnancy. Husband was mostly responsible for violence in 49% of cases. Antenatal domestic violence was significantly associated with low birth weight (p=<0.001). Conclusion: Antenatal domestic violence is associated with low birth weight babies. Antenatal domestic violence prevention needs implementation of legislation and changing behaviors of violence in communities so to avoid health implications.

scholarly journals Cardiotocography in early labour: a screening test for predicting fetal outcome

2020 ◽  
Vol 10 (1) ◽  
pp. 321
Author(s):  
Vinothini Anandabaskar ◽  
Hiremath P. B. ◽  
Sanjeevkumar B. ◽  
Nivedhana Arthi ◽  
Rathnapratheep R.
Keyword(s):  
Predictive Value ◽  
Screening Test ◽  
False Positive Rate ◽  
Mode Of Delivery ◽  
Fetal Distress ◽  
Lateral Position ◽  
Fetal Outcome ◽  
Careful Examination ◽  
Cross Sectional ◽  
Early Labour

Background: Fetal surveillance during labour is important to ensure delivery of a healthy baby with minimum intervention. Various parameters can be used to assess the fetal wellbeing like fetal movements perceived by the mother and monitoring of fetal heart rate. The objective of this study is to evaluate the efficacy of cardiotocography in early labour in predicting fetal outcome.Methods: A prospective hospital based cross sectional study was conducted on a total of 160 antenatal women in early labour with gestational age ≥ 37 weeks of gestation. Cardiotocogram was recorded for 20 minutes with the antenatal women in left lateral position. They are followed up till delivery and the mode of delivery of the baby was recorded. After delivery of the baby, the presence of fetal distress was assessed by careful examination of the neonate and colour of liquor.Results: Among the antenatal women, cardiotocography findings were normal in 74.4%, suspicious in 15% and pathological in 10.6%. The sensitivity of CTG in evaluating fetal outcome was found to be 84.6%, and the specificity was found to be 85.8%. The positive predictive value was 53.7% and the negative predictive value was 96.6%.Conclusions: Hence from the above study, it is can be concluded that the false positive rate of CTG is higher. Hence CTG cannot be used a sole indicator of fetal hypoxia. But in a resource limited setting, CTG is definitely a good screening test to predict the fetal outcome.

scholarly journals Study of maternal and fetal outcome in postdate pregnancy in tertiary care hospital

2020 ◽  
Vol 9 (9) ◽  
pp. 3585
Author(s):  
Patel Yogeshkumar Pransukhbhai ◽  
Poonam Londhe
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Fetal Outcome ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Maternal Complications ◽  
Cross Sectional ◽  
Medical College ◽  
Vaginal Deliveries

Background: Fetal, neonatal and maternal complications associated with pregnancy beyond 40 weeks have always been underestimated. However emerging evidence demonstrates that the incidence of complications increases after 40 weeks of gestation. The present study was conducted to find out the fetomaternal outcome of such prolonged pregnancy.Methods: This was a prospective cross-sectional study of 70 patients with uncomplicated prolonged pregnancy fulfilling the inclusion and exclusion criteria and admitted in department of obstetrics and gynecology at a tertiary care hospital B. J. Medical College, Ahmedabad, Gujarat, India.Results: Out of 70 patients, majority of the subjects belongs to 26-30 years of age (50%). The gestational age of 90% of patients were between 40-42 weeks. About 42-44% of the foetus had a birth weight of 2.5-3.5 kgs. Maximum patients underwent vaginal deliveries in spontaneous group (57%) and 64% underwent LSCS in induced group. Mode of delivery is significantly associated with presence of adequate liquor.Conclusions: With regular antenatal check-up, incidence of postdate pregnancy can be decreased and it is important because of definite risk to fetus as pregnancy continuing beyond 40 weeks of gestation is associated with increased perinatal morbidity and mortality especially those who do not come for regular antenatal check-up.

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