scholarly journals THE CORRELATION BETWEEN FOETAL MOVEMENTS COUNT AND FOETAL OUTCOME

2019 ◽  
Vol 3 (12) ◽  
Author(s):  
Mamta Gangwal
Keyword(s):  
High Risk ◽  
Apgar Score ◽  
Stress Test ◽  
Mode Of Delivery ◽  
Well Being ◽  
Fetal Outcome ◽  
Fetal Movement ◽  
Risk Pregnancy ◽  
Fetal Movements ◽  
Reduced Fetal Movement

Background: A reduced fetal movement is a common indication for assessment of fetal well being. A reduced fetal movement is considered as high risk pregnancy because the fetus is at high risk of hypoxia and sudden demise. Methods: Hospital based prospective study conducted at Department of Obstetrics and Gynecology, RVRS Medical College, Bhilwara. Total 130 pregnant women were included in this study. Results: 10.77% patients didn’t perceive fetal movements after admission. Out of 14 patients with absent DFMC, 6 babies (42.86%) died and 8 babies (57.14%) survived. The association betweenNon Stress Test and mode of delivery was found statistically significant. 83.33%) were admitted in NICU. Out of 24 patients presenting with non reactive NST, 20.83% (5) babies born with APGAR score more than 7 and 79.17% (19) babies had APGAR score 4-7. Conclusion: The association between NST & DFMC and fetal outcome was found statistically significant. Keywords: DFMC, NST, Fetal outcome, survived.

scholarly journals True Umbilical Cord Knot Leading to Fetal Distress – an Obstetric Emergency

2021 ◽  
pp. 60-63
Author(s):  
Twisha Patel ◽  
Sandhya Pajai
Keyword(s):  
Umbilical Cord ◽  
Stress Test ◽  
Birth Asphyxia ◽  
Rare Condition ◽  
Fetal Distress ◽  
Well Being ◽  
Fetal Outcome ◽  
Fetal Movement ◽  
Normal Limits ◽  
Fetal Movements

Background: Umbilical cord true knot is a rare condition which affects about 1% of all pregnancies. Though the incidence is lower, it often goes undetected in antenatal period despite the availability of prenatal sonography and may lead to a compromised fetal outcome as presented in this case. In this case the presence of true knot of umbilical cord was missed despite routine sonography done just 1 week prior to delivery, when patient presented to casualty with complains of decreased fetal movements since 24 hours. This modality is said to be associated with adverse fetal outcome such as birth asphyxia or in adverse cases intra uterine fetal demise. Risk factors include long cord, polyhydramnios, small sized fetus, etc. Case Summary: 27 years old gravida two, para two, with 1 live issue with k/c/o hypothyroidism with previous lesions came with complaints of decreased fetal movement since 24 hours at 36 weeks 3 days of gestational period. The patient recorded regular ANC checkups and routine investigations within normal limits. Her USG scan done at 34.2 wks showing single loop of cord around neck and normal doppler findings. On examination her vitals were normal .Her abdominal examination showed uterus of 34 wks size, longitudinal lie, cephalic presentation and irritable with mild contractions present with scar tenderness . Her FHS were present/irregular/112 bpm with less variability. On p/v examination os was admitting tip of finger, cervix soft, 25% effaced, station high up, presenting part vertex, membrane present. She was advised admission and a cardio-tocography (CTG) was done which showed recurrent deep atypical variable decelerations with decreased beat to beat variability. An emergent cesarean section was taken. Newborn was a female diagnosed with true umbilical cord knot, 2 cm away from fetal insertion with cord length of 84 cm. The baby was shifted to NICU in view of respiratory distress. Conclusion: Despite of modern day ultrasonography and Doppler studies, true umbilical cord knot still remains a lesser diagnosed entity and so every pregnant patients should be monitored carefully with a watch for daily fetal movement count (DFMC)and weekly non stress test (NST) for fetal well being.

THIS STUDY ASSESSES THE ROLE OF NST IN DETECTING FETAL COMPROMISE IN CASES OF REDUCED MATERNAL PERCEPTION OF FETAL MOVEMENT

2021 ◽  
pp. 62-65
Author(s):  
Archana Kiran ◽  
Umapada Mondal ◽  
Debarshi jana
Keyword(s):  
Pregnant Women ◽  
Stress Test ◽  
Perinatal Outcomes ◽  
Fetal Monitoring ◽  
Well Being ◽  
Fetal Movement ◽  
Obstetrics And Gynaecology ◽  
Fetal Movements ◽  
Modern Era

Introduction:In modern era of medicine, antenatal fetal monitoring is an essential way that assess the fetal well being. Aims and objectives: This study was performed to test the association between non-stress test ( NST) results and fetal and perinatal outcomes in pregnant women with perceived decrease in fetal movements attending our hospital. To determine the role of Non stress test on fetal and prenatal outcome of pregnant women with perceived decrease in fetal movements attending labor room. Materials and methods: Study is carried out at 'Imambara District Hospital', at the Dept. Of obstetrics and gynaecology, Hooghly, WB. All the pregnant mother with decreased fetal movement perception in the 3rdtrimester, attending OBG (OPD) and ANC or getting admitted in Dept. OF OBSTETRICS AND GYNAECOLOGY, at IMAMBARADIST. HOSPITAL, Chinsurah, Hooghly, WB. 1st May 2018 – April 30, 2019. Conclusion: The antenatal surveillance of cases with reduced perception of fetal movement by mother with NST can effectively screen for identication of high risk foetuses and segregate the cases that are at risk for poor perinatal outcome.

scholarly journals Biophysical profile and modified biophysical profile in predicting the fetal outcome

2018 ◽  
Vol 7 (9) ◽  
pp. 3516
Author(s):  
V. G. Vanamala ◽  
Aruna Rachel ◽  
Sushil Pakyanadhan ◽  
Sudheep Abraham P.
Keyword(s):  
Amniotic Fluid ◽  
Stress Test ◽  
Well Being ◽  
Fetal Outcome ◽  
Heart Beat ◽  
Amniotic Fluid Index ◽  
Uterine Contractions ◽  
Beat Pattern ◽  
Biophysical Profile ◽  
Fetal Movements

Background: Baby’s well-being in utero is often done by using a cardiotocograph (CTG) machine, which assesses the baby’s heart beat pattern as well as the mother’s uterine contractions. However, lowered fetal movements sometimes may be fatal for the baby. Thus, the biophysical and the modified biophysical profile have been introduced.Methods: 242 patients with over 34 weeks of gestation and with one or more risk factors were included in the study. After taking the demographic details, the patients were subjected to detailed physical and clinical evaluation. Modified BPP was done on all the patients. Index of acute fetal hypoxia the NST was done along with the cardiotocograph (CTG). Amniotic fluid volume was calculated.Results: According to the fetal non-stress test, majority of the patients (70.7%) were reactive while 29.3% were non-reactive. Most of the patients had an amniotic fluid index in the normal range i.e. between 8 -<25, 18.6%) had an AFI value of <6 cm while 13.6% had between 6 - <8. Among the babies with reactive NST, non-reactive NST and AFI ≤5, the most common outcome was low birth weight.  APGAR score <7 was observed in 11.1%, 13.1%, 20% among Reactive NST, Non-reactive NST and AFI ≤5 respectively.Conclusions: Present study shows that BPP and MBPP are both comparable to each other, therefore, MBPP, being an easier test can be substituted for BPP.

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 Low amniotic uid index and the materno-fetal out come in 3rd trimester of pregnancy

2016 ◽  
Vol 44 (1) ◽  
pp. 16-20
Author(s):  
Fahmida Monir ◽  
Rumana Nazneen ◽  
Rumana Akhter ◽  
Tahmina Begum ◽  
AKM Abdul Kayum ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Amniotic Fluid ◽  
Apgar Score ◽  
Mode Of Delivery ◽  
Well Being ◽  
Fetal Outcome ◽  
Amniotic Fluid Index ◽  
Cross Sectional ◽  
Medical Disorders ◽  
Indirect Indicator

Amniotic fluid volume is an indirect indicator of fetal well being. About 8% of pregnant women can have low amniotic fluid, with about 4% being diagnosed with oligohydramnios. Oligohydramnios can cause complications in about 12% of pregnancies that go past 41 wks of gestation. This cross-sectional observational study was carried out in the Department of Obstetrics and Gynaecology, BSMMU, Dhaka from July 2010 to December 2010 on 55 admitted pregnant mother of 28-40 weeks gestational age with low amniotic fluid index (<8cm) with or without medical disorders specially during and after delivery along with its impact on mode of termination of pregnancy & complications of the fetus. Most of the mother (64%) had mild oligohydramnios. Most of them were < 37weeks of gestation and 69.1% of them had to undergo caesarean section as there mode of delivery. The indications were mostly (66%) due to less fetal movement, IUGR, previous C/S, malpresentation etc. The current study showed significantly higher rate (65.5%) of low birth weight resulting from the low AFI. The APGAR score less than 7 in 5 minute was significantly higher in severe oligohydramnios group and majority of the neonate experienced complications like RDS (13%), meconeum aspiration (21%) with admission in neonatal ward (54%). Low AFI has poorer prognosis to some extent with maternal as well as fetal outcome. It is responsible for a significantly higher rate of caesarean section & also associated with low birth rate along with low APGAR score and increase in neonatal complications.Bangladesh Med J. 2015 Jan; 44 (1): 16-20

scholarly journals FETOMATERNAL OUTCOME OF PREGNANCY BETWEEN 40 AND 42 WEEKS

2008 ◽  
Vol 15 (03) ◽  
pp. 317-322
Author(s):  
NAZIA AMJAD ◽  
TAYYBA IMRAN ◽  
AHSEN NAZIR AHMED
Keyword(s):  
Apgar Score ◽  
Perinatal Death ◽  
Stress Test ◽  
Mode Of Delivery ◽  
Fetal Outcome ◽  
Control Group ◽  
P Value ◽  
Study Group ◽  
Biophysical Profile ◽  
The Difference

.Objective:To evaluatewhether serial monitoring of fetuses beyond 40 weeks with biophysical profileand non stress test improves the fetal outcome in terms of morbidity and mortality.Design: Prospective control study.Setting: Department of Obstetrics & Gynaecology at Ittefaq Hospital( Trust) Lahore,. Period: From Jan, 2007 to June2008.Patients and Methods: Two hundred women with singleton uncomplicated pregnancies at 40 weeks were dividedinto two groups; A study group with biweekly biophysical profile and non stress test and a control group with biweeklyantenatal clinical assessment with fetal kick count chart. Main outcome measures were onset of labour, mode ofdelivery, Apgar score, presence of meconium and admission to nursery. Results: The age of patients ranged between18 to 39 years with the mean of 26.33.The range of gravidity was between primigravida to gravida seven. Ninety sixpercent of total patients were delivered by 41 weeks and 6 days.18% of women were induced in study group comparedto 11% in control group ( p value=0.124 ).Cesarean section rate was 8% in study group and 11% in control group. Rateof instrumental deliveries was 6.5% in study group while 11.2% in control group. The difference in mode of delivery wasfound to be insignificant ( p=0.538 ).Weights of the babies ranged between 2.6 to 4.4 kg with a mean of 3.246 kg.Cumulative %age of APGAR score at 5 minutes was more than 6/10 in 92.5% cases ( p=0.665 ).Meconiumwas foundin 18% of cases in study group and 22% of control group( p=0.917 ).12 % of the babies were admitted to nursery instudy group compared to 16% in control group. Perinatal mortality was found to be 10/1000 in control group while therewas no perinatal death in study group. Conclusions: The difference of outcome between two groups was found to bestatistically insignificant which concluded the validity of either mode of management.

scholarly journals Pregnancy outcomes in women presenting with single versus multiple episodes of reduced fetal movements: A prospective observational study

2021 ◽  
Vol 8 (3) ◽  
pp. 356-362
Author(s):  
P Pallavee ◽  
Prudvi Rani Podili ◽  
Rupal Samal ◽  
Seetesh Ghose
Keyword(s):  
High Risk ◽  
Observational Study ◽  
Pregnancy Outcomes ◽  
Prospective Observational Study ◽  
Fetal Movement ◽  
Neonatal Outcomes ◽  
Reduced Fetal Movements ◽  
Fetal Movements ◽  
Reduced Fetal Movement ◽  
Multiple Episodes

Fetal movement counting may assist clinicians to intervene at the right time and improve perinatal outcomes, but may sometimes cause unnecessary interventions. A recent Cochrane review in 2015 concludes that there is insufficient evidence to influence practice. This prospective observational study was conducted to evaluate pregnancy outcomes of 103 pregnant women presenting with primary complaints of reduced fetal movements to our Institute. All patients underwent ultrasonography (USG) and non-stress testing (NST) as preliminary investigations and were followed up till delivery. Labor outcomes like onset of labor, mode of delivery, neonatal outcomes like APGAR scores, admission to NICU for &#62; 24 hours, birth weight, neonatal complications and maternal complications were noted. One hundred and three pregnant women presented with reduced fetal movements, of whom, 65% were term primigravida between the ages of 18-26 years. 47.5% belonged to the high risk pregnancy group. The rates of admission (62.1%), induction (77.7%) and cesarean section (43.7%) were high in this group. Pregnancy outcomes did not differ between single and multiple episodes of reduced fetal movements. Based on risk categorization we found that a single episode of reduced fetal movement was associated with approximately 70% good neonatal outcomes, whereas there was 50% risk of adverse neonatal outcomes with multiple episodes. Though this was clinically significant we could not establish statistical significance for this result. Reduced fetal movement can occur in both low and high risk pregnant population. Pregnancy outcomes between single and multiple episodes of RFM were not significantly different.

scholarly journals The role of non-stress test as a method to evaluate the outcome of high-risk pregnancy: a tertiary care center experience

2020 ◽  
Vol 7 (6) ◽  
pp. 1782
Author(s):  
Shreya Singh ◽  
H. K. Premi ◽  
Ranjana Gupta
Keyword(s):  
High Risk ◽  
Stress Test ◽  
Care Center ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Fetal Distress ◽  
Diagnostic Value ◽  
High Risk Pregnancy ◽  
Risk Pregnancy ◽  
The Mean

Background: Non-stress test (NST) is a graphical recording of changes in fetal heart activity and uterine contraction along with fetal movement when uterus is quiescent. NST is primarily a test of fetal condition and it differs from contraction stress test which is a test of uteroplacental function. The present study aimed at evaluating the efficacy and diagnostic value of NST for antenatal surveillance in high-risk pregnancy and comparing the mode of delivery with test results.Methods: A clinical study of NST was done between November 2014 to October 2015. NST was used for their surveillance from 32 weeks of gestation and NST was recorded weekly, biweekly, on alternate days or even on daily basis depending on high risk factors and were followed up.Results: A total of 100 cases were enrolled in the study. The mean age of patients was 25.09±3.78 years. In all 14 cases (23.3%) with reactive NST underwent lower caesarean section (LSCS) whereas 36 cases (90%) with non-reactive NST underwent LSCS. The mean NST delivery interval with reactive NST was 9.8±7.1 hours and in cases with non-reactive NST it was 9.2±8.6 hours, the difference was statistically not significant (p=0.70).Conclusions: NST tells about acute fetal hypoxia and decision to delivery time can be made for those patients with fetal distress so that a major improvement in the outcome among parturient can be achieved with abnormal NST results. An abnormal NST should alert the clinician of fetal compromise and has to be followed up by other biophysical tests.

scholarly journals Role of non stress test in monitoring antenatal fetal well being in high risk pregnancy

2020 ◽  
Vol 7 (2) ◽  
pp. 201-206
Author(s):  
Balgopal Singh Bhati ◽  
◽  
Praveen Kumar Choudhary ◽  
Sunita Bishnoi ◽  
◽  
...  
Keyword(s):  
High Risk ◽  
Stress Test ◽  
Well Being ◽  
High Risk Pregnancy ◽  
Risk Pregnancy

scholarly journals Comparative role of non-stress test and colour doppler in high risk pregnancy predicted by placental histopathology and foetal outcome

2017 ◽  
Vol 6 (4) ◽  
pp. 1444
Author(s):  
Shruti Paliwal ◽  
Rizwana Shaheen ◽  
Shweta Paliwal ◽  
Poonam Parakh ◽  
Kanchan Yadav ◽  
...  
Keyword(s):  
High Risk ◽  
Apgar Score ◽  
Stress Test ◽  
Duplex Sonography ◽  
High Risk Group ◽  
Control Group ◽  
Foetal Distress ◽  
Colour Doppler ◽  
Risk Pregnancy ◽  
Foetal Outcome

Background: Assessment of the foetal wellbeing is done by various biophysical methods. Non stress test (NST) is the most commonly used test for antepartum evaluation of foetal status. It involves the use of doppler-detected foetal heart rate acceleration coincident with foetal movement perceived by mother. Duplex sonography and its off-shoot, colour duplex sonography, are relatively newer methods that combine the pulsed echo technique of sectional image formation with the doppler evaluation of blood flow.Methods: The comparative study was carried out on 200 booked term pregnant patients in the department of Obstetrics and Gynaecology, Dr. S. N. Medical College, Jodhpur Rajasthan, India. All patients were subjected to non-stress test and colour doppler and were evaluated for placental histopathology and foetal outcome in terms of low APGAR score, number of NICU admissions and perinatal mortality.Results: In our study it was found that in high-risk group 25% had non-reassuring NST and 19% had doppler findings suggestive of foetal hypoxia. In the control group 13% had non-reassuring NST and 4% had doppler findings suggestive of foetal hypoxia. It was seen that when either NST was non-reassuring or colour doppler suggested foetal hypoxia or both, these patients required admissions antenatally, had meconium stained liquor suggestive of foetal distress, had operative delivery for foetal distress, had low APGAR score, required NICU admission, and higher perinatal mortality.Conclusions: Doppler and NST are effective in predicting a normal healthy foetus. Doppler depicts chronic hypoxic changes while NST can detect acute events in presence or absence of chronic hypoxia.

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