A COMPARATIVE EVALUATION OF ELECTRONIC FOETAL MONITORING VS INTERMITTENT AUSCULTATION AFTER AN INITIAL SCREENING ADMISSION TEST AND ITS IMPACT ON NEONATAL OUTCOME
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 29
Abstract
BACKGROUND Continuous electronic foetal monitoring is presumably a superior method of screening for foetal hypoxia as it detects subtle changes in the foetal heart, which can be missed on auscultation. However, in developing countries like India, with limited number of cardiotocography machines available, it was endeavoured to find out if after an initial 20 minutes electronic recording of the foetal heart auscultation could be substituted for electronic foetal monitoring for intrapartum foetal surveillance even in women with category II admission test who were considered to be at high risk for intrapartum foetal hypoxia. Aim: To comparatively study, in women with category II admission test, the neonatal outcome with electronic foetal monitoring and intermittent auscultation. MATERIALS AND METHODS 42 women with category II admission test were randomly divided into two groups: Group I was monitored with intermittent auscultation and Group II received continuous electronic foetal monitoring. RESULTS Operative vaginal delivery for foetal distress was used in 14.28% cases in Group I as compared to 19% in Group II, but the difference was not statistically significant (p= 0.67). Caesarean section for the indication of foetal distress was performed in 47.62% cases in the intermittent auscultation group and 52.38% cases in Group II (p= 0.54). There was no statistically significant difference in the neonatal morbidity and mortality in the two groups. CONCLUSION An admission test followed by intermittent auscultation with stethoscope during and after uterine contractions should be the mainstay of foetal monitoring in labour and is the best way of using the limited number of foetal monitors available in developing countries with economic constraints.
Authors and Affiliations
Neeru Malik, Sanjay Choudhary, Neelu Madan, Chitra R, Anupa Singhal
Keywords
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- EP ID EP538525
- DOI 10.14260/jemds/2018/751
- Views 86
- Downloads 0
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