A Retrospective Study on Correlation of Labour Admission Test with Perinatal outcome and Mode of Delivery
Journal Title: Indian Journal of Obstetrics and Gynecology - Year 2017, Vol 5, Issue 4
Abstract
Background: Labour Admission test (LAT) is a non invasive Cardiotocographic (CTG) recording of foetal heart rate and uterine contractions simultaneously for twenty minutes. This is commonly used to evaluate the foetal well being at the time of admission in labour ward. In a low resource setting where continuous CTG monitoring for all patients in labour is not possible, an abnormal tracing in LAT will help the treating Obstetrician to identify antenatal women who require continuous monitoring and appropriate timely intervention prevent perinatal mortality. Material and Methods: This is a retrospective study done on 300 antenatal women who met the inclusion criteria. The CTG tracing was categorised based on FIGO 2015 guidelines into Normal, Suspicious and pathological. Mode of delivery and specific foetal and neonatal outcome measures were studied and correlated with admission CTG testing. Results: The incidence of operative delivery was phenomenally high in Pathological group (70%) and low in Normal group (5.5%). Foetal distress during labour developed in 8.5% of patients with Normal tracing and 70% of patients with pathological tracing. LAT has a sensitivity of 64.7% and specificity of 94.37% and Positive predictive value (PPV) of 40.4% in predicting an Apgar score of <7 at 5 minutes of birth. NICU admission was required in 1.03% of patients with Normal tracing and 50% of patients with Pathological tracing (Pvalue < 0.001). Conclusion: The result of the study showed high specificity indicating that normal tracing appears to be predictive of foetal well being in low risk and hish risk cases. However, Suspicious and Pathological pattern required intense monitoring and if possible early intervention in the absence of diagnostic modalities like foetal blood gas evaluation.
Authors and Affiliations
Kanne Chandrika
Keywords
Related Articles
- EP ID EP460246
- DOI 10.21088/ijog.2321.1636.5417.6
- Views 127
- Downloads 0
Mid Trimester Fall in Blood Pressure: Fact or Myth
It has been described in the late 1960s that there is a drop in blood pressure, especially Diastolic blood pressure in the second trimester at around 18 weeks. The blood pressure then subsequently rises to the pre pregna...
A Study of Maternal and Neonatal Outcome in Case of Twin Gestation
Background: Twin gestation are the major cause of perinatal and neonatal morbidity and it represents one of the principal targets for obstetric health care. Aim of this study is to identify etiological factors and to ass...
Pseudomyxomatous Peritonei
Pseudomyxomatous peritonei is a clinical condition caused by cancerous cells (mucinous adenocarcinoma) that produce abundant mucin or gelatinous ascites. The tumors cause fibrosis of tissues and impede digestion or organ...
Ultrasonic Measurement of Fetal Femur Length in Assessment of Gestational Age in Third Trimester
Introduction: Appropriate assessment of gestational age is of paramount importance in obstetric care. Uncertain gestational age has been associated with adverse pregnancy outcome including low birth weight, spontaneous p...
A Prospective Study on Effect of Low Dose Mifepristone in Uterine Leiomyoma
Context: Uterine leiomyomas is the most common benign tumor of the uterus and one of the most frequent indications for operative procedures. High dose of mifepristone used to treat leiomyomas have resulted in side effect...