ABSTRACT

Objective: To examine the neonatal outcomes in women presented with non-reactive cardiotocography such as Apgar score, meconium liquor, birth weight, NICU admission and neonatal mortality.

Study Design: Cross-sectional/Observational

Place and Duration of Study: Department of Gynaecology and Obstetrics, Muhammad College of Medicine (former Al-Razi Medical College), Muhammad Teaching Hospital, Peshawar 1st October 2019 to 31st March 2020.

Methods: One hundred and fifty women having ages 20 to 40 years presented with non-reactive cardiotocography were enrolled in this study. Patients with multiple gestation, anomalous fetus and admitted for elective caesarean section were excluded from study. Neonatal outcomes such as Apgar score, meconium stained liquor, low birth weight, need for NICU admission and neonatal mortality were examined.

Results: Mean gestational age was 39.14±1.52 weeks. 84 (56%) patients were primipara while 66 (44%) patients were multipara. 90 (60%) patients had cesarean section mode of delivery. 58 (38.67%) patients had Apgar score <7 at 5 minute and 92 (61.33%) had score >7. Meconium stained liquor was found in 50 (33.33%) patients, 80 (53.33%) neonates had low birth weight, 45 (30%) neonates had needs for NICU admission and 10 (6.67%) neonates were died.

Conclusion: Cardiotocography is very useful screening tool for examine the fetal state. Non reactive cardiotocography is associated with adverse neonatal outcomes.

Keywords: Non-reactive cardiotocography, Fetus state, Neonatal outcomes