Abstract

Objective: To record fetal outcome in cases presenting with abnormal intrapartum cardiotocography.

Methodology: This study was conducted at Obstet & Gynaecol Department (Unit-III) of Services Hospital, Lahore. We enrolled 230 cases with age range 20-40 yrs at term (37-40 gestational weeks), abnormal cardiotocography (CTG) trace in labour and cephalic presentation whereas all cases with congenital abnormalities, malpresentation, multiple gestations and those having history of medical disorders e.g. diabetes mellitus, hypertension, asthma effecting fetal outcome, hypertension and antepartum haemorrhage were excluded from the trial. All cases with abnormal trace were kept in left lateral position and CTG was repeated after 30 minutes of inhalation of oxygen and hydration. The decision of mode of delivery was taken considering clinical picture and CTG. The followup of neonates for one week was done.

Results: The mean age was 29.8+6.1 years, Apgar score was <7 at 5 min in 36.9%(n=85), out of which 31.3%(n=72) were admitted in nursery, perinatal mortality was recorded in 16.5%(n=38), 29.1%(n=67) cases had SVD, 27.9%(n=64) were delivered with the help of instruments and 43%(n=99) were delivered with emergency cesareans section.

Conclusion: We concluded that CTG is a simple and non-invasive test for early detection of fetal hypoxia and motoring while labour is in progress.

Keywords: Cardiotocography, Apgar score, mode of delivery