NEONATAL OUTCOME

IN PATIENTS UNDERGOING CAESAREAN SECTION DUE TO NON REASSURING CTG

Abstract

Objective: The objective of this study was to determine the neonatal outcome
in women undergoing cesarean section due to non-reassuring cardiotocography (CTG). Cross
sectional study. Setting: Department of Gynecology & Obstetrics at Liaquat University of
Medical & Health Sciences Hyderabad. Period: October 2012 to August 2013. Methodology:
Detailed Clinical examination of the patient was done. Systemic review was also done to see
any co-morbidity. All patients underwent for base line like CBC and specific investigations
especially ultrasound pelvis. Inclusion criteria were all patients with gestational age > 37 weeks
and maternal age 20 -30 years with non-reassuring CTG. Exclusion criteria were history of
previous caesarean section operation, less than 37 weeks pregnancy, any other obstetrical
indication for caesarean section (except non reactive CTG) like cephalo pelvic disproportion,
previous caesarean section and severe intrapartum hemorrhage. Results were prepared with
help of tables and graphs. Data was analyzed through SPSS software. Results: This study
was conducted on 112 patients. Wide variation of maternal age ranging from a minimum of 20
years to 30 years with mean age was 26+2.1 years. Gestational age was > 37weeks, ranging
from a minimum of 37 weeks to 42weeks. The mean age was 37+2.4 weeks. Mostly patients
were observed 37-38wks in 52.67%, 39-40wks in 32.14% and 41-42wks in 15.17%. Apgar
score was more than 7 in 61.60% cases and less than 7 apgar score in 38.39% cases which
is statistically not significant. Conclusion: It is concluded that apgar score was >7 in 61.60%
cases and <7 apgar score in 38.39% cases which is statistically not significant. CTG is a useful
and indispensable adjunct to monitor the condition of endangered fetus. Reduce the incidence
of false positive findings that may result in increased incidence of unnecessary intervention
particularly caesarean section CTG should not be used as sole test CTG finding should be
correlated with colour of liquor ,if facility is present scalp PH should be done.