A cross-sectional study on role of labor admission test by CTG as a predictor of perinatal outcome
Background: Perinatal hypoxia is a major contributor to neonatal mortality and morbidity worldwide. Intrapartum assessment of fetal well-being has become an integral part of labour management. Labor admission test (LAT), a test of fetal well-being, can be utilized as a screening tool in early labor...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Barpeta Obstetrics and Gynaecological Society
2023-02-01
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| Series: | New Indian Journal of OBGYN |
| Subjects: | |
| Online Access: | https://journal.barpetaogs.co.in/pdf/09243.pdf |
| _version_ | 1828011793659723776 |
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| author | Mayuri Hiwale Kiran Rajole Kunal Aher |
| author_facet | Mayuri Hiwale Kiran Rajole Kunal Aher |
| author_sort | Mayuri Hiwale |
| collection | DOAJ |
| description | Background: Perinatal hypoxia is a major contributor to neonatal mortality and morbidity worldwide. Intrapartum assessment of fetal well-being has become an integral part of labour management. Labor admission test (LAT), a test of fetal well-being, can be utilized as a screening tool in early labor to detect compromised fetuses on admission. Objectives: This study was undertaken to evaluate the efficacy of LAT in assessing fetal well-being at the onset of labor and comparing the test results with neonatal outcomes. Material and methods: This was a cross-sectional study conducted among women admitted in labor room of a tertiary care teaching hospital. LAT was performed following which, the patients were classified according to FHR tracings obtained as ‘Reactive’, ‘Equivocal’ and ‘Non-reactive. Perinatal outcomes of these patients were also assessed. Results: Out of 165 patients that participated in the study, 106 (64.2%) had reactive, 6 (3.6%) had equivocal and 53 (32.1%) had non-reactive FHR trace on LAT. Out of the patients with a non-reactive trace, 8 (15.1%) had an APGAR score at 5 minutes of less than 7, 8 (15.1%) patients had meconium stained liquor and 45 (84.9%) were delivered through LSCS. About 27 (50.9%) newborns required admission into the NICU in this group. Conclusions: LAT can be used as a simple, non-invasive, inexpensive screening tool to identify fetuses who are unlikely to cope with the stress of labor and become hypoxic especially when continuous electronic fetal monitoring is not possible for every patient due to economic constraints. |
| first_indexed | 2024-04-10T09:22:04Z |
| format | Article |
| id | doaj.art-55fac5b899e1440e8407b43ba1656593 |
| institution | Directory Open Access Journal |
| issn | 2454-2334 2454-2342 |
| language | English |
| last_indexed | 2024-04-10T09:22:04Z |
| publishDate | 2023-02-01 |
| publisher | Barpeta Obstetrics and Gynaecological Society |
| record_format | Article |
| series | New Indian Journal of OBGYN |
| spelling | doaj.art-55fac5b899e1440e8407b43ba16565932023-02-20T09:50:58ZengBarpeta Obstetrics and Gynaecological SocietyNew Indian Journal of OBGYN2454-23342454-23422023-02-019224324710.21276/obgyn.2023.9.2.10A cross-sectional study on role of labor admission test by CTG as a predictor of perinatal outcomeMayuri Hiwale 0Kiran Rajole1Kunal Aher2Assistant Professor, SMBT Institute of Medical Science and Research Centre, Dhamangoan, Nashik, IndiaAssociate Professor, SMBT Institute of Medical Science and Research Centre, Dhamangoan, Nashik, IndiaAssistant Professor, SMBT Institute of Medical Science and Research Centre, Dhamangoan, Nashik, IndiaBackground: Perinatal hypoxia is a major contributor to neonatal mortality and morbidity worldwide. Intrapartum assessment of fetal well-being has become an integral part of labour management. Labor admission test (LAT), a test of fetal well-being, can be utilized as a screening tool in early labor to detect compromised fetuses on admission. Objectives: This study was undertaken to evaluate the efficacy of LAT in assessing fetal well-being at the onset of labor and comparing the test results with neonatal outcomes. Material and methods: This was a cross-sectional study conducted among women admitted in labor room of a tertiary care teaching hospital. LAT was performed following which, the patients were classified according to FHR tracings obtained as ‘Reactive’, ‘Equivocal’ and ‘Non-reactive. Perinatal outcomes of these patients were also assessed. Results: Out of 165 patients that participated in the study, 106 (64.2%) had reactive, 6 (3.6%) had equivocal and 53 (32.1%) had non-reactive FHR trace on LAT. Out of the patients with a non-reactive trace, 8 (15.1%) had an APGAR score at 5 minutes of less than 7, 8 (15.1%) patients had meconium stained liquor and 45 (84.9%) were delivered through LSCS. About 27 (50.9%) newborns required admission into the NICU in this group. Conclusions: LAT can be used as a simple, non-invasive, inexpensive screening tool to identify fetuses who are unlikely to cope with the stress of labor and become hypoxic especially when continuous electronic fetal monitoring is not possible for every patient due to economic constraints.https://journal.barpetaogs.co.in/pdf/09243.pdflabour admissionreactivenonreactiveperinatal outcome |
| spellingShingle | Mayuri Hiwale Kiran Rajole Kunal Aher A cross-sectional study on role of labor admission test by CTG as a predictor of perinatal outcome New Indian Journal of OBGYN labour admission reactive nonreactive perinatal outcome |
| title | A cross-sectional study on role of labor admission test by CTG as a predictor of perinatal outcome |
| title_full | A cross-sectional study on role of labor admission test by CTG as a predictor of perinatal outcome |
| title_fullStr | A cross-sectional study on role of labor admission test by CTG as a predictor of perinatal outcome |
| title_full_unstemmed | A cross-sectional study on role of labor admission test by CTG as a predictor of perinatal outcome |
| title_short | A cross-sectional study on role of labor admission test by CTG as a predictor of perinatal outcome |
| title_sort | cross sectional study on role of labor admission test by ctg as a predictor of perinatal outcome |
| topic | labour admission reactive nonreactive perinatal outcome |
| url | https://journal.barpetaogs.co.in/pdf/09243.pdf |
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