Comparative study of efficacy of fetal Admission test alone and non-stress test done antenatally with fetal Admission test to evaluate fetal outcome
Aim. The current study evaluated the efficacy of fetal admission test alone and nonstress test (NST) antenatally with fetal admission test in both low and high risk pregnancy in relation to the fetal outcome in order to decrease the fetal morbidity and mortality. Methods and material. The study incl...
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| Format: | Article |
| Language: | English |
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Amaltea Medical Publishing House
2023-12-01
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| Series: | Romanian Journal of Medical Practice |
| Subjects: | |
| Online Access: | https://rjmp.com.ro/articles/2023.4/RJMP_2023_4_Art-02.pdf |
| _version_ | 1827314371355738112 |
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| author | Thota Anusha Reddy K Sravanthi Reddy Manchala Hindumathi |
| author_facet | Thota Anusha Reddy K Sravanthi Reddy Manchala Hindumathi |
| author_sort | Thota Anusha Reddy |
| collection | DOAJ |
| description | Aim. The current study evaluated the efficacy of fetal admission test alone and nonstress test (NST) antenatally with fetal admission test in both low and high risk pregnancy in relation to the fetal outcome in order to decrease the fetal morbidity and mortality. Methods and material. The study included 240 pregnant women after 34 weeks of pregnancy who were categorized into low and high risk groups. The fetal outcome following Antenatal NST and Admission test was studied based on Apgar score of <7 at 5 minutes, Meconium stained liquor, NICU requirement, and mortality. Result. Apgar score <7 at 5 min seen in 8 babies (13.33%), meconium stained liquor in 14(23.33%) and NICU admission in 11 (18.33%) cases in whom both antenatal NST and fetal admission tests were done
together. Apgar score <7 at 5 min seen in 14 (23.33%) babies, meconium stained liquor in 18 (30%) and NICU admission in 19 (31.66%) cases in which only the admission test was done. The Antenatal NST for antenatal fetal surveillance shows 96.88% of specificity, 29.17% of sensitivity, 70% of positive predictive
value (PPV) and 84.55% of negative predictive value (NPV). The admission test for intrapartum fetal distress shows 99.38% of specificity, 32.91% sensitivity, 75.12% NPV and 96.3% PPV. Both NST and fetal admission test done together significantly decreased the incidence of fetal distress as early intervention was
taken to prevent further fetal compromise in high-risk pregnancies. NST strongly correlate with admission test result in high-risk pregnancies. Conclusion. NST and the fetal admission test in high risk pregnancies help with early detection of fetal distress and help with taking the necessary measures to improve fetal outcome. |
| first_indexed | 2024-03-07T22:49:02Z |
| format | Article |
| id | doaj.art-f839644833c4468d83e91037d3e5d334 |
| institution | Directory Open Access Journal |
| issn | 1842-8258 2069-6108 |
| language | English |
| last_indexed | 2024-04-24T22:34:16Z |
| publishDate | 2023-12-01 |
| publisher | Amaltea Medical Publishing House |
| record_format | Article |
| series | Romanian Journal of Medical Practice |
| spelling | doaj.art-f839644833c4468d83e91037d3e5d3342024-03-19T12:46:24ZengAmaltea Medical Publishing HouseRomanian Journal of Medical Practice1842-82582069-61082023-12-0118416016910.37897/RJMP.2023.4.2Comparative study of efficacy of fetal Admission test alone and non-stress test done antenatally with fetal Admission test to evaluate fetal outcomeThota Anusha Reddy0K Sravanthi Reddy1Manchala Hindumathi2Department of Obstetrics and Gynaecology, Santhiram Medical College & General Hospital, Nandyal, Andhra Pradesh, IndiaDepartment of Obstetrics and Gynaecology, Santhiram Medical College & General Hospital, Nandyal, Andhra Pradesh, IndiaDepartment of Obstetrics and Gynaecology, Santhiram Medical College & General Hospital, Nandyal, Andhra Pradesh, IndiaAim. The current study evaluated the efficacy of fetal admission test alone and nonstress test (NST) antenatally with fetal admission test in both low and high risk pregnancy in relation to the fetal outcome in order to decrease the fetal morbidity and mortality. Methods and material. The study included 240 pregnant women after 34 weeks of pregnancy who were categorized into low and high risk groups. The fetal outcome following Antenatal NST and Admission test was studied based on Apgar score of <7 at 5 minutes, Meconium stained liquor, NICU requirement, and mortality. Result. Apgar score <7 at 5 min seen in 8 babies (13.33%), meconium stained liquor in 14(23.33%) and NICU admission in 11 (18.33%) cases in whom both antenatal NST and fetal admission tests were done together. Apgar score <7 at 5 min seen in 14 (23.33%) babies, meconium stained liquor in 18 (30%) and NICU admission in 19 (31.66%) cases in which only the admission test was done. The Antenatal NST for antenatal fetal surveillance shows 96.88% of specificity, 29.17% of sensitivity, 70% of positive predictive value (PPV) and 84.55% of negative predictive value (NPV). The admission test for intrapartum fetal distress shows 99.38% of specificity, 32.91% sensitivity, 75.12% NPV and 96.3% PPV. Both NST and fetal admission test done together significantly decreased the incidence of fetal distress as early intervention was taken to prevent further fetal compromise in high-risk pregnancies. NST strongly correlate with admission test result in high-risk pregnancies. Conclusion. NST and the fetal admission test in high risk pregnancies help with early detection of fetal distress and help with taking the necessary measures to improve fetal outcome.https://rjmp.com.ro/articles/2023.4/RJMP_2023_4_Art-02.pdffetal heart ratenon-stress testbirth asphyxiaadmission testnormal vaginal delivery |
| spellingShingle | Thota Anusha Reddy K Sravanthi Reddy Manchala Hindumathi Comparative study of efficacy of fetal Admission test alone and non-stress test done antenatally with fetal Admission test to evaluate fetal outcome Romanian Journal of Medical Practice fetal heart rate non-stress test birth asphyxia admission test normal vaginal delivery |
| title | Comparative study of efficacy of fetal Admission test alone and non-stress test done antenatally with fetal Admission test to evaluate fetal outcome |
| title_full | Comparative study of efficacy of fetal Admission test alone and non-stress test done antenatally with fetal Admission test to evaluate fetal outcome |
| title_fullStr | Comparative study of efficacy of fetal Admission test alone and non-stress test done antenatally with fetal Admission test to evaluate fetal outcome |
| title_full_unstemmed | Comparative study of efficacy of fetal Admission test alone and non-stress test done antenatally with fetal Admission test to evaluate fetal outcome |
| title_short | Comparative study of efficacy of fetal Admission test alone and non-stress test done antenatally with fetal Admission test to evaluate fetal outcome |
| title_sort | comparative study of efficacy of fetal admission test alone and non stress test done antenatally with fetal admission test to evaluate fetal outcome |
| topic | fetal heart rate non-stress test birth asphyxia admission test normal vaginal delivery |
| url | https://rjmp.com.ro/articles/2023.4/RJMP_2023_4_Art-02.pdf |
| work_keys_str_mv | AT thotaanushareddy comparativestudyofefficacyoffetaladmissiontestaloneandnonstresstestdoneantenatallywithfetaladmissiontesttoevaluatefetaloutcome AT ksravanthireddy comparativestudyofefficacyoffetaladmissiontestaloneandnonstresstestdoneantenatallywithfetaladmissiontesttoevaluatefetaloutcome AT manchalahindumathi comparativestudyofefficacyoffetaladmissiontestaloneandnonstresstestdoneantenatallywithfetaladmissiontesttoevaluatefetaloutcome |