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Comparison of normal and

abnormal cardiotocography with
pregnancy outcomes and early
neonatal outcomes.

Abstract
Cardiotocography (CTG) is the most commonly used test for
antepartum and intrapartum foetal surveillance in the majority
hospitals of developed countries. The purpose of this study was
to compare the pregnancy outcome and early neonatal outcome
among the normal and abnormal CTG groups. In this
prospective study, fifty consecutive normal and fifty consecutive
abnormal CTG were collected within one hour before delivery
from patients who have singleton pregnancy with gestational
age >or=32 weeks and having obstetric or medical indication
for CTG. In this study, the measure of pregnancy outcomes were
mode of delivery, indications of caesarean section, percentage
requiring caesarean section for foetal distress, oligohydramnios,
meconium stained liquor, small placenta and cord around the
neck. Early neonatal outcomes included apgar score, birth
weight, admission into neonatal intensive care unit (NICU),
duration of stay in NICU and perinatal mortality. There were
significant differences between the two groups regarding
pregnancy outcomes and early neonatal outcomes. So, CTG is
an important test to assess the foetal condition in both
antepartum and intrapartum period. The sensitivity of CTG was
87%, specificity was 66%, positive predictive value was 54% and
negative predictive value was 92% in the prediction of abnormal
outcomes. So, normal CTG is more predictive of normal
outcomes than abnormal CTG regarding abnormal outcomes.

Citation
Comparison of normal and abnormal cardiotocography with
pregnancy outcomes and early neonatal outcomes.
Sultana J, Chowdhury TA, Begum K, Khan MH - Mymensingh
Med J - January 1, 2009; 18 (1 Suppl); S103-107
MEDLINE is the source for the citation and abstract for this
record

Full Source Title

Mymensingh medical journal : MMJ

NLM Citation ID
19377417 (http://www.ncbi.nlm.nih.gov/pubmed/19377417.1)
(PubMed ID)

Language
eng

Author Affiliation

Authors
Sultana J, Chowdhury TA, Begum K, Khan MH

MeSH Terms (19)

Age Factors

Apgar Score

Cardiotocography *

Cesarean Section

Delivery, Obstetric

Female

Fetal Monitoring

Humans

Infant Mortality

Infant, Newborn

Intensive Care Units, Neonatal

Length of Stay
Mass Screening

Population Surveillance

Pregnancy

Pregnancy Outcome *

Prospective Studies

Sensitivity and Specificity

Time Factors

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