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International Journal of Health and Allied Sciences

Abstract

Cardiotocography has become popular as the method to monitor the condition of the fetus during labor. An admission cardiotocography was introduced to identify fetuses at risk that needed closer monitoring during labor, allowing those with no signs of distress to be monitored by intermittent auscultation. In this study of 200 patients, we have evaluated the role of NST as an admission test and its outcome in pregnancy concerning the prediction of fetal distress, Mode of delivery, APGAR score of the newborn, and Need for the baby's NICU admission. We have also compared the outcomes with cases without the admission test. A total of 200 patients who came into labor or were admitted for safe confinement were allocated to two groups of 100 patients each. Each of these groups consisted of 50 high-risk and 50 low-risk cases. 1st group did not undergo NST on admission but was monitored by intermittent auscultatory method and the 2nd group underwent NST on admission. The findings were recorded and the outcomes in the two groups were analyzed. A total of 200 cases were included in the study. 100 patients underwent NST and 100 did not undergo NST. The distribution of high-risk cases in both groups was comparable. The rate of Caesarean section in the NST group was higher (38%) than in the non-NST group (24%). In our study, the incidence of NICU admission of babies was high in non-NST group patients (38%) compared to patients in whom NST was done (14%). None of the low-risk patients in the NST group needed NICU admission as compared to 28% in the Non NST group. As compared to the non-NST group, babies in the NST group had better APGAR at birth, after 5 Min. and after 10 Mins. In our study of 200 patients, it was observed that in NST-done patients the rate of cesarean delivery was higher than in non-NST-done group patients, but there was a significant reduction in the number of babies who were taken to NICU, in the NST-done group. This study also proved the value of fetal heart rate monitoring for a favorable outcome of a healthy baby with good APGAR at birth.

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