FETAL OUTCOME AFTER EMERGENCY CESAREAN SECTION DUE TO NON-REACTIVE CARDIOTOCOGRAPHY

Abstract

Background:

Cardiotocography (CTG) is one of the most popular methods of monitoring the fetus before and during birth. Non-sedative CTG at birth has been linked to meconium staining, low birth weight, and the need for prompt obstetric intervention for optimal outcomes for mother and fetus. The study aimed to assess the fetal outcome after emergency cesarean section due to non-reactive cardiotocography in females presenting at term for delivery.

Material and methods:

This descriptive study corss sectional was conducted in Department of Obstetrics and Gynaecology, Jinnah Hospital, Lahore. The time allocated for the study was from 23- 07-2015 to 22-01-2016. This study included 200 patients, including females, who underwent emergency cesarean section under spinal anesthesia by a single surgical team. After birth, Apgar score was assessed at 5 minutes of birth. If the score was <7 after 5 minutes, then a poor Apgar score was labeled.

Results:

The mean age of the patients was 30.03±7.64 years. The mean gestational age was 38.75±1.65 weeks and the mean Apgar score was 7.56±1.41. According to parity distribution, 106 (53.0%) were nulliparous while 94 (47.0%) were multiparous. A good Apgar score was seen in 169 patients (84.5%) and a poor Apgar score was observed in 31 patients (15.5%).

Conclusion:

The results of this study show that a cesarean section done only based on data attained via CTG monitoring does not create a great advantage for the welfare of the fetus. It is often falsely positive and needlessly surges the incidence of the cesarean section without maternal and fetal health benefits