Cardiotocography as a predictor of fetal outcome in women presenting with reduced fetal movement.

Hdl Handle:
http://hdl.handle.net/10147/189824
Title:
Cardiotocography as a predictor of fetal outcome in women presenting with reduced fetal movement.
Authors:
Daly, Niamh; Brennan, Donal; Foley, Michael; O'Herlihy, Colm
Affiliation:
National Maternity Hospital, Dublin, Ireland.
Citation:
Cardiotocography as a predictor of fetal outcome in women presenting with reduced fetal movement. 2011:notEur J Obstet Gynecol Reprod Biol
Journal:
European journal of obstetrics, gynecology, and reproductive biology
Issue Date:
5-Sep-2011
URI:
http://hdl.handle.net/10147/189824
DOI:
10.1016/j.ejogrb.2011.07.002
PubMed ID:
21899943
Abstract:
OBJECTIVE: To examine the obstetric and perinatal outcomes of women presenting with reduced fetal movement (RFM) during the third trimester, specifically in relation to the diagnostic capacity of non-stress cardiotocography (CTG) used as the primary investigation in this clinical scenario. STUDY DESIGN: This was a retrospective population-based cohort study of pregnancy outcomes of all women ≥28 weeks' gestation with singleton pregnancies presenting during one calendar year with maternal perception of RFM, all of whom underwent CTG at presentation. Main outcome measures included: obstetric intervention (induction of labour, spontaneous vaginal delivery, operative vaginal delivery, emergency caesarean section), and perinatal outcome (subsequent perinatal death, low Apgar scores (<7(5)), neonatal resuscitation and NICU admission). RESULTS: In all, 524 women presented with RFM and a live fetus, representing 7% of the antenatal obstetric population; 284 women (54%) were nulliparous. The reassuring CTG group comprised 482 (92%) women in whom initial CTG was reassuring and 15 (3%) where a repeat tracing within 1h was reassuring. The non-reassuring/abnormal CTG group (n=27, 5%) either underwent emergency delivery or comprehensive serial fetal assessment; this group had significantly higher rates of emergency caesarean delivery, neonatal resuscitation and NICU admission; the incidence of small-for-gestational-age infants did not differ significantly. No perinatal death occurred in either group following CTG. CONCLUSION: Normal non-stress CTG is a reliable screening indicator of fetal wellbeing in women presenting with perception of RFM in the third trimester; abnormal pregnancy outcomes were more common when initial CTG was abnormal or persistently non-reassuring.
Item Type:
Article
Language:
en
ISSN:
1872-7654

Full metadata record

DC FieldValue Language
dc.contributor.authorDaly, Niamhen
dc.contributor.authorBrennan, Donalen
dc.contributor.authorFoley, Michaelen
dc.contributor.authorO'Herlihy, Colmen
dc.date.accessioned2011-11-17T12:02:39Z-
dc.date.available2011-11-17T12:02:39Z-
dc.date.issued2011-09-05-
dc.identifier.citationCardiotocography as a predictor of fetal outcome in women presenting with reduced fetal movement. 2011:notEur J Obstet Gynecol Reprod Biolen
dc.identifier.issn1872-7654-
dc.identifier.pmid21899943-
dc.identifier.doi10.1016/j.ejogrb.2011.07.002-
dc.identifier.urihttp://hdl.handle.net/10147/189824-
dc.description.abstractOBJECTIVE: To examine the obstetric and perinatal outcomes of women presenting with reduced fetal movement (RFM) during the third trimester, specifically in relation to the diagnostic capacity of non-stress cardiotocography (CTG) used as the primary investigation in this clinical scenario. STUDY DESIGN: This was a retrospective population-based cohort study of pregnancy outcomes of all women ≥28 weeks' gestation with singleton pregnancies presenting during one calendar year with maternal perception of RFM, all of whom underwent CTG at presentation. Main outcome measures included: obstetric intervention (induction of labour, spontaneous vaginal delivery, operative vaginal delivery, emergency caesarean section), and perinatal outcome (subsequent perinatal death, low Apgar scores (<7(5)), neonatal resuscitation and NICU admission). RESULTS: In all, 524 women presented with RFM and a live fetus, representing 7% of the antenatal obstetric population; 284 women (54%) were nulliparous. The reassuring CTG group comprised 482 (92%) women in whom initial CTG was reassuring and 15 (3%) where a repeat tracing within 1h was reassuring. The non-reassuring/abnormal CTG group (n=27, 5%) either underwent emergency delivery or comprehensive serial fetal assessment; this group had significantly higher rates of emergency caesarean delivery, neonatal resuscitation and NICU admission; the incidence of small-for-gestational-age infants did not differ significantly. No perinatal death occurred in either group following CTG. CONCLUSION: Normal non-stress CTG is a reliable screening indicator of fetal wellbeing in women presenting with perception of RFM in the third trimester; abnormal pregnancy outcomes were more common when initial CTG was abnormal or persistently non-reassuring.-
dc.languageENG-
dc.language.isoenen
dc.titleCardiotocography as a predictor of fetal outcome in women presenting with reduced fetal movement.en
dc.typeArticleen
dc.contributor.departmentNational Maternity Hospital, Dublin, Ireland.en
dc.identifier.journalEuropean journal of obstetrics, gynecology, and reproductive biologyen
dc.description.provinceLeinster-

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