Cardiotocography In Labour And Fetal Outcome
Dr. Kavitha K,1, * Dr. N. Madhavi 2
1Second year Post Graduate, DGO, Kamineni Institute of Medical Sciences Narketpally 508254 Telangana, India
2Professor and Head of the Department, Kamineni Institute of Medical Sciences, Narketpally 508254, India
Interventions suggested in patients with abnormal CTG
- Reposition the woman (22, 23) – e.g. lateral position.
- Administration of IV fluids (21, 22).
- Discontinuation of oxytocin or decreasing rate of infusion (21, 23).
- Check the maternal blood pressure, pulse rate.
- Assess abdominal tone to exclude a tonic uterus (19, 20).
- Perform a Vaginal Examination to exclude cord prolapse (22).
- Prepare for assisted delivery or emergency caesarean section if abnormal CTG persist in spite of conservative measures.
The admission CTG is a simple non-invasive test that can serve as a screening tool in high-risk obstetric patients to detect fetal distress already present or likely to develop and prevent unnecessary delay in intervention. As the test has high specificity, it has a role in obstetric wards of non-industrialized countries with a heavy workload with a large number of high-risk cases and limited resources to help in ‘triaging’ fetuses. CTG is useful as an early triage for categorization of mothers based on tracings obtained and early intervention to be made for better outcomes.
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