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International Journal of Contemporary Surgery
Year : 2013, Volume : 1, Issue : 2
First page : ( 129) Last page : ( 133)
Print ISSN : 2320-9615. Online ISSN : 2321-1024.
Article DOI : 10.5958/j.2321-1024.1.2.046

Correlation between Fetal Heart Patterns in Labour and Cord Blood pH and its Perinatal Outcome

Panicker Seetha1, Chitra T V2, Priyadharshini Meena3, Chithra A K4

1Professor & HOD, OBG, P.S.G Institute of Medical Sciences & Research, Peelamedu, Coimbatore, Tamilnadu

2Professor and Unit II Chief, OBG, P.S.G Institute of Medical Sciences & Research, Peelamedu, Coimbatore, Tamilnadu

3Assistant Professor, OBG, P.S.G Institute of Medical Sciences & Research, Peelamedu, Coimbatore, Tamilnadu

4Junior Resident, P.S.G Institute of Medical Sciences & Research, Peelamedu, Coimbatore, Tamilnadu

Online published on 7 October, 2013.

Abstract

Objectives

To correlate the fetal heart patterns in labour with the cord blood PH and perinatal outcome.

Method

The study was carried out in the 104 women who required continuous electronic monitoring in labour. The CTG was assessed objectively using the Kerb's scoring system. Blood collection was done immediately after delivery from an isolated cord segment and PH was determined and correlated with the CTG scores and perinatal outcome.

Results

The study group was divided into three groups based on the CTG. There was significant correlation between low CTG score up to two hours before delivery and acidosis at birth (P = 0.01).

Conclusion

Application of a scoring system in interpretation of CTG increases the objectivity and reduces the intra & inter observer variation. Sensitivity of CTG with a poor score (zero to four) to predict acidosis was 55.81% and the specificity was 77.04%.

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Keywords

CTG Scoring System, Cord Blood PH.

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