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Indian Journal of Public Health Research & Development
Year : 2019, Volume : 10, Issue : 12
First page : ( 1293) Last page : ( 1299)
Print ISSN : 0976-0245. Online ISSN : 0976-5506.
Article DOI : 10.37506/v10/i12/2019/ijphrd/192226

Effect of Nursing Interpretation and Intervention of Intrapartum Cardiotocography on Pregnancy Outcomes

Shahin Hanaa Elsayed Ahmed1,4, Eshra Dalal Khalil2, Mahmoud Hesham Salah Eldien3

1Assisstant Professor, Nursing Department, College of Applied Medical Sciences, Jouf University, KSA

2Professor of Maternal and Newborn Health Nursing, Faculty of Nursing, Menoufia University,

3Lecturer of Obstetrics and Gynecology, Faculty of Medicine, Menoufia University,

4Lecturer-Maternal and Newborn Health Nursing Department

Online published on 31 March, 2020.

Abstract

An important goal of intrapartum monitoring is preservation of fetal well-being by early detection and relief, when possible, of those conditions causing fetal distress and adverse outcomes.

The aim

Assess the effectiveness of nursing interpretation and intervention of intrapartum cardiotocography on pregnancy outcomes.

Design

Quazi experimental design.

The sample

Was convenient sample of 120 cases divided into two groups (study, and control) each one is 60 cases (30 low risks, and 30 high risks).

Tools

three different tools namely assessment sheet for the mother in first stage includesall significant data about the mother, intrapartum fetal monitoring assessment will be done using cardiotocography strip, and Apgar score at one and five minutes.

The settings

Shebin Elkom Teaching and University hospitals-Egypt. The main findings were that no statistically significant relations for low risk cases that being handled with cardiotocography and fetal complications. Instrumental delivery and cesarean section rate for low risk cases in the study group is increased than for low risk in control group shows statistical significance difference. There were strong statistically significant relations between high risk fetal heart rate nursing interpretation and Apgar score in the first minute. Statistical significance to total complications during present labor to the mother.

Conclusion

Continuous cardiotocography should recommended for high-risk pregnancies where there is an increased risk of prenatal adverse outcomes. Cardiotocography for low risk is associated with a significant increase in instrumental delivery and caesarean section rates compared with intermittent auscultation.

Recommendations

continuous electronic fetal monitoring should be recommended for high-risk pregnancies where there is an increased risk of fetal compromise.

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Keywords

Interpretation, intervention, Intrapartum, Cardiotocography, pregnancy outcomes.

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