Is the Admission Cardiotocography Test Predictive of an Emergent Cesarean Delivery During Labor in Prolonged Pregnancies?

Audrey Astruc, Caroline Verhaeghe, Guillaume Legendre, Philippe Descamps, Romain Corroenne

Abstract


Background: The aim of the study was to evaluate if an admission cardiotocography (CTG) test presenting with an indeterminate fetal heart rate tracing (FHR) was predictive of an emergent cesarean delivery during labor at or after 41 weeks.

Methods: This was a retrospective cohort study of women who delivered >= 41 weeks between January 1, 2019 and December 31, 2019. Admission test was performed during the first 20 min, upon entry into the department in the event of spontaneous labor, or at the beginning of induction of labor. Multivariate logistic regression was performed to evaluate an “indeterminate” FHR during the admission test in the prediction of emergent cesarean delivery during labor controlling for potential covariables.

Results: “Normal” and “indetermediate” FHRs were detected in 260/335 (77.6%) and 75/335 (22.3%) of the cases, respectively. There were significantly more emergent cesarean deliveries during labor for FHR abnormalities in the “indeterminate” group compared to the “normal” group (22/38 (57.9%) vs. 24/27 (88.9%), P = 0.02). An “indeterminate” FHR increased the risk of emergent cesarean delivery during labor by 3.47 times (95% confidence interval: 1.8 - 6.5, P < 0.01).

Conclusion: An “indeterminate” FHR during the admission test >= 41 weeks increased the risk of emergent cesarean delivery during labor.




J Clin Gynecol Obstet. 2022;11(1):9-13
doi: https://doi.org/10.14740/jcgo791

Keywords


Admission test; Antepartum FHR testing; Obstetrics; Fetal assessment; Prolonged pregnancy

Full Text: HTML PDF Suppl1
 

Browse  Journals  

     

Journal of Clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics

World Journal of Oncology

Gastroenterology Research

Journal of Hematology

Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity

Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research

Journal of Neurology Research

International Journal of Clinical Pediatrics

 

 

 

 

 

Journal of Clinical Gynecology and Obstetrics, quarterly, ISSN 1927-1271 (print), 1927-128X (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal, the authors retain the copyright, the journal is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International
License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)


This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website: www.jcgo.org   editorial contact: editor@jcgo.org
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.