Role of admission test in predicting foetal outcome in prelabour rupture of membranes

Subapriya E.R., Sangeereni M and Mallika A

Back ground: To predict the neonatal outcome in term pre-labour rupture of membranes by admission (CTG) cardiotocography testing. Methods: A total of 200 patients with term pre-labour rupture of membranes meeting the inclusion criteria were subjected to admission CTG testing in this prospective study. The CTG tracing was categorized based on Royal College of Obstetricians and gynaecologists (RCOG) criteria. Neonatal outcome was studied and correlated with the admission CTG testing. Results: Out of 200 patients the majority of women were primigravida (76%) belonging to the age group of 18-24 years. The admission CTG were ‘reactive’ in 66%, ‘suspicious’ in 24% and ‘omnious’ in 10% women. Conclusion: The admission CTG appears to be a simple non-invasive test that can serve as a screening tool in ‘triaging’ foetuses in patients with term pre-labour rupture of membranes.

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