Admission Cardiotocography Screening of High Risk Obstetric Patients.

Area of Science:

• Obstetrics and Gynecology
• Fetal Monitoring
• Neonatal Outcomes

Background:

• High-risk pregnancies require accurate methods for predicting neonatal outcomes.
• Admission cardiotocography (CTG) is a key tool in fetal well-being assessment.

Purpose of the Study:

• To evaluate the predictive value of admission cardiotocography (CTG) for neonatal outcomes in high-risk obstetric cases.

Main Methods:

• A prospective study of 150 high-risk obstetric patients.
• Admission CTG testing was performed and categorized using Royal College of Obstetricians and Gynaecologists (RCOG) criteria.
• Fetal and neonatal outcomes were correlated with CTG results.

Main Results:

• Abnormal admission CTG was associated with a significantly higher incidence of fetal distress (73% vs. 15%) and neonatal intensive care unit admission (33% vs. 1%).
• The test demonstrated high specificity (93.3%) and moderate sensitivity (66.7%) for predicting low Apgar scores (<5).

Conclusions:

• Admission cardiotocography is effective in identifying high-risk pregnancies likely to experience adverse fetal outcomes.
• CTG results can optimize the utilization of labor room resources by stratifying patient risk.