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Semiconductor Sequencing for Preimplantation Genetic Testing for Aneuploidy
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Admission Test and Pregnancy Outcome.

Setareh Akhavan1, Parvaneh Lak2, Fatemeh Rahimi-Sharbaf1

  • 1Department of Gynecology, Tehran University of Medical Sciences, Tehran, Iran.

Iranian Journal of Medical Sciences
|August 2, 2017
PubMed
Summary

The admission test (AT) can predict cesarean sections and NICU admissions, but not neonatal death. This screening tool identifies high-risk pregnancies for better outcomes.

Keywords:
Admission testCardiotocographyElectronic fetal monitoringInfantOutcome

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Area of Science:

  • Obstetrics and Gynecology
  • Neonatal Medicine
  • Perinatal Research

Background:

  • The prognostic value of the admission test (AT) in predicting adverse neonatal outcomes remains debated.
  • This study investigates the predictive capabilities of the AT for adverse outcomes in newborns.

Purpose of the Study:

  • To evaluate the effectiveness of the admission test (AT) in predicting adverse neonatal outcomes.
  • To identify specific adverse outcomes predictable by the AT.

Main Methods:

  • A cross-sectional study of 425 pregnant women undergoing normal vaginal delivery.
  • Patients were categorized based on normal or abnormal AT results.
  • Key outcomes included cesarean rate, NICU admission, fetal demise, neonatal acidosis, and Apgar score, analyzed using statistical tests and logistic regression.

Main Results:

  • Abnormal ATs were observed in 33.4% of the 425 women studied.
  • Multivariate analysis indicated that an abnormal AT predicted cesarean sections, intrauterine growth restriction, nuchal cord, and Apgar scores below 7.
  • The AT did not predict neonatal death or hypoxia.

Conclusions:

  • The AT is a valuable screening tool, identifying risk factors like oligohydramnios, meconium-stained amniotic fluid, and intrauterine growth restriction.
  • The AT can predict the likelihood of NICU admission and the need for cesarean delivery.
  • However, the AT's ability to predict neonatal death was not demonstrated in this study.