A Study of Cardiotocography in Hypertensive Disorders of Pregnancy and Its Correlation with the Neonatal Outcome

Abstract

ABSTRACT Aim To study the effect of antepartum and intrapartum surveillance with cardiotocography (CTG) on the neonatal morbidity and survival in cases of hypertensive disorders of pregnancy in a rural medical college hospital in Jabalpur. Materials and methods A total of 200 cases of hypertensive disorders > 32 weeks of gestation were subjected to antepartum and intrapartum surveillance with CTG. The neonatal outcome was recorded. This was compared with the records of 200 matched controls who had delivered in the department when CTG was not available. Statistical analysis was done in Statistical Package for the Social Sciences (SPSS) software with x2 test in 2 × 2 tables, and p-value < 0.05 was set as the value of a significant result. Results Cardiotocography led to a significantly higher number of induced labors (p < 0.05) and cesarean sections (p < 0.001). There was a significant reduction in neonatal mortality in the study group (p < 0.001). Conclusion Surveillance with CTG leads to improved neonatal survival, at the same time increasing the cesarean rates in cases of hypertensive disorders in pregnancy. Further methods such as fetal scalp blood sampling may have to be applied to reduce the high cesarean rate with CTG. How to cite this article Tiwari P, Sahu B, Raghuvanshi P, Tiwari R. A Study of Cardiotocography in Hypertensive Disorders of Pregnancy and Its Correlation with the Neonatal Outcome. J South Asian Feder Obst Gynae 2016;8(2):149-153.