Association between Abnormal Cardiotocography and Fetal Outcome: A cross-sectional study At Benha University Hospitals

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Contextual information Prenatal heart rate monitoring was first used to identify conditions like foetal hypoxia and foetal acidemia, both of which may result in serious problems for the baby. Pathological CTG has been shown to correlate with conditions of the infant as measured by Apgar score and hypoxic-ischaemic encephalopathy, according to data collected from the medical literature. In the current research, we wanted to analyse the influence of aberrant CTG pattern in late prenatal period and labour on the obstetrical and neonatal outcomes, in terms of mode of delivery and Apgar score of infant. Methods: The 260 pregnant women who presented with abnormal cardiotocography between weeks 37 and 42 of their pregnancies were the subjects of a cross-sectional research conducted at Benha University Hospital's Obstetrics and Gynecology Department. Group(A) : comprise ante-natal group 130 patients ≥37 weeks with apthological non-reactive CTG . Other 130 labouring patients (ages 37 to 42 weeks) were included in Group(B), and their Suspicious CTGs were redone after they were hydrated with 1000 ml iv fluid and oxygen at 10 L/minute for 20 to 30 minutes. Finally, we filtered out the 63 women who had normal CTG and included the 67 women whose CTG was permanently pathological. The results showed that early deceleration accounted for 39 (19.80%) of cases, late deceleration accounted for 61 (30.96%) of cases, variable deceleration accounted for 24 (12.18%) of cases, reduced variability accounted for 38 (19.29%) of cases, absent variability accounted for 19 (9.64%) of cases, and no accelerations accounted for only 16 (8.12%) of cases. We identified a statistically significant link between Apgar Score at 5 Minutes and gestational age, with a considerably greater proportion of newborns having a score of 7 or above if their gestational age was less than 39 weeks. (p=0.0430). Conclusion: CTG is a valid screening indication of foetal outcome and combination of preterm and abnormal CTG related with poor APGAR score.