Investigation of Cesarean Rates and Perinatal Outcomes of Term Pregnancies Referred to the Delivery Unit from the Outpatient Clinic with Pre-Diagnosis of Non-Reactive Non-Stress Test

Abstract

Objective: Cesarean rates and perinatal outcomes of pregnant women who admitted to our hospital for routine follow-up and were referred to the delivery room with pre-diagnosis of non-reactive nonstress test were investigated. Materials and Methods: A total of 100 pregnant women of 37-41 weeks gestation who were pre-diagnosed with non-reactive nonstress test during routine follow-up and referred to the delivery unit between January 2018 and December 2018 were retrospectively evaluated. High-risk pregnant women with risk factors that may have contributed to non-reactive nonstress test were not included in the study. Modes of delivery were documented and cesarean deliveries due to non-reactive nonstress test were investigated.Results: Of the 100 patients referred to the delivery room due to non-reactive nonstress test, 88 showed reactive nonstress test following fetal resuscitation. The remaining 12 patients were nonresponsive despite fetal resuscitation and other efforts and underwent emergency cesarean delivery. The primary cesarean rate of delivered pregnancies diagnosed with non-reactive nonstress test was 23.6%. There was no statistically significant difference between pregnancies diagnosed and not diagnosed with non-reactive nonstress test according to perinatal outcomes in fetal wellbeing follow-up (p>0.05). Conclusions: Primary cesarean rate was higher in delivered pregnancies diagnosed with non-reactive nonstress test.