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Objective: To evaluate increasing rate of caesarean section due to non-reassuring cardiotocography. Methods: This study is carried out in obs-gyn department of Liaquat university hospital from 2012 to 2013. After permission from ERC, patients enrolled for study meeting inclusion criteria with non-reactive cardiotocography undergo caesarean section, and results are analysis through SSPS version 17. Results: There was wide variation of maternal age ranging from a minimum of 20 years to 30 years. The mean age was 26 ± 2.1 years. In our study mostly patients were primigravida 58 58% between 2 - 4 were 22 22% more than para 5 were 20 20% patients. In our study mostly patients undergone caesarean section 81 81% 19 delivered vaginally 19%. In our study the gestational age was >37 weeks, ranging from a minimum of 37 weeks to 42 weeks. The mean age was 37 + 2.4 week. Mostly patients observed 37 - 38 wks in 52.67%, 39 - 40 wks in 32.14% and 41 - 42 wks in 15.17%. In our study mostly Apgar score were more than 7 was 63 63% cases and less than 7 Apgar score in 37 37%. Conclusion: Cardiotocography is a useful and indispensable adjunct to monitor the condition of endangered fetus. However, there is a need to develop a standardized and unambiguous definition of FHR tracing to reduce the incidence of false positive findings that may result in increased incidence of unnecessary intervention particularly caesarean section.

KEYWORDS

Non-Reassuring Cardiotocography, Caesarean Section, Apgar Score

Cite this paper

Chetandas, P. , Zahiruddin, S. , Jabeen, N. , Baloch, R. and Shaikh, F. 2017 Increasing rate of Caesarean Section Due to Non-Reassuring Cardiotocography. Open Journal of Obstetrics and Gynecology, 7, 351-357. doi: 10.4236-ojog.2017.73036.





Autor: Pushpa Chetandas, Sana Zahiruddin, Nigar Jabeen, Raheela Baloch, Fouzia Shaikh

Fuente: http://www.scirp.org/



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