Lubna Ali, Rehana Mushtaq, Nazia Ahmed.
Frequency of pathological CTG in low risk women and its outcomes.
Pak J Surg Jan ;30(4):340-5.

Introduction: Cardiotocography is the simultaneous recording of the fetal heart rate and uterine contractions and is the one of the most common diagnostic techniques to evaluate fetalwell being during pregnancy and labour.: Cardiotocography is routinely applied in high risk pregnant females for screening purposes. CTG has been shown to predict fetal asphyxia during labour. Objective: To determine the frequency of pathological cardiotocography during labour in low risk pregnancy and the outcome of new born in terms of APGAR score , in patients admitt ed in the Obstetrics and Gynecology Department of Civil Hospital Karachi. Study design: Descriptive case Series. Sett ing and Duration: Department of Obstetrics and Gynecology, Dow University of Health Sciences and Civil Hospital Karachi for six-month from 1st June to 30th November 2012. Subjects and methods: 173 low risk pregnant females were included and CTG performed during labour. Frequency of pathological cardiotocography was noted. APGAR score was calculated for the babies who were born to mothers with pathological CTG at one and fi ve minutes. Results: Majority of patients (30.1%) were between 36-40 years of age group with mean (+SD) age was 30.51 (+6.11) years. 6.35% of the females had pathological CTG. 18.18% of the babies born to mothers with pathological CTG had low APGAR score at fi ve minutes. Conclusion: Th e number of patients having pathological CTG in low risk pregnancies is not negligible. Th e babies being born to these women have a high risk of having a low APGAR score at birth.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com