Neonatal Outcome in Relation to Cardiotocography Interpretation During Pregnancy
Abstract
Introduction: The aim of this study is to evaluate the interrelation between neonatal outcome (neonatal asphyxia status) and cardiotocography interpretation during pregnancy.
Methods: This is an observational analytical study employing a cross-sectional approach involving patients delivering at Hasan Sadikin General Hospital in 2023. The inclusion criteria were patients who gave birth with cardiotocography interpretation and neonatal outcome recording at 32-37 weeks of gestation. The exclusion criteria were fetal with congenital anomalies and multiple pregnancy. This study utilized secondary data from patient case notes. This study employed non-probability consecutive sampling. Descriptive and analytical statistics were performed.
Result: The result of this study indicates abnormal cardiotocography patterns are significantly associated with higher incidences of asphyxia (p=0.0001). No significant difference was found between incidence of asphyxia with the type of delivery and birth weight. There was also no significant difference between Cardiotocography category II and III based on the maternal and neonatal factors.
Conclusion: This study concluded that the significant relationship between CTG results, and neonatal asphyxia underscores the importance of CTG monitoring in predicting and managing fetal distress.
Luaran Neonatus berdasarkan Pemeriksaan Kardiotokografi pada Kehamilan
Abstrak
Pendahuluan: Tujuan penelitian ini adalah untuk mengevaluasi hubungan antara hasil neonatal (status asfiksia neonatal) dan interpretasi kardiotokografi selama kehamilan.
Metode: Metode penelitian ini adalah analitik observasional dengan pendekatan cross-sectional yang melibatkan pasien yang melahirkan di Rumah Sakit Umum Hasan Sadikin pada tahun 2023. Kriteria inklusi adalah pasien yang melahirkan dengan interpretasi kardiotokografi dan pencatatan hasil neonatal pada usia kehamilan 32 – 37 minggu. Kriteria eksklusi adalah janin dengan anomali kongenital dan kehamilan ganda. Penelitian ini menggunakan data sekunder dari catatan kasus pasien. Penelitian ini menggunakan metode sampling konsekutif non-probabilitas. Statistik deskriptif dan analitik dilakukan.
Hasil: Hasil penelitian ini menunjukkan bahwa pola kardiotokografi abnormal secara signifikan terkait dengan insiden asfiksia yang lebih tinggi (p=0.0001). Tidak ditemukan perbedaan signifikan antara insiden asfiksia dengan jenis persalinan dan berat lahir. Tidak ada perbedaan signifikan antara kategori Kardiotokografi II dan III berdasarkan faktor maternal dan neonatal.
Kesimpulan: Penelitian ini menyimpulkan bahwa hubungan signifikan antara hasil CTG dan asfiksia neonatal menekankan pentingnya pemantauan CTG dalam memprediksi dan mengelola distress janin.
Kata kunci: Kardiotokografi, Neonatal, Distress janin, APGAR
Keywords
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Meitariani Elsa Putri, Ratna Dewi Indi Astuti, Ratna Damailia. Hubungan antara Persalinan Induksi dan Gawat Janin di Rumah Sakit Umum Daerah Al-Ihsan Provinsi Jawa Barat Tahun 2020–2021. Bandung Conference Series: Medical Science. 2023 Feb 1;3(1).
Nadeem G, Rehman A, Bashir H. Risk Factors Associated with Birth Asphyxia in Term Newborns at a Tertiary Care Hospital of Multan, Pakistan. Cureus. 2021 Oct 13;
Nazir L, Lakhta G, Anees K, Khan FR, Safdar S, Nazir GR, et al. Admission Cardiotocography as a Predictor of Low Apgar Score: An Observational, Cross- Sectional Study. Cureus. 2021 Apr 17;
Thorpe-Beeston G. Management of Acute Obstetric Emergencies. J Obstet Gynaecol (Lahore). 2012 Jan 20;32(1):108–108.
Murniati L, Taherong F, Syatirah S. MANAJEMEN ASUHAN KEBIDANAN PADA BAYI BARU LAHIR DENGAN ASFIKSIA (LITERATUR REVIEW). Jurnal Midwifery. 2021 Feb 28;3(1):32–41.
Tavares VB, e Souza J de S, Affonso MV de G, Da Rocha ES, Rodrigues LFG, da Costa Moraes L de F, et al. Factors associated with 5-min APGAR score, death and survival in neonatal intensive care: a case-control study. BMC Pediatr. 2022 Sep 23;22(1):560.
Holzmann M, Wretler S, Cnattingius S, Nordström L. Different CTG patterns and risk of intrapartum acidemia. Am J Obstet Gynecol. 2014 Jan;210(1): S279–80.
Tomich MF, Leoni RS, Meireles PT, Petrini CG, Araujo Júnior E, Peixoto AB. Accuracy of intrapartum cardiotocography in identifying fetal acidemia by umbilical cord blood analysis in low-risk pregnancies. Rev Assoc Med Bras (1992). 2023;69(6):e20221182.
Gupta K, Haritwal A, Makhija B, Bhandari R. Is fetal CTG a reliable indicator of fetal distress? A prospective study on relationship between CTG suspected fetal distress and immediate postpartum umbilical cord blood pH. Journal of Clinical Medicine of Kazakhstan. 2022 Feb 25;19(1):57–64.
Grivell RM, Alfirevic Z, Gyte GM, Devane D. Antenatal cardiotocography for fetal assessment. Cochrane Database of Systematic Reviews. 2015 Sep 12;2019(5).
Chaudhari KR, Pai SS. Admission test for screening labor. Hyderabad in: A comparative study by Dr. Reddy’s Laboratories. 2021;1.
Casey BM, McIntire DD, Leveno KJ. The Continuing Value of the Apgar Score for the Assessment of Newborn Infants. New England Journal of Medicine. 2001 Feb 15;344(7):467–71.
Sadeghnia A, Mohammadpoor S. The Investigation of Rate of Birth Asphyxia and its Relationship with Delivery Mode at Shahid Beheshti Hospital of Isfahan during 2013, 2014, and 2015. Int J Prev Med. 2019;10(1):23.
Sekarwati T, Darsini N, Husada D. Risk Factors for Neonatal Asphyxia Occurrence at General Hospital Dr. M. Soewandhie, Surabaya. Indian J Public Health Res Dev. 2020 Apr;11.
Fanny F. Sectio Caesarea Sebagai Faktor Risiko Kejadian Asfiksia Neonatorum (the Cesarean Section as the Risk Factors of Neonatal Asphyxia). 2015 Nov; 4:57–62.
Gomella T, Cunningham M, Eyal F. Common Multiple Congenital Anomaly Syndromes. Neonatology: management, procedures, on call problems, disease, and drugs. 7th ed. New York: Lange Medical Books/McGraw-Hill; 2013. 530 p.
Li Z na, Wang S rong, Wang P. Associations Between Low Birth Weight and Perinatal Asphyxia: A hospital-based study. Medicine. 2023 Mar 31;102(13):e33137.
Fetal Monitoring in Labour NICE Guideline [Internet]. 2022. Available from: www.nice.org.uk/guidance/ng229
Murphy KW, Johnson P, Moorcraft J, Pattinson R, Russel V, Turnbull A. Birth Asphyxia and the Intrapartum Cardiotocograph. BJOG. 1990 Jun 19;97(6): 470–9.
Bogdanovic G, Babovic A, Rizvanovic M, Ljuca D, Grgic G, DjuranovicMilicic J. Cardiotocography in the Prognosis of Perinatal Outcome. Medical Archives. 2014;68(2):102.
Woday A, Muluneh A, St Denis C. Birth Asphyxia and its Associated Factors among Newborns in Public Hospital, Northeast Amhara, Ethiopia. PLoS One. 2019 Dec 20;14(12): e0226891.
V ali P , Chandrasekharan P , Rawat M, Gugino S, Koenigsknecht C, Helman J, et al. Hemodynamics and Gas Exchange during Chest Compressions in Neonatal Resuscitation. PLoS One. 2017 Apr 25;12(4): e0176478.
Heinonen S, Saarikoski S. Reproductive Risk Factors of Fetal Asphyxia at Delivery. J Clin Epidemiol. 2001 Apr;54(4):407–10.
S1-Guideline on the Use of CTG During Pregnancy and Labor. Geburtshilfe Frauenheilkd. 2014 Sep 3;74(08):721–32.
DOI: http://dx.doi.org/10.24198/obgynia.v7i2.718
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