Determine the Adverse Fetal Outcomes In Women With Non-Reactive Cardiotocography

Aim: To determine the adverse perinatal outcomes in women presented with non-reactive cardiotocography. Study Design: Retrospective Place and Duration: The study was conducted at department of Obstetrics & Gynecology, Shahida Islam Teaching Hospital, Lodhran for duration of six months from April, 2020 to September, 2020 Methods: Total 125 pregnant women presented with non-reactive cardiotocography were enrolled in this study. Patients detailed demographics including age, BMI, gestational age, gravidity and mode of delivery were recorded after taking informed written consent. Fetal outcomes such as Apgar score, stillbirth, low birth weight, need for NICU admission and neonatal mortality were examined. Data was analyzed by SPSS 24.0. Results: Mean age of patients was 28.34 +/- 5.46 years. Mean BMI was 25.54 +/- 3.22 kg/m(2). Mean gestational age was 38.82 +/- 1.74 weeks. 72 (57.6%) patients were primigravida and rest 42.4% were multigravida. 80 (64%) patients had cesarean section mode of delivery. 66 (52.8%) neonates had low birth weight, 44 (35.2%) had Apgar score <5 at 1 minute. Stillbirth was found in 4 (3.2%), 46 (36.8%) neonates had needs for NICU admission and neonatal mortality was found in 9 (7.2%). Conclusion: Carditocography is very helpful tool for fetal examination. Non reactive cardiotocography was highly associated with poor fetal outcomes.