Evaluation the Role of Intrapartum Pathological Cardiotocography in Prediction of Fetal Outcomes in Term Pregnancies

Abdelhamid Hassan, Manar Awadallah; Abdelfattah, Ashraf Talaat; Mohamed Ezzat, Rania Samy; Elsayed, Hala Sherif

doi:10.21608/zumj.2025.349590.3771

Evaluation the Role of Intrapartum Pathological Cardiotocography in Prediction of Fetal Outcomes in Term Pregnancies

Document Type : Original Article

Authors

¹ Obstetrics and Gynecology Department, Faculty of Medicine, Zagazig university, Egypt

² Professor of Obstetrics and Gynecology department, Faculty of Medicine, Zagazig university, Egypt

³ Lecturer of Obstetrics and Gynecology department, Faculty of Medicine, Zagazig university, Egypt

⁴ Assistant Professor of Obstetrics and Gynecology department, Faculty of Medicine, Zagazig university, Egypt

10.21608/zumj.2025.349590.3771

Abstract

Background: Continuous intrapartum electronic fetal heart rate monitoring is essential for identifying fetuses at risk of fetal hypoxia and the related complications. Fetal movements, uterine contraction patterns, and fetal heart rate are all recorded using cardiotocography. This study aimed to evaluate the ability of intrapartum pathological cardiotocography to predict unfavourable fetal outcomes in term pregnancies. Methods: This study was cohort observational study conducted on 120 pregnant women that admitted to Zagazig University emergency hospital term pregnancy in labor. All women were subjected to full history-taking, clinical assessment, Obstetric Ultrasound to confirm the gestational age, performing intrapartum CTG in low-risk pregnant women. Perinatal outcomes were studied by the color of liquor, Apgar score at one minute and five minutes, and NICU admission. Results: In Low risk group 30(85.8%) of cases were Suspicious and 5(14.2%) were Pathological on admission CTG while in High risk group 50 (59%) of cases were Suspicious and 35(41%) were Pathological on admission CTG. Meconium-stained liquor was present in 10 (30%) low-risk pregnancies and 72 (84.7%) high-risk pregnancies. All participants with pathological CTG tracing underwent an emergency cesarean section (100%) and the majority of participants in both groups with suspicious CTG had LSCS (88.7%). There were no perinatal deaths in our study up to one week. Conclusion: Getting in CTG is a non-invasive screening technique that can be very important in predicting the health of the fetus during labor and is helpful in identifying fetal distress that is already present at the time of admission.

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