EFFECTIVENESS OF UMBILICAL ARTERY DOPPLER EXAMINATION, CARDIOTOCOGRAPHY AND AMNIOTIC FLUID INDEX APPLIED IN EARLY INTRAPARTUM PERIOD IN DIAGNOSIS OF FETAL DISTRESS

Year 2017, Volume: 2 Issue: 1, 29 - 36, 03.06.2017

Yılda Arzu Aba , Sezgin Dursun Bulat Aytek Şık Baki Erdem

https://doi.org/10.23884/ijhsrp.2017.2.1.05

Abstract

The present
study aims to find an alternative solution to continuous monitoring with
Cardiotocography (CTG) during intrapartum management process of pregnant women
with no previous antenatal follow-up, and to diagnose low-risk pregnancies and
avoid the financial burden and discomfort to the pregnant woman resulting from
continuous monitoring. Randomly selected 114 term pregnant women with expected
vaginal delivery, singleton pregnancies and no major fetal abnormalities were
included in the study. Routine obstetric ultrasonography (USG) and uterine
artery (UA) doppler measurements were administered. The pregnant women included
in the study had an average gestation period of 38.3 ± 1.3, average age of 26.1
± 5.3, average parity of 2.1 ± 1.5 and average infant birth weight of 3280 ±
442 g. 13 pregnant women were considered to have fetal distress following
continuous monitoring with cardiotocography. Furthermore, decreased amniotic
fluid index was detected in 9 of them. 10 cases were assessed to be
pathological as a result of Uterine Artery Doppler examination. In two cases
deemed pathological, fetal distress developed and found to be statistically
insignificant. No statistically significant difference was found between
decreased amniotic fluid index cases and non-decreased amniotic fluid index
cases in terms of C-section application due to fetal distress. In our study,
Cardiotocography + Amniotic Fluid Index measurement was determined to be the
most valuable combination as the delivery room admission test. 

Keywords

Fetal distress, intrapartum period, amniotic fluid index, Cardiotocography, Umblical Artery Doppler Examination

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