Journal de la grossesse et de la santé infantile

Abstrait

Role of Admission Tests in Predicting Perinatal Outcome: A Prospective Study

Subrat Panda, Ananya Das, Hossain Md. Nowroz and A Santa Singh

Background: Predicting adverse outcome is important in low risk pregnancies also. We tried to determine the role of admission test on foetal and maternal outcome of pregnant women attending labour room as a part of promotion of institutional delivery.

Methods: It is a prospective study conducted for a period of 1 year 6 months, where 100 pregnant women attending labour room with gestational age between 37-42 weeks in early or pre labour are selected randomly. Admission tests were performed in them and the results were statistically analysed.

Results: For predicting the outcome in low risk pregnancy, we adopted combined admission tests, i.e., NST, AFI and Umbilical artery Doppler in low risk pregnant women. In our study NST shows a sensitivity of 57.89% and a specificity of 96.30%, while, Positive Predictive Value and Negative Predictive Value is 78.57% and 90.70%, respectively. This study indicates NST is a test with high specificity and negative predictive value, with diagnostic accuracy of 89%.

Conclusion: NST, AFI, Umbilical Artery Doppler can be done altogether as an admission test on pregnant patients, for prediction of perinatal outcome.