Role of Admission Tests in Predicting Perinatal Outcome: A Prospective Study
|Subrat Panda, Ananya Das*, Hossain Md. Nowroz and A Santa Singh|
|Department of Obstetrics and Gynaecology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences (NEIGRIHMS), Meghalaya, India|
|Corresponding Author :||Dr. Ananya Das
Department of Obstetrics and Gynaecology
North Eastern Indira Gandhi Regional Institute of Health and Medical
Sciences (NEIGRIHMS), Mawdiangdiang, Shillong, Meghalaya, India
E-mail: [email protected]
|Received: May 27, 2015; Accepted: June 25, 2015; Published: June 29, 2015|
|Citation: Panda S, Das A, Nowroz HM, Singh AS (2015) Role of Admission Tests in Predicting Perinatal Outcome: A Prospective Study. J Preg Child Health 2:171. doi: 10.4172/2376-127X.1000171|
|Copyright: © 2015 Panda S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
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.