EFFECTIVENESS OF' ADMISSION TEST

Abstract

Objective:

To find out the effectiveness of Admission Test (AT) in detectibg fetal hypoxi a already present at admission to predict hypoxia in labor and to coJrelate the results of the AT with the perinatal outcome.

Study Design : Descriptive study.

Patients and Method:

A tota l of 1 00 wome n in labor both high and low risk groups were selected in !he rudy. All of them were subjected wan admission te.t (AT) which is a 15-20 minme. recording of fetal heart rate and urerine cont•·actions on cardiotocograph machine at the time of admission in labor. The resultS ofAI were not revealed to the concemed obstetrician in labor room and the tesl were evaluated after delivery so as not 10 intluence the clinical management.

Results:

The results of!heAT were 'reactive' in 75 (75%), 'equivocal' in 22 (22%) and 'ominous' in 3 (3%) women. Women with the reactive AT had low risk ofinrr-.1partwn fetal distress, 1.3% as compared to 4.5% in the equivoca l and 66.6 % in the ominous group. Operative delivery for fe.tal distre,<;S was required in only 1(1.3 %) woman of the reactive group, in I (4 .5%) woman of the equivocal group and in 2 (66.6 %) women of the ominous AT group. Resusciration was required in 2 (2.6 %) babies of the reactive group. in4 (18.1%) babies of the equivo al group and in I (33.3%) baby of the om i nous AT groujl. N ine babies require{! nconaml unit and NICLJ admission tor neonatal sepsis 5 (6.6%) were ti·om the reactive, 2 (4.5%) were from the equivocal and 2 (66.1i%) were from the ominou. AT group.

Conclusion:

The test was useful to detect feml distress already present at admission and had the ability w propose fetal well being for rhe next few hours of J(l])or. It is simple, convenient, non invasive and economical for screening purpose.