Cesearean Section For Intrapartum Non-reassuring Fetal Status And Prediction For Neonatal Acidemia At Birth In Tikur Anbessa Specialized Hospital A Prospective Observational Study2021.

Background: NRFS is leading indication for cesarean section. The risks of maternal morbidityrnand mortality associated with a caesarean section may not be reasonably justified by the degreernof neonatal compromise at birth. rnObjectives: This study was undertaken to evaluate prediction of clinical diagnosis of intrapartumrnNRFS for significant neonatal acidemia and short term adverse neonatal outcome. rnMethods: Facility based prospective observation study where all the deliveries by cesareanrnsection for NRFS over 2 months period were included. Fetal patterns prior to delivery werernobtained from labor follow up chart and interpreted. The primary outcome was fetal acidemiarn(umbilical artery pH 7.20); short term neonatal morbidities were also assessed. Area under thernreceiver operating characteristic curves was used to assess the test characteristics of individualrnmodels for acidemia and neonatal morbidity. Population from historical cohort of similar studyrnwas used to calculate predictive ability of NRFS for fetal acidemia. rnResults: rnDuring this study period 228 deliveries occurred at the selected health facility and 98 women byrncesarean section. From cesarean section 51% (50 of 98) were emergency and 56% (28 of 50) wasrndone for NFS. Fetal bradycardia was the most common type of NRFS indicating emergency CSrnconstituting 60% (15 of 25) of emergency CS. rnThe mean umbilical artery PH was 7.20±0.09 (SD) (range, 7.01-7.30). Incidence of acidemiarnwas 32% (8 of 25), while pathologic acidemia (PH

Get Full Work

Report copyright infringement or plagiarism