VIETNAM NATIONAL CONFERENCE OF OBSTETRICS AND GYNECOLOGY 2022
2023-02-22 22:16:39
CATEGORY II INTRAPARTUM FETAL MONITORING: OUTCOME PREGNANCY AND PREDICTIVE MODEL FOR ADVERSE FETAL OUTCOME
Fetal heart rate (FHR) monitoring has been used since the 1970s and has become a standard component of fetal wellbeing assessment. The purpose of FHR monitoring is to avoid fetal asphyxia and acidosis and their long term neurodevelopmental sequelae. Surprisingly, among average for gestational age (AGA) newborns, intrapartum FHR monitoring has contributed to an increase in cesarean deliveries without improving rates of cerebral palsy.
On December 7th, 2022, MSc. MD. Nguyen Thi Cam Nhung – main author of the study gave an oral presentation at the Vietnam National Conference of Obstetrics and Gynecology 2022.
Category II cardiotocography (CTG) is the most popular of the ACOG classifications but it is not specific for fetal hypoxia. In order to assess the pregnancy outcome in pregnant women with CTG category II. From that, investigate the factors related to asphyxia in CTG category II, be able to improve the predictive value of CTG category II, and achieve the best balance between positive neonatal outcomes and minimize unnecessary surgical interventions. A group of researchers from the School of Medicine – Viet Nam National University Ho Chi Minh City conducted a study named category II intrapartum fetal monitoring: outcome pregnancy and predictive model for adverse fetal outcome.
With prospective longitudinal study in 960 maternals from February to May, 2021 in the Obstetrics Department of Tu Du Hospital. The following results have been obtained that the outcome of asphyxia accounted for 1,9%. The rate of cesarean section (C-section) in labor was 50,4%. Building a predictive model to predict asphyxia including 10 factors: maternal age, pre-pregnancy BMI, history of C-section, gestational diabetes, intrauterine growth restriction, umbilical cord wrap, and tachysystole, amniotic fluid color, prolonged deceleration and late deceleration on CTG.
About author:
MSc. MD. Nguyen Thi Cam Nhung: Obstetrics and Gynecology Department, School of Medicine – Viet Nam National University Ho Chi Minh City (VNU-HCM)
Email: ntcnhung@medvnu.edu.vn
