Shakira Perveen, Haleema Hashmi.
Effectiveness of admission test.
J Dow Uni Health Sci Jan ;1(1):20-5.

Objective: To find out the effectiveness of Admission Test (AT) in detecting fetal hypoxia already present at admission to predict hypoxia in labor and to correlate the results of the AT with the perinatal outcome. Study Design: Descriptive study. Patients and Method: A total of 100 women in labor both high and low risk groups were selected in the study. All of them were subjected to an admission test (AT) which is a 15-20 minutes recording of fetal heart rate and uterine contractions on cardiotocograph machine at the time of admission in labor. The results of AT were not revealed to the concerned obstetrician in labor room and the test were evaluated after delivery so as not to influence the clinical management. Results: The results of the AT were `reactive` in 75 (75%), `equivocal` in 22 (22%) and `ominous` in 3 (3%) women. Women with the reactive AT had low risk of intrapartum fetal distress, 1.3% as compared to 4.5 % in the equivocal and 66.6 % in the ominous group. Operative delivery for fetal distress was required in only 1 (1.3 %) woman of the reactive group, in 1 (4.5%) woman of the equivocal group and in 2 (66.6 %) women of the ominous AT group. Resuscitation was required in 2 (2.6 %) babies of the reactive group, in 4 (18.1%) babies of the equivocal group and in 1 (33.3%) baby of the ominous AT group. Nine babies required neonatal unit and NICU admission for neonatal sepsis 5 (6.6%) were from the reactive, 2 (4.5%) were from the equivocal and 2 (66.6%) were from the ominous AT group. Conclusion: The test was useful to detect fetal distress already present at admission and had the ability to propose fetal well being for the next few hours of labor. It is simple, convenient, non invasive and economical for screening purpose.

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