~ 653 ~  ISSN Print: 2394-7500 ISSN Online: 2394-5869 Impact Factor: 5.2 IJAR 2015; 1(13): 653-655 www.allresearchjournal.com Received: 16-10-2015 Accepted: 18-11-2015 Dr. Vidya Gaikwad Dr. D.Y. Patil Medical College and Research Centre, Sant Tukaram Nagar, Pimpri, Pune, Maharashtra, India. Dr. Mangal S. Puri Dr. D.Y. Patil Medical College and Research Centre, Sant Tukaram Nagar, Pimpri, Pune, Maharashtra, India. Dr. Preeti Pandey Dr. D.Y. Patil Medical College and Research Centre, Sant Tukaram Nagar, Pimpri, Pune, Maharashtra, India. Correspondence Dr. Vidya Gaikwad Dr. D.Y. Patil Medical College and Research Centre, Sant Tukaram Nagar, Pimpri, Pune, Maharashtra, India. Labour admission test: An assessment of the test’s value as screening for foetal distress in labour Dr. Vidya Gaikwad, Dr. Mangal S. Puri, Dr. Preeti Pandey Abstract The aim of the study was to evaluate the role of admission cardiotocography in early labour in detecting fetal hypoxia and to correlate the results of admission cardiotocography with perinatal outcome in terms of fetal distress, APGAR scoring at birth, neonatal admissions, color of liquor. The value of the test was assessed in terms of sensitivity, specificity, Positive Predictive Value and Negative Predictive Value. Keywords: Admission test (AT), cardiotocograph (CTG), MSL, Apgar, NICU 1. Introduction Labour admission test is a test of fetal well-being that is performed when a woman with a low risk pregnancy is admitted in labour. It is a natural contraction stress test to identify potential compromise at a stage early enough in labour to allow timely intervention; furthermore a normal AT offers reassurance. [1] Ingemarsson et al. described an alternative method of monitoring FHR during labour to pick the women apparently at risk whose foetuses were compromised on admission or were likely to become compromised in labour – Admission test (AT). [2] The admission CTG being a visual test can make parents as well as clinicians feel reassured that the fetus is not at risk of hypoxia at the time of admission and is unlikely to develop hypoxia in the next few hours [3] . The purpose of this study was to extend the benefit of AT to low risk women admitted to labour ward and predict fetal distress. 2. Material and Methods The study consisted of total 150 low risk patients in labour admitted to the labour room with period of gestation ≥37 weeks, in the first stage of labour with fetus in cephalic presentation at Padmashree Dr. D.Y. Patil Medical College and Hospital Research Centre, Pimpri- Pune - 18. All of them were subjected to an admission test, a 20 minutes recording of fetal heart rate and uterine contractions on cardiotocograph machine at the time of admission. The trace thus obtained was classified as: Reassuring, Suspicious, Pathological according to NICE (National Institute of Clinical Excellence) guidelines. [4] The following fetal parameters were noted: APGAR score, NICU (Neonatal Intensive Care Unit) admissions, fetal distress and Meconium stained liquor. Other measures such as Sensitivity, Specificity, Positive Predictive Value and Negative Predictive Value of the test were calculated. 3. Results Out of 150 patients, 119 (79.33%) patients showed reactive admission test (AT), 27 (18%) patients showed suspicious AT and 4 (2.67%) patients showed pathological AT. Reactive AT group (n=119) Out of 119 (79.33%) who had reactive AT, 10 (9.09%) patients developed foetal distress in the reactive group. Suspicious AT group (n=27) Out of 27 cases in this group, 13(48%) cases developed foetal distress while 14(51.85%) cases had good perinatal outcome. In this group an extended trace was obtained for 80 minutes, amongst which 12(44%) became reactive, 8 (29.6%) remained persistently suspicious and 7(25.9%) became pathological. In the group that became reactive (n=12), 9(75%) cases delivered normally, International Journal of Applied Research 2015; 1(13): 653-655