Akhavan Setareh, Lak Parvaneh, Rahimi-Sharbaf Fatemeh, Mohammadi Seyed Rahim, Shirazi Mahboobeh
Department of Gynecology, Tehran University of Medical Sciences, Tehran, Iran.
Department of Obstetrics and Gynaecology, Shaheed Chamran Hospital, Iran University of Medical Sciences, Tehran, Iran.
Iran J Med Sci. 2017 Jul;42(4):362-368.
The admission test (AT) has been carried out for many years, but there are still debates about the prognostic value of the test. Therefore, we aimed to examine the value of the AT in predicting the adverse outcome in neonates.
In this cross-sectional study, 425 pregnant women with normal vaginal delivery were studied between2009 and 2014at Vali-e-Asr Hospital. Based on the results, the women were divided into 2groups of normal and abnormal ATs. All the patients were followed up until the birth of their baby, when the status of mother and neonate was determined. The main outcomes of the study were cesarean rate, neonatal intensive care unit (NICU) admission, fetus demise, neonatal acidosis, and Apgar score. The independent -test, chi-square test, Fisher exact test, and logistic regression were used for statistical analysis. The data were analyzed using SPSS (version 17).
Of 425 pregnant women studied, 142 (33.4%) had abnormal ATs with a mean age of 29 (±4.5) years. Multivariate analysis showed that an abnormal AT was able to predict the incidence of cesarean section, intrauterine growth restriction, turned cord, and Apgar<7, but it could not predict neonatal death and hypoxia.
The AT was shown to be a useful screening test with risk factors such as oligohydramnios, bloody amniotic fluid, meconium amniotic fluid, intrauterine growth restriction, and turned cord. Additionally, the test was also able to predict NICU admission and the need for cesarean section, but it could not predict the occurrence of neonatal death.
入院测试（AT）已开展多年，但关于该测试的预后价值仍存在争议。因此，我们旨在研究AT在预测新生儿不良结局方面的价值。
在这项横断面研究中，2009年至2014年期间在瓦利 - 阿斯尔医院对425名正常阴道分娩的孕妇进行了研究。根据结果，将这些女性分为AT正常和异常两组。所有患者均随访至婴儿出生，确定母亲和新生儿的状况。该研究的主要结局包括剖宫产率、新生儿重症监护病房（NICU）入院率、胎儿死亡、新生儿酸中毒和阿氏评分。采用独立样本t检验、卡方检验、Fisher精确检验和逻辑回归进行统计分析。数据使用SPSS（版本17）进行分析。
在425名接受研究的孕妇中，142名（33.4%）AT异常，平均年龄为29（±4.5）岁。多因素分析表明，AT异常能够预测剖宫产、胎儿生长受限、脐带扭转和阿氏评分<7的发生率，但不能预测新生儿死亡和缺氧情况。
AT被证明是一种有用的筛查测试，可用于筛查羊水过少、血性羊水、胎粪羊水、胎儿生长受限和脐带扭转等危险因素。此外，该测试还能够预测NICU入院和剖宫产的必要性，但不能预测新生儿死亡的发生。
