Husain Ayesha, Naseem Aliya, Anjum Sagheera, Imran Sajida, Arifuzzaman Muhammad, Adil Syed Omair
Obstetrics and Gynecology Department, DarulSehat Hospital.
Dow Institute of Radiology.
J Pak Med Assoc. 2018 Jul;68(7):1014-1018.
To determine the relationship between the colour of liquor and the trace of cardiotocography to see whether it is reactive or non-reactive..
This cross-sectional study was conducted at Obstetrics and Gynaecology department, Dar-ul-Sehat Hospital, Karachi from June 2015 to March 2016, and comprised women in labour who delivered singleton babies and had >37 weeks of gestation. Intrapartum monitoring by cardiotocography was conducted. The status of the amniotic membranes, colour and amount of liquor observed were recorded. Cardiotocography was performed for 30 minutes in the left lateral position on admission as well as a monitoring tool in labour at an interval of less than 4 hours. Foetal heart transducer and uterine pressure transducers were applied and the readings were recorded. SPSS 21 was used for statistical analysis.
Of the total 200 subjects, 183(91.5%) were reactive and 17(8.5%) were non-reactive women. Overall mean age was 27.39±4.40 years. Most commonly noted risk factor were post-date 53(26.5%), anaemia 35(17.5%), premature rupture of membranes 28(14%) and pregnancy-induced hypertension 10(5%). Insignificant difference was observed in between Cardiotocography findings and risk factors of the women (p>0.05)..
Significant change was seen in cardiotocography of clear liquor which needs more evaluation to rule out ongoing hypoxia.
确定羊水颜色与胎心监护结果之间的关系，以判断其是否为反应型或非反应型。
本横断面研究于2015年6月至2016年3月在卡拉奇达尔-乌尔-塞哈特医院妇产科进行，纳入对象为单胎分娩且孕周>37周的临产妇女。采用胎心监护进行产时监测。记录胎膜情况、观察到的羊水颜色和量。入院时左侧卧位进行30分钟胎心监护，并作为产时监测工具，间隔时间小于4小时。应用胎儿心脏换能器和子宫压力换能器并记录读数。使用SPSS 21进行统计分析。
在总共200名受试者中，183名（91.5%）为反应型，17名（8.5%）为非反应型妇女。总体平均年龄为27.39±4.40岁。最常见的危险因素是过期妊娠53例（26.5%）、贫血35例（17.5%）、胎膜早破28例（14%）和妊娠期高血压10例（5%）。妇女的胎心监护结果与危险因素之间未观察到显著差异（p>0.05）。
清亮羊水的胎心监护出现显著变化，需要进一步评估以排除持续缺氧情况。
