A prospective study on correlation of non-stress test in high risk pregnancy at a tertiary care centre

Abstract

Introduction: Perinatal outcome can be improved by timely prediction of antenatal risk factors contributing to complications, by providing appropriate antenatal surveillance. Non-stress test has the capacity to identify danger to the in utero fetus, which ensures well-timed intervention in order to attain best possible outcome. Aims and Objectives: To evaluate the role of NST in high risk pregnancy with relation to perinatal outcome. Materials and methods: The study was carried out in the Department of OBG, Sree Mookambika Institute of Medical Sciences, Kulasekharam over a period of 16 months. OPD Patients from Obstetrics and Gynecology department were included in the study. After thorough clinical examination, patients were subjected to NST. Clinical and NST data from the study was recorded as per the proforma. Result: In high risk pregnant women, it was noticed that there was more fetal distress compare to normal pregnant women. The high risk group had a higher value of nonstress test compare to low risk group. There is high association between NST and low APGAR score at 5 min. Most common, indication for LSCS was fetal distress followed by GDM in High risk group, but previous LSCS in low risk group. Elderly primi was the commonest risk factor. Conclusion: NST is simple, cheap, non-harmful, non-invasive, easily repeated, and cost effective with low maintenance profile and needs less training. It plays a crucial role in the monitoring of high risk pregnancies and henceforth, help to evaluate the optimal time for delivery and management.