A RETROSPECTIVE ANALYSIS OVER THE EMERGENCY CESAREAN SECTION PERFORMED DUE TO CARDIO- TOCOGRAPHIC MODIFICATIONS

REZUMAT A RETROSPECTIVE ANALYSIS OVER THE EMERGENCY CESAREAN SECTION PERFORMED DUE TO CARDIOTOCOGRAPHIC MODIFICATIONS Adrian Gluhovschi1, Mihaela Iuriciuc1, Doru Anastasiu1, Diana-Maria Anastasiu1, Luminita Cimpeanu2, Alexandra Nyiredi1 Objective: The purpose of this study is to demonstrate the utility of cardiotocography as a noninvasive method of fetal distress diagnosis and prevention. Material and methods: Retrospective study conducted in the University Clinic of Obstetrics, Gynecology and Neonatology «Bega», Timisoara during January-June 2011 over a total of 42 patients that underwent emergency cesarean section following changes in cardiotocographic monitoring. Results: The correlation between CTG changes and the newborns’ 1st minute Apgar score showed: Apgar scores of 8-10 in cesarean section performed for low fetal heart rate baseline variability (2 cases); nonreactive NST (4 cases); tachycardia (8 cases); bradycardia (6 cases); decelerations (3 cases); an Apgar score of 5-7 in cesarean section performed for nonreactive NST (2 cases) and bradycardia (6 cases) and decelerations (10 cases); and an Apgar score under 5 in a cesarean section due to decelerations. Conclusions: Cardiotocographic monitoring reveals any changes in the basal fetal heart rate correlated to uterine contractions being used as a preventive factor of fetal distress in correlation with other investigation methods.