ADMISSION TEST AND ITS CORRELATION WITH PERINATAL OUTCOME

Aim was to evaluate the correlation of perinatal outcome with admission test in both high and low risk pregnancies. 200mothers, 100 from low risk and 100 from high risk group who were admitted to labour room with true labour pains were subjected to admission cardiotocogram for 20 minutes. The fetal heart tracings were classified into normal, suspicious or omnious according to NICE GUIDELINES IN 2007.Intrapartum monitoring was done. The admission test was correlated with perinatal wellbeing as evidenced by Apgar scores at 5minutes of 7 and above. The test had high specificity and high negative predictive value(87 and 96.8 respectively)Only 3.2 of them with normal admission test had poor perinatal outcomes. Positive predictive value was higher in high risk pregnancies than low risk pregnancies(50 vs 37.5),hence the need for intensive intrapartum monitoring for those with abnormal tracings in admission tes