Article
Cesárea por monitorización cardiotocográfica fetal no satisfactoria
Fecha
2013-07Autor
Salazar Torres, Zoila Katherine
Castro, Boris
Institución
Resumen
This study is attained to establish the sensibility,
specificity, positive predictive value, and negative
predictive value, of the fetal cardiotocographic monitoring
for the diagnosis of acute fetal suffering
wich leads to the termination of the gestation with
in an emergency cesarean surgery, compared to
the APGAR test of the new born as a Gold Standard.
The universe of the study consisted in 880 pregnant
women to whom a cesarean surgery was made. A 110 new born sample was obtained. 46 of them
were diagnosed with acute fetal suffering with
Gold Standard test; with an Apgar test < 7 at the
first minute, 64 were normal with an Apgar test ≥
7. This study found that the sensibility of the fetal
cardiotocographic monitoring was 21.7% (IC 95%
12.26, 35.57¹).), and the specificity was 84.4% (IC
95% 73.57, 91.29¹). The conclusion was that the
fetal cardiotocographic monitoring helps more as a
test to value fetal well-being, above everything in
high obstetrics risk pregnancies, the test is pretty
less sensitive to detect that a fetus is coursing
acute fetal suffering.