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A Retrospective Analysis Over the Emergency Cesarean Section Performed due to Cardio-Tocographic Modifications
1 Department of Obstetrics, Gynecology and Neonatology, Victor Babes University of Medicine and Pharmacy, Timisoara,
2 Bega Clinical Hospital of Obstetrics, Gynecology and Neonatology, Timisoara

Correspondence to:
Alexandra Nyiredi MD, Martir Petru Domasneanu Str., Bl. 82, Apt. 1, 300351 Timisoara,
Tel: +40724521743, Fax: +40356405949
Email: alexnyiredi@gmail.commethod
REZUMAT
Obiective: Studiul de fata are ca obiect utilitatea cardiotocografiei ca metoda noninvaziva de diagnostic si implicit de preventie a suferintei fetale. Material si metode: Studiu retrospectiv efectuat in cadrul Clinicii Universitare de Obstetrica, Ginecologie si Neonatologie "Bega", Timisoara in perioada Ianuarie-Iunie 2011 pe un numar de 42 de paciente supuse unei operatii cezariene de urgenta in urma modificarilor survenite in monitorizarea cardiotocografica. Rezultate: Corelatia dintre modificarile cardiotocografice si indicele Apgar la un minut a relevat: indici Apgar cuprinsi intre 8-10 la nou-nascutii proveniti prin operatie cezariana in urma variabilitatii batailor cardiac fetale bazale (2 cazuri); test nonstres areactiv (4 cazuri); tahicardie (8 cazuri); bradicardie (6 cazuri), deceleratii (3 cazuri); indici Apgar de 5-7 pentru nou-nascuti proveniti din operatii cezariana in urma a testului nonstres areactiv (2 cazuri), bradicardie (6 cazuri) si deceleratii (10 cazuri) si un indice Apgar sub 5 pentru nou-nascutul provenit din operatie cezariana in urma deceleratiilor CTG. Concluzii: Monitorizarea cardiotocografica poate evidenţia orice modificare a ritmului cardiac de baza fetal sub influenţa contracţiilor uterine fiind un factor preventiv al suferintei fetale in asociere cu alte metode de investigare.

ABSTRACT
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.


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