Fetal outcome in pathological cardiotocography (CTG), omdurman maternity hospital

Objective: To determine the role of pathological cardiotocography in evaluating the fetal well-being. Methods: This is cross sectional hospital-based study. Results Our study included 100 with abnormal CTG, 72 (72%) of them were intrapartum and classified as pathological CTG, and 28 patients had their CTG during antenatal periods (Non-stress test), all of these 28 patients, were delivered by C/S (100%), with 25 (89.2%) babies cried immediately and 3(10.7%) cried after resuscitation, their Apgar scores at 1minute was >8 in 25(89.2%) babies. Out of 72 intrapartum pathological CTG, 59(81.9) were delivered by C/S, 8 (11.1%) by Instrumental delivery and 5 (6.9%) through NVD, 21 (29.1%) of babies cried immediately, 46(63.8%) cried after resuscitation and 5(6.9%) their outcome was early neonatal deaths. Conclusion: CTG found to be important in evaluating the fetal well-being. Adjunctive methods are required to improve the sensitivity and specificity of fetal monitoring.