Effect of Nursing Interpretation and Intervention of Intrapartum Cardiotocography on Pregnancy Outcomes

An important goal of intrapartum monitoring is preservation of fetal well-being by early detection and relief, when possible, of those conditions causing fetal distress and adverse outcomes.

The aim: Assess the effectiveness of nursing interpretation and intervention of intrapartum cardiotocography on pregnancy outcomes.

Design: Quazi experimental design.

The sample: Was convenient sample of 120 cases divided into two groups (study, and control) each one is 60 cases (30 low risks, and 30 high risks).

Tools: three different tools namely assessment sheet for the mother in first stage includesall significant data about the mother, intrapartum fetal monitoring assessment will be done using cardiotocography strip, and Apgar score at one and five minutes.

The settings: Shebin Elkom Teaching and University hospitals-Egypt. The main findings were that no statistically significant relations for low risk cases that being handled with cardiotocography and fetal complications. Instrumental delivery and cesarean section rate for low risk cases in the study group is increased than for low risk in control group shows statistical significance difference. There were strong statistically significant relations between high risk fetal heart rate nursing interpretation and Apgar score in the first minute. Statistical significance to total complications during present labor to the mother.

Conclusion: Continuous cardiotocography should recommended for high-risk pregnancies where there is an increased risk of prenatal adverse outcomes. Cardiotocography for low risk is associated with a significant increase in instrumental delivery and caesarean section rates compared with intermittent auscultation.

Recommendations: continuous electronic fetal monitoring should be recommended for high-risk pregnancies where there is an increased risk of fetal compromise.