TY - JOUR T1 - EFFECTIVENESS OF UMBILICAL ARTERY DOPPLER EXAMINATION, CARDIOTOCOGRAPHY AND AMNIOTIC FLUID INDEX APPLIED IN EARLY INTRAPARTUM PERIOD IN DIAGNOSIS OF FETAL DISTRESS AU - Aba, Yılda Arzu AU - Dursun, Sezgin AU - Şık, Bulat Aytek AU - Erdem, Baki PY - 2017 DA - June Y2 - 2017 DO - 10.23884/ijhsrp.2017.2.1.05 JF - International Journal of Health Services Research and Policy JO - IJHSRP PB - Rojan GÜMÜŞ WT - DergiPark SN - 2602-3482 SP - 29 EP - 36 VL - 2 IS - 1 LA - en AB - The presentstudy aims to find an alternative solution to continuous monitoring withCardiotocography (CTG) during intrapartum management process of pregnant womenwith no previous antenatal follow-up, and to diagnose low-risk pregnancies andavoid the financial burden and discomfort to the pregnant woman resulting fromcontinuous monitoring. Randomly selected 114 term pregnant women with expectedvaginal delivery, singleton pregnancies and no major fetal abnormalities wereincluded in the study. Routine obstetric ultrasonography (USG) and uterineartery (UA) doppler measurements were administered. The pregnant women includedin the study had an average gestation period of 38.3 ± 1.3, average age of 26.1± 5.3, average parity of 2.1 ± 1.5 and average infant birth weight of 3280 ±442 g. 13 pregnant women were considered to have fetal distress followingcontinuous monitoring with cardiotocography. Furthermore, decreased amnioticfluid index was detected in 9 of them. 10 cases were assessed to bepathological as a result of Uterine Artery Doppler examination. In two casesdeemed pathological, fetal distress developed and found to be statisticallyinsignificant. No statistically significant difference was found betweendecreased amniotic fluid index cases and non-decreased amniotic fluid indexcases in terms of C-section application due to fetal distress. 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