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Biophysical vs Hormonal Assessment in the Detection of Fetal Distress
Fetal monitoring was carried out in 63 high risk pregnancies at Dr. Sardjito Hospital. Cardiotocographic examination (CTG) was used to evaluate 20 patients, and biochemical fotoplacental test. Urinary estriol (E3) and serum hPl were used to evaluate 43 patients. There were patients with postterm, preeclampsia, aclampsia and prolonged labor. Diagnostic test to predict fetal distress was analyzed for both CTG and biochemical test. CTG had a sensitivity of 87.5 percent, specificity of 83.7 percent. The sensitivity, specificity and accurancy of serum hPl level were 25 percent, 92.3 percent, and 86 percent, respectively. There was correlation between relative birth weight and serum hPL level (r-z 0.3363), relative birth weight and urinary estriol (r=0.3427). Biophysical assessment is more fevaourable compared to hormonal meassurement in the detection of fetal distress.
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