Biophysical vs hormonal assessment in the detection of fetal distress

• Main Author: Perpustakaan UGM, i-lib
• Format: Article NonPeerReviewed
• Published: [Yogyakarta] : Universitas Gadjah Mada 1996
• Subjects: Jurnal i-lib UGM
• Online Access: https://repository.ugm.ac.id/18235/; http://i-lib.ugm.ac.id/jurnal/download.php?dataId=1013
• Institution: Universitas Gadjah Mada

ABSTRACT 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 fetoplacental test. Urinary estriol (E3) and serum hPL were used to evaluate 43 patients. There were patients with postterm, preeciampsia, eclampsia and prolonged labor. Diagnostic test to predict fetal distress was analyzed for both CTG and biochemical test. CTG had a sensitivity of 87.5%, specificity of 58.3%, and accuracy of 70%. Urinary estriol level had a sensitivity of 25%, specificity of 89.7% and accuracy of 83.7%. The sensitivity, specificity and accuracy of serum hPL level were 25%, 92.3%, and 86%, 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 favourable compared to hormonal measurement in the detection of fetal distress. Key words: biophysical - hormonal assessment - fetal distress Telah dilakukan pemantauan janin pada 63 kehamilan risiko tinggi di RS Dr. Sardjito. Pemeriksaan kardiotokografi (KTG) dilakukan terhadap 20 pasien dan tes fetoplasental biokemis untuk mengukur kadar estriol (E3) dalam urin serta serum hPL dilakukan pada 43 pasien. Kriteria pasien yang dimasukkan dalam penelitian ini adalah kehamilan post-term, pre-eklamsia, eklamsia dan partus lama. Tes diagnostik untuk memprediksi terjadinya gawat janin dilakukan pada kedua hasil pemeriksaan KTG dan test biokemis. Kardiofotografi mempunyai sensitivitas 87,5%, spesivisitas 58,3% dan akurasi 70%., sedangkan kadar estriol (E3) mempunyai sensitivitas 25%, spesivisitas 89,7% dan akurasi 83,7%. Sensitivitas, spesivisitas serta akurasi dari kadar serum hPL adalah 25%, 92,3% dan 86%. Terdapat korelasi yang rendah antara berat badan relatif dan kadar serum hPL (r=0,3363), dan antara berat badan relatif dengan kadar estriol (E3) dalam urin (r=0,3427). Pemeriksaan biofisik Iebih balk daripada pengukuran kadar hormonal untuk mendeteksi terjadinya gawat janin.