title: Diagnostic value of non stress test in latent phase of labor and maternal and fetal outcomes.
abstract: OBJECTIVE
  The Non Stress Test (NST) is the one of the significant diagnostic fetal well being testes. The purpose of this study is to access diagnostic value of NST during latent phase of labor by considering maternal and neonatal outcomes.
  
  
  METHODS
  This case study control study was performed on 450 healthy pregnant women with gestational age between 38-42 weeks in AL-Zahra teaching hospital in Tabriz, Iran. All participants underwent NST after being admitted to labor during their latent phase of delivery. Participants were divided into groups including the study group which included 150 participants with non-reactive NST results whereas 300 subjects with reactive NST results assigned in the control group. Subjects in both groups were hospitalized for pregnancy termination because of the delivery time. In order to find out the importance of routine performance of NST during delivery, the relationship between NST results and maternal and fetal outcomes was evaluated. Several criteria including type of delivery, meconium defecation, descent arrest, bradicardia, Apgar score, and still birth were compared between two types.
  
  
  RESULTS
  Finding of this study showed that descent arrest occurred in 2.7% of the subjects in the study group, whereas it occurred in 4.7% of the participants in the control group (p=0.44). Bradicardia found in 28% of the participants in study group and 3.3% of the control group (p<0.001). The low Apgar Score was found in 2.7% of case group however; no the low apgar score detected in the control group. Meconium defecation observed in 11.3% of the subjects in the study group and 9.7% of the participants in control group (p=0.62). The amount of stillbirth were found in control group. There was a significant difference between the results of both groups in terms of bradicardia, descent arrest, and the low Apgar score and cesarean section.
  
  
  CONCLUSIONS
  Results of this study revealed that participants in study group with nonreactive NST results had more fetal complications than those with reactive NST results. NST was found to be a value diagnostic test for diagnosis of fetal distress during delivery in the latent phase. This findings of this study suggest that NST should be performed routinely as a valuable diagnostic test during the latent phase of delivery.
authors.forename: Shiva
authors.initials: S
authors.lastname: Raouf
authors.affiliation: Department of Midwifery, Khalkhal Branch, Islamic Azad University, Khalkhal, Iran. f.sheikhan@yahoo.com.
authors.forename: Fatemeh
authors.initials: F
authors.lastname: Sheikhan
authors.forename: Shirin
authors.initials: S
authors.lastname: Hassanpour
authors.forename: Soheila
authors.initials: S
authors.lastname: Bani
authors.forename: Rogayye
authors.initials: R
authors.lastname: Torabi
authors.forename: Neda
authors.initials: N
authors.lastname: Shamsalizadeh
mesh_terms: D000328:Adult; D001034:Apgar Score; D016022:Case-Control Studies; D002585:Cesarean Section / Q000706:statistics & numerical data; D036861:Delivery, Obstetric / Q000379:methods / Q000706:statistics & numerical data*; D005260:Female; D005316:Fetal Distress / Q000175:diagnosis*; D006801:Humans; D007231:Infant, Newborn; D007492:Iran / Q000453:epidemiology; D050498:Live Birth / Q000453:epidemiology*; D007744:Obstetric Labor Complications / Q000175:diagnosis*; D011237:Predictive Value of Tests; D011247:Pregnancy; D015203:Reproducibility of Results; D050497:Stillbirth / Q000453:epidemiology*