Validez del monitoreo electrónico fetal como predictor de compromiso de bienestar fetal en embarazos de bajo y alto riesgo obstétrico. Hospital Vicente Corral Moscoso, Cuenca - 2020

Abstract

Background: Electronic fetal monitoring during labor may be associated with reduced neonatal seizures, however, it was linked to increased rates of caesarean sections in health centers. Objective: To estimate the validity of electronic fetal monitoring as a predictor of fetal well-being compromise in pregnancies of low and high obstetric risk. Vicente Corral Moscoso Hospital, Cuenca - 2020. Method: Quantitative observational study of diagnostic test validation. The study sample consisted of 412 pregnant women diagnosed with pregnancy at full term. The variables to be contrasted were electronic fetal monitoring with the Apgar test of the newborn. A form was designed to collect the data. The statistical analysis was performed using the SPSS 25 program. The results were presented; for qualitative variables frequencies and percentages, for quantitative variables mean and standard deviation; sensitivity (S), specificity (E), positive predictive value (PPV), negative predictive value (NPV) and ROC curve to estimate the predictive value of electronic fetal monitoring (EFM). Expected results: The EFM in patients with high obstetric risk as a predictor of fetal well-being compromise at one minute, had an S = 30%, PPV = 5%, E = 80.94% and NPV value 94.93%. The EFM also had a low prognostic value without statistical significance (AUC = 0.5537; CI95% 0.4020 - 0.7054; p = 0.0774) to predict fetal well-being compromise. Conclusions: The EFM has a low accuracy as a diagnostic test to predict compromise of fetal well-being in pregnancies of low and high obstetric risk.