P-184: Investigation of Electronic Fetal Monitoring Application during Labor with Cesarean Section and Apgar Score

Background: Electronic fetal monitoring was used in many hospitals before labor and during delivery . The objective of this study was to investigate whether the use of fetal monitoring had effect on neonatal outcomes and cesarean section rate. Materials and Methods: A prospective study on monitoring neonatal Apgar and kind of delivery data, from deliveries occurring at Shahid Sadughi hospital in 1389- 1390 were done. Results: Four houndred pregnant cases were investigated. Cesarean section rate was 53% and vaginal delivery was 46.8%. The most of cesarean section cases were in fetal bradicardia (100%) and late deceleration (83.3%).The most of vaginal delivery was in acceleration( 59.1%). The incidence of Apgar score less than 7 in tachycardia was 75% and the rest were in acceleration( 9.5%) and other conditions. Conclusion: Electronic fetal monitoring can be associated with fetal distress. Use of electronic fetal monitoring was associated with the increase of the cesarean section rate.