Prediction of fetal outcome in high risk pregnancy with a modified biophysical profile
Journal Title: Medpulse International Journal of Gynaecology - Year 2017, Vol 3, Issue 1
Abstract
Background: Assessment of fetal well-being is important to arrive at timely diagnosis of fetal compromise and management to achieve optimal perinatal outcome. The modified biophysical profile (MBPP),combining Non stress test (NST) and the amniotic fluid index (AFI), is easier to perform and less time consuming. The present study was undertaken to study the effectiveness of modified biophysical profile in predicting perinatal outcome in high risk pregnancy cases. Material and Methods: 100 high risk pregnant women of more than 32 weeks attending the antenatal outpatient clinic or admitted to the ward were evaluated with the modified biophysical profile consisting of NST recording for 20 mins, followed ultrasound assessment of amniotic fluid volume, using four quadrant technique. Results: All 9 cases with both parameters abnormal had thick meconium stained liquor. When both parameters (NST and AFI) were normal 2 patients had APGAR score of <7, when both parameters were abnormal, 7 patients had APGAR score of <7.When both parameters were normal, perinatal morbidity was present in 39% cases, when both parameters were abnormal 100%cases had perinatal morbidity. Discussion: The BPP is a well-established method for antepartum fetal well-being evaluation. It can be used as a primary antepartum fetal surveillance test to predict perinatal outcome and provide timely intervention in high risk pregnancies.
Authors and Affiliations
Tara Sweta Arya, Rashmi Thapa
Keywords
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