MODIFIED BIOPHYSICAL PROFILE IN ANTEPARTUM FETAL SURVEILLANCE OF HIGH RISK PREGNANCIES
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 3, Pages 1542-1551
AbstractMODIFIED BIOPHYSICAL PROFILE(MBPP) includes Non stress test (NST) as an indicator of present fetal status and the amniotic fluid index (AFI) as marker of long term fetal status. Antenatal foetal surveillance aims to identify foetuses in high-risk pregnancy groups, such as those with pre-eclampsia, eclampsia, anaemia, oligohydramnios, and other conditions that put them at danger of intrauterine hypoxia and mortality. In such high-risk circumstances, the fetal biophysical profile is one of the most commonly acknowledged tests for assessing foetal well-being. This is prospective observational study conducted between November 2019 to April 2021.
AIMS AND OBJECTIVES:
To study the effectiveness of modified biophysical profile as a primary antepartum fetal surveillance in predicting perinatal outcome of high risk pregnancies.
To compare morbidity and mortality in relation to each of the modified biophysical profile's characteristics, namely NST and AFI, individually.
INCLUSION CRITERIA: Gestational age of 30 weeks or more, Pre eclampsia, Anemia,Heart disease complicating pregnancy ,Gestational Diabetes mellitus/overt diabetes.
EXCLUSION CRITERIA: Patient refusal or inability to provide informed consent, Fetuses with congenital anomalies, Multifetal pregnancies,Intrauterine fetal demise.
RESULTS : Majority of the cases are in the age group of 21-25 years(46%) and majority of the cases were primigravidae(42%).
Hypertensive disorders of pregnancy is seen in majority of the cases(46%).
Mode of delivery in cases where MBPP was normal was vaginal in most of the cases and the incidence of LSCS in cases where MBPP was abnormal was increased.
Incidence of perinatal morbidity and mortality is increased when both MBPP parameters were abnormal.
CONCLUSION : Modified biophysical profile (MBPP) is easier, less time consuming, cost effective and patient compliant test. When the Modified biophysical profile is normal, it gives reassurance that the fetal status is good with good perinatal outcome. At the same time, when MBPP is abnormal, it indicates that the fetus may be compromised.
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