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Indian Journal of Obstetrics and Gynecology

Volume  5, Issue 2, April - June 2017, Pages 68-73
 

Original Article

Role of Modified Biophysical Profile in Antenatal Fetal Surveillance

Payal Jain

Assistant Professor, Department of Obstetrics and Gynaecology, Geetanjali Medical College and Hospital, Udaipur.

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DOI: http://dx.doi.org/10.21088/ijog.2321.1636.5217.11

Abstract

Background: The development and perfection of specific and accurate diagnostic tests for identification of fetus at risk of damage or death in utero has long been a major challenge for obstetrician and perinatologists. The primary objective of antenatal fetal assessment is to avoid fetal damage or death. Aims and Objectives: To evaluate efficacy of Modified Biophysical Profile as a practical method for antenatal fetal surveillance and to correlate it with perinatal outcome. Materials and Method: In the present study hundred high risk pregnant women were enrolled. Modified Biophysical Profile Score(MBPP) was performed in these high risk women and the outcome was judged by fetal distress in labor, presence of meconium stained amniotic fluid, 5 minute Apgar score, NICU admission and perinatal mortality. Results: Non stress test (NST) was found reactive in 75% women and nonreactive in 25% women. 65% women had an amniotic fluid volume (AFI) of >5 while 35% had an AFI of  5 cm. Abnormal MBPP score was found in 54% high risk women. In these, pregnancy was terminated either by induction (63.8%) or by performing elective cesarean (35.2%). 46% women had normal MBPP score. In this group 47.8% were left for spontaneous labor, 30.43% were induced and 21.7% were taken for elective cesarean due to various reasons. Incidence of emergency cesarean was found more in group with abnormal MBPP (22.2%) as compared to group with normal MBPP (17.3%). Women with abnormal MBPP score had more chances of fetal distress (14.81%) as compared to those with normal MBPP (4.34%) (p value .0379 i.e significant). More babies with low Apgar score were delivered in group with abnormal MBPP score (22.22%) as compared to only 10.8% in group with normal MBPP score (p 0.285). One early neonatal death was observed in group with abnormal MBPP score. Coclusion: With the help of MBPP score we can identify those fetuses that are in a compromised state in utero and thus by timely intervention we can avoid fetal damage or death. It is relatively easy to perform, less time consuming, none Provocative and thus can be safely used as a screening test for high risk pregnancies at tertiary as well as peripheral level.

Keywords: MBPP; NST; AFI; High Risk Pregnancies. 


Corresponding Author : Payal Jain, Geetanjali Medical College and Hospital, Udaipur, Near Eklingpura Chauraha, NH8, Manwa Kheda, Udaipur, Rajasthan313001, India.