Publication:

Modified biophysical profile in high-risk pregnancy-association with neonatal APGAR score

Background MBPP is used for evaluating fetal health and predicting fetal outcomes, which can help to minimize perinatal morbidity and death. It combines the non-stress test, an indicator of acute fetal hypoxia, with AFI, the second indicator of persistent fetal problems. Each patient has a non-stress test and an ultrasonic examination of liquor volume. A non-stress test that is reactive will reveal a healthy fetus. Hence, an attempt has been made to study the MBPP in high-risk pregnancies in predicting fetal outcome.

Methods Hospital-based prospective clinical study on 200 high-risk pregnant women more than 37weeks of gestation are screened using a modified biophysical profile. High-risk factors in the study include Gestational Hypertension, Preeclampsia, IUGR, Post-term pregnancy, Oligohydramnios, PROM, and Anemia. The study was conducted in the department of obstetrics and gynaecology, Narayana medical college and hospital, Nellore, Andhra Pradesh.

Results In the present study, a total of 200 patients, 76.0% had both (NST, AFI) normal, 5.0% had both (NST, AFI) abnormal, 10.0% had Normal in NST and abnormal in AFI, 9.0% had abnormal in NST, and normal in AFI. The individual association between NST and AFI with the neonatal outcomes ie., APGAR at 1 min and 5min have been studied and have been found to be statistically significant.

Conclusions In the present study, we concluded that MBPP is an effective antepartum fetal surveillance test in high-risk pregnancies in predicting perinatal outcome.