438 Adverse perinatal outcome: Modified biophysical profile and contraction stress test

1991 ◽  
Vol 164 (1) ◽  
pp. 367
Keyword(s):  
Perinatal Outcome ◽  
Stress Test ◽  
Adverse Perinatal Outcome ◽  
Biophysical Profile ◽  
Contraction Stress

scholarly journals Modified biophysical profile in antepartum fetal surveillance of high risk pregnancies

2017 ◽  
Vol 6 (5) ◽  
pp. 1854
Author(s):  
K. P. Sowmya ◽  
S. R. Mudanur ◽  
Padmasri R. ◽  
Lalitha S.
Keyword(s):  
High Risk ◽  
Amniotic Fluid ◽  
Perinatal Outcome ◽  
Stress Test ◽  
Fluid Volume ◽  
Prospective Clinical Study ◽  
Amniotic Fluid Volume ◽  
Risk Pregnancy ◽  
Biophysical Profile ◽  
Fetal Surveillance

Background: Fetal biophysical profile is a well-established method of antepartum surveillance in high risk pregnancy. Classical biophysical profile with all parameters (fetal breathing movements, fetal tone, fetal gross body movements, amniotic fluid volume and non-stress test) needs two phase testing by ultrasound and external Doppler monitor to record fetal heart rate, is more cumbersome, time consuming and expensive.Methods: This study was a prospective clinical study which consisted of 70 patients having pregnancy with high risk factors. The patients were evaluated with the modified biophysical profile consisting of NST recording for 20mins, followed ultrasound assessment of amniotic fluid volume, using four quadrant technique.Results: When the Modified biophysical profile is normal, it gives reassurance that the fetal status is good with good perinatal outcome. When the MBPP is abnormal there is increased incidence of perinatal morbidity as well as mortality.Conclusions: Modified biophysical profile is an effective primary antepartum fetal surveillance test in high risk pregnancies in predicting perinatal outcome.

scholarly journals Modified biophysical profile and perinatal outcome in high risk pregnancies

2021 ◽  
Vol 10 (9) ◽  
pp. 3357
Author(s):  
Gulafshan Anjum ◽  
Hina Mittal ◽  
Nidhi Chauhan
Keyword(s):  
High Risk ◽  
Perinatal Outcome ◽  
Stress Test ◽  
Perinatal Morbidity ◽  
Inclusion Criteria ◽  
Amniotic Fluid Index ◽  
High Risk Factors ◽  
Risk Pregnancy ◽  
Biophysical Profile ◽  
Intrapartum Complications

Background: Aim and objective of current investigation was to evaluate perinatal outcome in high risk pregnancy with modified biophysical profile and also evaluate the efficacy of MBPP.Methods: Type of study was observational study, 100 patient fulfilling inclusion criteria were included in study. All women were subjected to modified biophysical profile comprises amniotic fluid index and non stress test. NST was performed with cardiotocogram, real time ultrasound scanning was performed. Perinatal outcome assessed in terms of admission to NICU, low birth weight, foetal distress, low APGAR score, neonatal mortality.Results: Out of 100 cases, 55 cases had reactive NST and 45 had non reactive NST. AFI was normal in 79 cases 21 cases had abnormal AFI. Diagnostic power was maximum seen with NST i.e. 76.36% (61.90% for AFI and 71.64% for combined MBPP) it indicates that NST is a good predictor to diagnose a compromised foetus.Conclusions: This study shows that pregnancy with high risk factors are associated with more chances of intrapartum complications perinatal morbidity and mortality , if MBPP was abnormal or any one parameter was abnormal, chances of perinatal morbidity were high.

scholarly journals Foetal umbilical artery doppler versus NST as predictors of adverse perinatal outcome in severe preeclampsia and foetal growth restriction

2017 ◽  
Vol 6 (5) ◽  
pp. 2060
Author(s):  
Amandeep Raj ◽  
Reema Kumar Bhat ◽  
S. Prajwal ◽  
Rao P. S.
Keyword(s):  
Mortality Rate ◽  
Diagnostic Accuracy ◽  
Complication Rate ◽  
Perinatal Outcome ◽  
Color Doppler ◽  
Stress Test ◽  
Severe Preeclampsia ◽  
Adverse Perinatal Outcome ◽  
Foetal Growth ◽  
Foetal Growth Restriction

Background: With the advent of electronic foetal monitoring, a relationship between foetal movement and foetal heart rate was observed and that relationship formed the basis for non-stress test (NST). Doppler USG plays an important role in foetal growth restriction (FGR) pregnancies where hemodynamic rearrangements occur in response to foetal hypoxemia. It is now proved that significant Doppler changes occur with reduction in foetal growth at a time when other foetal well-being tests are still normal. This study was done to find out the comparative usefulness of Doppler and NST in the management of FGR and severe preeclampsia and subsequent correlation with perinatal outcome.Methods: This prospective study was conducted on pregnant women with severe preeclamsia and/or FGR beyond 30 weeks of gestation at AHRR Delhi. 50 pregnancies complicated with severe preeclampsia and/or FGR beyond 30 weeks of gestation were selected. Patients meeting the inclusion criteria were subjected to NST. Umbilical arterial Doppler flow was obtained at weekly or twice weekly interval depending on the severity by pulsed wave color doppler indices were measured during foetal apnea by the same examiner at the free loop site where the clearest waveform signal could be visualized. Of 3 measurements, the mean average of S/D ratio was recorded and followed up with serial Doppler assessment and non-stress test. Data was collected and statistical analysis was carried out.Results: The Doppler showed changes earlier than NST giving a significant lead time of up to 20 days with an average of 4.94 days. The UA S/D had the highest sensitivity (88%) and diagnostic accuracy (94%) in predicting the adverse perinatal outcome. The sensitivity and specificity of Doppler as compared to NST was 82.6% and 63.0% respectively with a diagnostic accuracy of 72%. The Doppler has negative predictive value of 80.95% and positive predictive value of 65.5%. Color Doppler has diagnostic accuracy of 72%. The mortality rate in reversal of diastolic flow was 77.77% and in absent UA flow was 16.66%. 12% foetuses were found to have AEDV in UA and among them 66.66% had both FGR+PE as maternal complication. There was 83.33% rate of LSCS, 16.66% neonatal mortality rate, 83.33% NICU stay rate and 66.66% complication rate in neonates. Whereas 18% had REDV and among that 88.88% had both FGR+PE as maternal complication, a similar rate of LSCS, 77.77% rate of neonatal mortality, 100 % NICU stay and 66.66% complication rate in the neonates.Conclusions: Combined foetal testing modalities such as Doppler, NST and biophysical profile provide a wealth of information regarding foetal health. Integrated foetal testing would be ideal for individualized care of the preterm compromised foetuses for timed intervention.

scholarly journals To evaluate the tests of antepartum fetal surveillance for predicting adverse perinatal outcome in pregnancy with IUGR

2021 ◽  
Vol 8 (2) ◽  
pp. 235-239
Author(s):  
Mahesh Babu ◽  
Bhavya H U ◽  
Shyam Sundar S
Keyword(s):  
Doppler Ultrasound ◽  
Perinatal Outcome ◽  
Tertiary Care ◽  
Amniotic Fluid Index ◽  
Tertiary Care Centre ◽  
Adverse Perinatal Outcome ◽  
Biophysical Profile ◽  
Fetal Surveillance ◽  
Sensitivity Specificity ◽  
In Pregnancy

IUGR is one of the most common pregnancy complications which substantially increase risk of adverse neonatal outcome. The sequelae of IUGR include stillbirth, neuro-developmental delay in childhood and high risk of diseases like hypertension, diabetes in adulthood. Therefore, IUGR in pregnancy warrants intensive antepartum fetal surveillance to ensure optimal perinatal outcome.To evaluate the tests of antepartum fetal surveillance like AFI, BPS and Doppler ultrasound, alone and in combination for predicting adverse perinatal outcome in pregnancy with IUGR.This was a prospective observational study done on 100 pregnant IUGR women > 34weeks of gestation, at a tertiary care centre in Karnataka, from June 2017 till December 2018. They were monitored by tests of fetal surveillance like Amniotic Fluid Index (AFI), Bio Physical score (BPS) and Doppler ultrasound. Tests done within 48 hours before labour and its relation to perinatal outcome were assessed. Continuous data such as age, height, weight were described by mean and standard deviation. The sensitivity specificity, positive and negative predictive value were calculated for each test.The statistical difference between the normal and abnormal tests of antepartum fetal surveillance in relation to perinatal outcome was significant. Diagnostic accuracy of Doppler was 67%, BPS and AFI was 69%. In case of combination of findings of BPS and Doppler, the accuracy rose to 75%.Biophysical profile was most reliable diagnostic method than Doppler in predicting adverse outcome. Sensitivity increased when BPS and Doppler was combined which is beneficial in predicting perinatal outcome.

Evaluation of the Nonreactive Positive Contraction Stress Test Prior to 32 Weeks: The Role of the Biophysical Profile

1995 ◽  
Vol 12 (04) ◽  
pp. 229-231 ◽  
Author(s):  
Patrick Merrill ◽  
Manuel Porto ◽  
Stuart Lovett ◽  
Wendy Dorchester ◽  
Michael Nageotte ◽  
...  
Keyword(s):  
Stress Test ◽  
Positive Contraction ◽  
Biophysical Profile ◽  
Contraction Stress

scholarly journals Frequency of adverse perinatal outcome in patients with poor biophysical profile.

2020 ◽  
Vol 27 (10) ◽  
pp. 2193-2198
Author(s):  
Abdur Rehman ◽  
Ahmed Iqbal Quddusi ◽  
Naima Yasmeen ◽  
Aashee Nadeem
Keyword(s):  
Cesarean Section ◽  
Gestational Age ◽  
Apgar Score ◽  
Perinatal Outcome ◽  
Control Effect ◽  
Effect Modifier ◽  
Adverse Perinatal Outcome ◽  
Biophysical Profile ◽  
The Mean ◽  
Study Setting

Objectives: To find out the frequency of adverse perinatal outcome among patients having poor BPP. Study Design: Descriptive study. Setting: Nishtar Hospital Multan. Period: From August 2018 to November 2019. Material & Method: In this study, 273 cases fulfilling the inclusion criteria were enrolled. They were screened on the basis of biophysical profile on ultrasonography to confirm the poor biophysical profile. Patients were followed till delivery. Adverse perinatal outcome i.e. cesarean section and poor APGAR score were recorded. Stratification was done to control effect modifier like maternal age, gestational age and parity. Results: A total of 273 patients with poor biophysical profile were included. The mean age of patients was 27+4.2 years whereas mean gestational age was 37.8+2.0 weeks. Out of 273 patients, 197 (72.2%) patients had cesarean section. A total of 246 (90.1%) patients had poor APGAR score at 5 minutes. Conclusion: Frequency of adverse perinatal outcome such as cesarean section and Apgar score at 5 minutes in patients with poor BPP was high.

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