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 The role of modified biophysical profile in predicting perinatal outcome in high risk pregnancies

2018 ◽  
Vol 7 (6) ◽  
pp. 2287
Author(s):  
Jankidevi S. Borade ◽  
Sushma P. Sharma
Keyword(s):  
High Risk ◽  
Amniotic Fluid ◽  
Perinatal Outcome ◽  
Stress Test ◽  
Neonatal Resuscitation ◽  
Amniotic Fluid Index ◽  
Biophysical Profile ◽  
Fetal Surveillance ◽  
The Impact

Background: The goal of antepartum fetal surveillance is early identification of the compromised fetus and timely intervention when the fetus is at risk, but still in an uncompromised state. Modified Biophysical Profile (MBPP) includes Amniotic Fluid Index (AFI) and non stress test (NST). AFI is a marker of long term placental function and NST is a marker of short term fetal condition. The aim of this study is to assess the role of Modified Biophysical Profile in high risk pregnancies and assess perinatal outcome and to study the impact of NST and AFI individually in high risk pregnancies.Methods: 100 ANC patients with high risk factors were evaluated with modified biophysical profile 37 week onwards with non stress test (NST) for 20 mins and amniotic fluid index (AFI) with 4 quadrant technique. High risk pregnancies include preeclampsia, IUGR, oligohydramnios, postdated pregnancy, etc. and various parameters were assessed to determine perinatal and maternal morbidity. All parameters were statistically analyzed.Results: The above study states that need for LSCS, intrapartum fetal distress, meconium stained liquor, APGAR score, need for neonatal resuscitation and perinatal morbidity were definitely higher in cases with abnormal MBPP.Conclusions: Thus MBPP is an easy, cost effective and time saving measure and hence can be used as a primary antepartum fetal surveillance test to predict perinatal outcome and provide timely intervention in high risk pregnancies.

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 Intrapartum Amniotic Fluid Volume Estimation in Low-risk Pregnancy as a Predictor of Perinatal Outcome

2014 ◽  
Vol 6 (3) ◽  
pp. 156-158
Author(s):  
J Jeanet ◽  
Santosh Joseph Benjamin ◽  
Jiji Elizabeth Mathews ◽  
Swati Rathore ◽  
Ajit Sebastian ◽  
...  
Keyword(s):  
Amniotic Fluid ◽  
Perinatal Outcome ◽  
Perinatal Outcomes ◽  
Fluid Volume ◽  
Volume Estimation ◽  
Low Risk ◽  
Amniotic Fluid Index ◽  
Amniotic Fluid Volume ◽  
Risk Pregnancy ◽  
Low Risk Pregnancy

ABSTRACT Objectives The study was undertaken to determine the efficacy of routine estimation of amniotic fluid volume using the amniotic fluid index (AFI) as a means of predicting an adverse perinatal outcome in low-risk pregnancies. Materials and methods Five hundred and three singleton lowrisk pregnancies with cephalic presentation between 37 and 40 weeks and 6 days of gestation with intact or ruptured membranes had AFI estimations within 36 hours of delivery. Results The frequency of nonreassuring fetal heart patterns and perinatal outcomes among patients with oligohydramnios (<5 cm), borderline oligohydramnios (5 to 8 cm) and normal (>8 cm) liquor were compared and not found to be different. Cesarean section for nonreassuring fetal status was also similar in the three groups. Conclusion This study suggests that AFI estimation during labor in low-risk pregnancies does not predict adverse perinatal outcomes. Further studies are needed to verify this impression. How to cite this article Jeanet J, Benjamin SJ, Mathews JE, Rathore S, Sebastian A, Thomas E. Intrapartum Amniotic Fluid Volume Estimation in Low-risk Pregnancy as a Predictor of Perinatal Outcome. J South Asian Feder Obst Gynae 2014;6(3):156-158.

Low Amniotic Fluid Volume is Poorly Identified in Singleton and Twin Pregnancies Using the 2 x 2 cm Pocket Technique of the Biophysical Profile

1999 ◽  
Vol 92 (8) ◽  
pp. 802-806 ◽  
Author(s):  
EVERETT F. MAGANN ◽  
BOBBY G. NEVILS ◽  
SUNEET P. CHAUHAN ◽  
NEIL S. WHITWORTH ◽  
JACK H. KLAUSEN ◽  
...  
Keyword(s):  
Amniotic Fluid ◽  
Fluid Volume ◽  
Amniotic Fluid Volume ◽  
Biophysical Profile ◽  
Twin Pregnancies

scholarly journals Comparison of Amniotic Fluid Index and Single Deepest Vertical Pool method for predicting fetal outcome

2017 ◽  
Vol 13 (4) ◽  
pp. 401-405
Author(s):  
Rajiv Shah ◽  
Paban Sharma
Keyword(s):  
High Risk ◽  
Data Collection ◽  
Amniotic Fluid ◽  
Mode Of Delivery ◽  
Well Being ◽  
Fluid Volume ◽  
Study Group ◽  
Amniotic Fluid Index ◽  
Amniotic Fluid Volume ◽  
Significant Difference

Background & Objectives: The measurement of amniotic fluid volume (AFV) has been an important component of antenatal evaluation of fetal well being. The most commonly used methods are by amniotic fluid index technique (AFI) and single deepest pool method (SDVP). Both the methods employ ultrasound for AFV measurement. The objective of this study is to compare the usefulness of AFI and SDVP method in assessing amniotic fluid volume for predicting adverse perinatal outcome.Materials & Methods: This is a hospital based prospective comparative study. The patient whose amniotic fluid was measured by SDVP technique was study group and that by AFI was comparison group. Any case with high risk factor was excluded from the study. First case was decided by lottery and then alternately one case was kept in study group and the other in comparative group. If the women did not deliver within 1 week the measurements was retaken and the final values was used for analysis.AFI was estimated as described by Phelan and colleagues and SDVP as described by Manning. Data collection was started after the approval of Institution review board. This study was conducted at Patan Academy of Health Sciences. Duration of data collection was 3 months, Asadh –Bhadra, 2071.Results: A total of one hundred and fifty four cases which met the inclusion criteria were taken. Incidence of oligohydramnios by SDVP method was 10.4 % by SDVP technique and by AFI method it was 18.2 %. There was no statistical significant difference between the two groups in terms of rate of induction, mode of delivery, meconium staining of liquor, fetal heart rate tracings, APGAR score at 5 mins and admission to special care baby unit.Conclusion: In non-high risk pregnancy AFI technique detects slightly more number of oligohydramnios as compared to SDVP technique without apparently any difference in perinatal outcome.

Oligohydramnios at term and pregnancy outcome

2001 ◽  
Vol 12 (3) ◽  
pp. 209-227 ◽  
Author(s):  
Everett F Magann ◽  
Suneet P Chauhan ◽  
James N Martin Jr.
Keyword(s):  
Amniotic Fluid ◽  
Chronic Stress ◽  
Direct Measurement ◽  
Caesarean Delivery ◽  
Well Being ◽  
Fluid Volume ◽  
Dye Dilution ◽  
Amniotic Fluid Volume ◽  
Study Protocols ◽  
Biophysical Profile

An assessment of amniotic fluid volume has become an important component of antenatal testing for the at-risk pregnancy. The presence of normal amniotic fluid volume, either in association with a reactive nonstress test or as a component of the biophysical profile is considered to reflect current fetal well being and probable absence of chronic stress. The chronically stressed fetus is likely to have low amniotic fluid volume because of the shunting of blood preferentially to the brain, heart and adrenal glands at the expense of other body systems during the period of chronic stress. Decreased renal blood flow leads to decreased urinary output. Because the primary component of amniotic fluid in the third trimester of pregnancy is fetal urine, ongoing chronic stress can be recognised as oligohydramnios.Precise amniotic fluid volume (AFV) measurement is accomplished either by use of a dye-dilution technique or by direct measurement of the fluid volume at the time of caesarean delivery. The need for laboratory support and the inherent invasiveness of dye-dilution procedures limits their application to study protocols. Direct measurement of AFV at caesarean delivery is reflective only of fluid volume at the time of delivery and cannot be used to serially evaluate fluid volume as a component of antenatal testing.

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