Modified biophysical profile in high-risk pregnancy and its correlation with perinatal outcome


  • Asha Kumari Department of Obstetrics and Gynecology, RNT Medical College, Udaipur, Rajasthan, India
  • Sudha Gandhi Department of Obstetrics and Gynecology, RNT Medical College, Udaipur, Rajasthan, India
  • Kapil Nath Deora Department of Otorhinolaryngology, Jhalawar Medical College, Rajasthan, India



Modified biophysical profile, Non stress test, Amniotic fluid index, Lower segment caesarean section


Background: Aim of the present study was to evaluate the perinatal outcome in high-risk pregnancy with modified biophysical profile (MBPP).

Methods: The study is observational study,65 high risk pregnant women fulfilling the inclusion criteria participated in the study. The study subjects were subjected to MBPP. Then perinatal outcomes were assessed in view of mode of delivery, maternal and neonatal morbidity and mortality.

Results: Out of 65 cases, 78.5% had normal NST, 80% had normal AFI.3 neonates got admitted in NICU. 13 women underwent LSCS, 9 had instrumental delivery and rest delivered vaginally normal.

Conclusions: The study showed that HRPs with MBPP abnormal or any of MBPP parameter abnormal have higher chances of perinatal morbidity and mortality.


Haws RA, Yakoob MY, Soomro T, Menezes EV, Darmstadt GL Bhutta ZA. Reducing stillbirths: screening and monitoring during pregnancy and labour. BMC Pregnancy and Childbirth. 2009;9(Suppl 1):S5

Omran AR, Jean M, Bashir H. Investigating high risk pregnancy. In: Omran AR, Jean M, Bashir H (editors) High Risk Mothers and Newborns, detection, management and prevention. 3rd ed. Switzerland: ISBN; 1987:13-25.

Sandhu, VSM, Raju R, Bhattacharyya TK, Shaktivardhan, Admission cardiotocography screening of high-risk obstetric patients. MJAFI. 2008;64:43-5.

Yogitha V, Sanjay SC, Shukla AK. Modified biophysical profile as an antepartum surveillance test in high-risk pregnancy: a prospective comparative study with conventional biophysical profile. Journal of Research in Radiodiagnosis, Teleradiology and Imaging 2016;2(1):18-25.

Hon EH. The electronic evaluation of fetal heart rate. Am J Obstet Gynecol. 1959;75:1215.

Hon EH. Observation on pathologic fetal bradycardia Am J Obstet Gynecol. 1959;77:1084.

Manning FA, Platt LD, Sipos L. Antepartum fetal evaluation: development of a fetal biophysical profile. Am J Obstet Gynecol. 1980;136(6):787-95.

Nageotte MP, Towers CV, Asrat T, Freeman RK. Perinatal outcome with the modified biophysical profile. Am J Obstet Gynecol. 1994;170(6):1672-6.

Ratnam SS, Rao KB, Arulkumaran S. Obstetrics and Gynecology for postgraduates. Orient Longman Pblishers. 1996;2(1):370-84.

Vintzileous AM, Campbell WA, Ingardie CJ, Nochimson DJ. The fetal BPP and its predictive value. Obstet Gynecol. 1983;62:217-8.

Freeman RK, Garie TJ, Nageotte MP, Fetal Heart Rate Monitoring, 3rd ed.,Williams & Wilkins; 2001.

Raparthy S, Sunitha C. Study of oligohydramnios cases by modified biophysical profile and their perinatal outcome. IOSR-JDMS. 2014;13(9):62-9.

Sowmya KP, Mundanur SR, Padmasri R, Lalitha S. Modified biophysical profile in antepartum fetal surveillance of high risk pregnancies. Int J Reprod Contracept Obstet Gynecol. 2017;6:1854-8.

Maurya A, Kushwah V. Modified biophysical profile and fetal outcome in high risk pregnancy. Sch J App Med Sci. 2014;2(1C):283-90.






Original Research Articles