Evaluation of fetal outcome by biophysical profile in term pregnancy in women with less fetal movement

Salma Akter; Rubab Sarmin; Maliha Tasnim; Mahzabin Husain; Jannatul Ferdous Chowdhury; Effat Aziz; Tasnia Sultana

doi:10.18203/2320-1770.ijrcog20253897

Authors

Salma Akter Department of Obstetrics and Gynecology, Sirajganj 250 Bedded General Hospital, Sirajganj, Bangladesh
Rubab Sarmin Department of Obstetrics and Gynecology, Sir Salimullah Medical College, Mitford Hospital, Dhaka, Bangladesh
Maliha Tasnim Department of Obstetrics and Gynecology, Chittagong Medical College and Hospital, Chittagong, Bangladesh
Mahzabin Husain National Institute of Burn and Plastic Surgery, Dhaka, Bangladesh
Jannatul Ferdous Chowdhury Department of Obstetrics and Gynecology, Sarkari Karmachari Hospital, Dhaka, Bangladesh
Effat Aziz Department of Obstetrics and Gynecology, East West Medical College, Dhaka, Bangladesh
Tasnia Sultana Department of Obstetrics and Gynecology, Ad-Din Akij Medical College, Khulna, Bangladesh

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20253897

Keywords:

Biophysical profile, Fetal outcome, Reduced fetal movement

Abstract

Background: Reduced fetal movement at term may indicate fetal compromise. Biophysical profile (BPP) is widely used to assess fetal well-being, yet its predictive value for neonatal outcomes in such cases requires further evaluation. This study aimed to assess the relationship between BPP scores and fetal outcomes, including Apgar scores, need for immediate resuscitation, and NICU admission, in term pregnancies with reduced fetal movement.

Methods: An analytical cross-sectional study was conducted at the department of obstetrics and gynecology, Dhaka Medical College and Hospital, Bangladesh, from August 2019 to July 2020. A total of 100 term pregnant women with reduced fetal movement were enrolled. Participants were classified into normal (≥8/10) and abnormal (≤6/10) BPP groups. Neonatal outcomes were recorded and analyzed using chi-square tests with significance set at p<0.05.

Results: Poor Apgar scores at one minute occurred in 33.3% of neonates in the abnormal BPP group versus 1.72% in the normal group (p<0.001). At five minutes, all neonates in the normal group had good Apgar scores, compared to 81% in the abnormal group (p=0.001). Immediate resuscitation was required in 33.3% of neonates in the abnormal group versus 1.72% in the normal group (p<0.001). NICU admission was significantly higher in the abnormal group (16.67% versus 1.72%, p=0.007).

Conclusions: Abnormal BPP scores were strongly associated with adverse fetal outcomes, while normal scores were highly reassuring. BPP remains an effective tool for evaluating fetal well-being in term pregnancies with reduced fetal movement.

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References

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