DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20171545

Modified biophysical profile in antepartum fetal surveillance of high risk pregnancies

K. P. Sowmya, S. R. Mudanur, Padmasri R., Lalitha S.

Abstract


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.


Keywords


Amniotic fluid index, Amniotic fluid volume, Biophysical profile, Fetal heart rate, Modified biophysical profile, Non-stress test

Full Text:

PDF

References


Rutherford SK, Phelan JP, Smith CV, Jacob N. The four-quadrant assessment of AFV: an adjunct to antepartum foetal heart rate testing. Obstet Gynecol. 1987;70:353-56.

Barett JM, Sayter SL, Boehm JM. The NST. An evaluation of 1000 patients. Am J Obstet Gynaecol. 1981;141:153.

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

Miller DA, Rabello YA, Paul RH. The modified biophysical profile: antepartum-testing in the 1990’s. Am J Obstet Gynaecol. 1996;174(3):812-7.

Eden RD, Scifert LS, Kodack LD, Trofatter KF, Killam AP, Gall SA. A MBPP for antenatal fetal surveillance. Obstet Gynecol. 1988;71(3):365-9.

Nageotte MD, Michael P, Towers MD. Perinatal outcome with MBPP. Am J Obstet Gynaec. 1994;170:1672-6.

Patil SK, Ghregrat RH, Khadilkar SS. Correlation of NST and AFV in antenatal fetal monitoring. J Obstet Gynecol India. 1998;32(106):177-81.

Donald I, Assessment of fetal wellbeing, In:Renu Misra: practical obstetric problems.6th ed, New Delhi: BI Publications Pvt Ltd; 2007:465-85.

Matsura M, Murate Y, Hirano T, Sude K. The effects of developing ANS on FHR variabilities determined by the power spectral analysis. Am J Obset Gynaecol. 1996;174:380.

Arias F, Daftary, Bhide, Practical guide to high risk pregnancy and delivery. 3rd ed. New Delhi: Elsevier, 2008;17-22.