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Category: Volume 06 Issue 05 May 2018
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Title: Predictive value of Biophysical Profile score in Intrauterine Growth Restricted Fetuses

Authors: Dr Sushma Makhaik, Dr Neeti Aggarwal, Dr Sanjiv Sharma, Dr Anupm Jhobta, Dr Ashwani Tomar, Dr Sumala Kapila

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i5.104

Abstract

Introduction: High risk of perinatal mortality is seen in IUGR fetuses. The Biophysical Profile Score can predict the perinatal outcome and hence timely intervention can improve the fetal outcome.

Objective: To predict perinatal outcome by Biophysical Profile Score (BPS) in Intrauterine Growth Restricted Fetuses.

Material and Methods: Our study included 25 IUGR fetuses at 28-40 weeks of gestation without any congenital anomaly. Five variables i.e NST, FBM, FM, FT and AFV were recorded to calculate BPS. Adverse perinatal outcome was assessed as still birth and neonatal death due to fetal hypoxia, APGAR score of less than 7 at 5 minutes, LSCS for fetal asphyxia and admission into ICU.

Observations: Negative predictive value of normal BPS for LSCS, low APGAR score, ICU admission and perinatal mortality was 52.9%, 83.2%, 70% and 100% respectively. Positive predictive value of abnormal BPS was 75% for LSCS, 62.5% for low APGAR score/ICU admission and 37.5% for perinatal mortality.

Conclusion: Low BPS has high predictive valve for adverse perinatal outcome. NST and FM had better predictive value for fetal hypoxia.

Keywords/Abbreviations:  IUGR - Intrauterine Growth Restriction, NST -Non Stress Test, FBM - Fetal Breathing Movements, FM - Fetal Movements, FT- Fetal Tone, AFV - Amniotic Fluid Volume, BPS - Biophysical Profile Score, LSCS - Lower Segment Cesarian Section, ICU - Intensive Care Unit, NVD – Normal Vaginal Delivery.

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Corresponding Author

Dr Neeti Aggarwal

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