Affiliation:
1. Post graduate, Dhanalakshmi Srinivasan medical college and Hospital
2. Associate Professor, Dhanalakshmi Srinivasan medical college and Hospital
Abstract
Background: High risk pregnancies are at increased risk of maternal and neonatal morbidity and mortality. Modied biophysical prole (MBPP)
is one of the best method used in antepartum fetal surveillance which comprises of Non stress test (NST) and Amniotic uid index (AFI). Our main
aim is to evaluate the efcacy of modied biophysical prole in predicting perinatal outcome in high risk pregnancy & to prevent perinatal
morbidity & mortality by intervention done in time. Methods: A prospective cohort study was conducted in our hospital from February 2021 to
January 2022. In this study 200 high risk pregnant women with term pregnancy, attending the antenatal outpatient clinic or admitted in the ward
were evaluated with the modied biophysical prole consisting of NST recording for 20 minutes, followed by ultrasound assessment of amniotic
uid volume, using four quadrant technique. Results:Among 200 high risk pregnant women, Modied biophysical prole in high risk pregnancy
showed amniotic uid index < 5 in 4.5% cases, 26 % cases had AFI 6 to 8 and 69.5 % cases had AFI 8 to 24 ; CTG showed 23 % cases were found to
have non-reactive & 77% cases were reactive. When AFI & CTG was combined, non-reactive CTG is more among cases with AFI < 5 and it was
statistically signicant (P Value =0.05). The rate of LSCS, Neonatal resuscitation and Admission was increased when there was abnormal MBPP.
Conclusion: Modied biophysical prole is the best method for antepartum fetal surveillance. It can be used to predict perinatal outcome and
provide timely intervention in high risk pregnancies
Subject
Paleontology,Aquatic Science,Oceanography,Linguistics and Language,Language and Linguistics,Industrial and Manufacturing Engineering,Polymers and Plastics,Materials Science (miscellaneous),Communication,Cultural Studies,Electrical and Electronic Engineering,Signal Processing,Electronic, Optical and Magnetic Materials,Biotechnology,Electrical and Electronic Engineering,Instrumentation,Industrial and Manufacturing Engineering,Safety, Risk, Reliability and Quality,General Chemical Engineering,Electrical and Electronic Engineering,Atomic and Molecular Physics, and Optics,Electrical and Electronic Engineering,Industrial and Manufacturing Engineering
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