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Evaluation of Modified Biophysical Profile in Pre-Eclamptic Patients and Measure its Impact on Perinatal Outcome

Anamika Majumdar , Priyanka Patel1 , Anamika Majumdar2 , Rajnikant Vaghela3 , Komal Patel4 , Dhaval Patel5 , Chetana Damor6

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Indian Journal of Obstetrics and Gynecology 8(4):p 221-225, October-December 2020. | DOI: http://dx.doi.org/10.21088/ijog.2321.1636.8420.4

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Priyanka Patel, Anamika Majumdar, Rajnikant Vaghela, et al. Evaluation of Modified Biophysical Profile in Pre-Eclamptic Patients and Measure its Impact on Perinatal Outcome. Indian J Obstet Gynecol. 2020;8(4):221–225.
 

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Abstract

Introduction: Hypertensive disorders in pregnancy are a major cause of maternal and perinatal morbidity and mortality worldwide. Modified biophysical profile (MBPP) combines Non stress test as a short term marker of fetal status and the amniotic fluid index as a marker of long term placental function which is easier to perform and less time consuming. Aim: To study the antepartum fetal surveillance with modified biophysical profile and perinatal outcome in pre-eclamptic women. Materials and Methods: Prospective descriptive study of perinatal outcome included 150 ANC patients gestational age between 34 to 40 weeks both primi gravida and multigravida with pre-eclampsia admitted in SMIMER hospital during January 2017 to June 2018. Patients were treated in line with standard protocol and perinatal outcome were then studied. Results: Of the 150 NST’s in MBPP, 77% were reactive and 23% were non-reactive. When the MBPP was abnormal with respect to both parameters 60% of the cases had LSCS and 40% of them had vaginal delivery. When both parameters were normal there were only 3.63% cases were MSL. When NST was abnormal and AFI normal 45.45% cases were MSL and when NST was normal and AFI abnormal 42.8% cases were MSL. When both the parameters were abnormal 63.6% of the cases had APGAR <7 `whereas when NST was normal and AFI was abnormal 2(28.5%) the cases had APGAR <7. When AFI was normal and NST was abnormal 36.3% of the cases had APGAR <7. Conclusions: Modified biophysical profile (MBPP) is easier, less time consuming, cost effective and patient compliant test.
 

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Priyanka Patel, Anamika Majumdar, Rajnikant Vaghela, et al. Evaluation of Modified Biophysical Profile in Pre-Eclamptic Patients and Measure its Impact on Perinatal Outcome. Indian J Obstet Gynecol. 2020;8(4):221–225.
 

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DOI: http://dx.doi.org/10.21088/ijog.2321.1636.8420.4

Keywords

Non Stress test; Amniotic Fluid Index;Modified Biophysical profile

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