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Role of Fetal Biophysical Profile in High Risk Pregnancy and Fetal Outcome

Shivakumar H.C., Associate Professor, Dept. of Obstetrics and Gynaecology, Vijayanagara Inst. of Medical Sciences (VIMS) Ballari 583104 Karnataka, India. , Shivakumar H.C.* , Chandrasheker** , Ramaraju H.E.*

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Indian Journal of Obstetrics and Gynecology 5(2):p 113-118, April - June 2017. | DOI: http://dx.doi.org/10.21088/ijog.2321.1636.5217.20

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Abstract

Background & Objective: To improve the obstetric result in high risk pregnancy by ante partum fetal assessment by biophysical profile scoring. Methods: 50 patients of high risk pregnancy were selected after 32 weeks of gestation and five variables of biophysical profile were scored. Results: BPP score 10/10 in 40% cases 8/10 in 32% cases & 6/10 or less in 28% cases. NST was reactive in 60% cases and non reactive in 40 % cases. AFI was less than 5 in 12% cases. Delivery was by LSCS in 32% cases. NICU admission was 68% of which maximum had BPP score was 6 or less. Interpretation & Conclusion: Fetal biophysical profile is a very effective method for ante partum fetal surveillance. It has been seen low biophysical profile score of fetus results in increase operative delivery, birth asphyxia, low  APGAR, increased NICU admission.

Keywords: Biophysical Profile; NST; Fetal Breathing Movement; Fetal Movement; Fetal Tone; Amniotic Fluid; APGAR. 

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DOI: http://dx.doi.org/10.21088/ijog.2321.1636.5217.20

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