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Fetal biophysical profile score and perinatal outcome.
MedLine Citation:
PMID:  24908529     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Background: Sudden fetal demise, perinatal morbidity and mortality are still some of the major obstetrical challenges. Reduced fetal movements may have some bearing to fetal asphyxia and death, so timely detection of such condition and measures taken can prevent such mishaps. Methods: A descriptive prospective study was conducted at Tribhuvan University Teaching Hospital, Department of Obstetrics and Gynecology from January to December 2002 in 55 cases to find out the relationship of Biophysical Profile Score with perinatal outcome in pregnant mothers with decreased fetal movement counts at or above 34 weeks of gestational age. The mode of delivery, Apgar score, neonatal admission and perinatal mortality were analyzed. Results: The study demonstrated that most of the fetuses were in good condition with 87% of the cases scoring 8-10 BPS (normal), 6% scoring six (equivocal) and only 7% got four score (abnormal). Having the abnormal BPS of four significantly increased the risk of perinatal mortality by 50% (p=0.000). This study could not detect any significant association between Apgar score and neonatal morbidities, but showed significant correlation between BPS and caesarean section. The patients having lower BPS tended to undergo more caesarean section delivery than patients having normal BPS (p=0.009). Conclusions: An abnormal BPS of four in cases of reduced fetal movement counts significantly influenced the risk of perinatal death. However reduced fetal movements only did not raise the risk of fetal morbidity and mortality. So BPS should be beneficial to detect the fetuses at risk in the patients having less fetal movements for the proper management at right time. Keywords: Apgar score; biophysical profile score; fetal movements; perinatal mortality.
Authors:
B L Manandhar; K Giri; A Rana
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of Nepal Health Research Council     Volume:  11     ISSN:  1999-6217     ISO Abbreviation:  J Nepal Health Res Counc     Publication Date:  2013 Sep 
Date Detail:
Created Date:  2014-06-09     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101292936     Medline TA:  J Nepal Health Res Counc     Country:  Nepal    
Other Details:
Languages:  eng     Pagination:  269-72     Citation Subset:  IM    
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