Document Detail


The efficacy of rapid biophysical profile in predicting poor pregnancy outcomes in suspected intrauterine growth restriction fetuses: preliminary study.
MedLine Citation:
PMID:  22611999     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
OBJECTIVE: To determine the efficacy of the rapid biophysical profile (rBPP), which includes sound-provoked fetal movement detected by ultrasonography, and amniotic fluid index for antepartum fetal well-being assessment in suspected intrauterine growth restriction (IUGR) fetuses.
MATERIAL AND METHOD: One hundred seven tests of rBPP were antenatally performed in 30 IUGR fetuses who attended the ANC unit at Maharaj Nakorn Chiang Mai Hospital between October 2009 and July 2010. Pregnancy outcomes were prospectively recorded for subsequent analysis. The accuracy of rBPP was based on poor outcomes including fetal distress, low Apgar score, admission to the neonatal intensive care unit, and perinatal death.
RESULTS: In 107 tests, the incidences of negative, equivocal, and positive rBPP were 88.8%, 10.3%, and 0.9%, respectively. There was one adverse pregnancy outcome of intrapartum fetal distress. The rBPP had a sensitivity of 100.0%, a specificity of 89.7%, a positive predictive value of 25%, and a negative predictive value of 100.0%.
CONCLUSION: The rBPP may probably be an effective predictor of poor pregnancy outcome in IUGR fetuses. With its high specificity and rapidity, the rBPP may be used as a back-up test to confirm fetal well-being in pregnancies complicated by IUGR at the antenatal care clinic.
Authors:
Saruta Chousawai; Fuanglada Tongprasert; Yuri Yanase; Piyarat Udomwan; Theera Tongsong
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of the Medical Association of Thailand = Chotmaihet thangphaet     Volume:  95     ISSN:  0125-2208     ISO Abbreviation:  J Med Assoc Thai     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-05-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7507216     Medline TA:  J Med Assoc Thai     Country:  Thailand    
Other Details:
Languages:  eng     Pagination:  482-6     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
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