Is fetal biophysical profile with all parameters needed?
Journal of Maternal-Fetal Investigation, cilt.4, sa.1, ss.37-41, 1994 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 4 Sayı: 1
- Basım Tarihi: 1994
- Dergi Adı: Journal of Maternal-Fetal Investigation
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.37-41
- İstanbul Üniversitesi-Cerrahpaşa Adresli: Evet
Özet
Objective: The predictive value of a fetal biophysical profile was evaluated in our high-risk population, compared with the predictive values of each parameter and of the combinations, and reviewed in light of the literature. Methods: The study included 248 high-risk pregnancies. The fetal biophysical profile was performed as described by Manning. The timing and mode of delivery were decided on the basis of fetal, obstetric, and maternal factors by the unit looking after the patients. Abnormal outcome was defined as intrapartum fetal distress and/or less than 7 on the 5-min Apgar score. Results: The incidence of mortality was one case in 252 births (3.97 per thousand). The collective morbidity rate was 16.3%. Out of 42 with abnormal outcome, the score was 2 or 4 in 6 cases, 6 in 22 cases. The amniotic fluid variable had the highest sensitivity rate. However, regarding specificity, all parameters had the same high rate. Regarding the efficacy of the combination of variables, the highest sensitivity rate was in the combination of nonstress test-amniotic fluid and fetal breathing movement-amniotic fluid, 57. 1% and 56.3%, respectively. The sensitivity rate was 30.4% in the combination of nonstress test-fetal breathing movements and 40.5% in the combination of all parameters. Conclusion: The fetal biophysical profile score is a useful test for fetal surveillance but is time consuming. Meanwhile, the combination of a nonstress test and amniotic fluid variables is a reliable and time-saving method.