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Published on: November 20, 2015
[Usefulness of fetal biophysical profile in preterm rupture of membranes with treatment]
Juan Fernando Romero Arauz1, Juan Carlos Martínez Chéquer, Angel García Alonso López
1Departamento de Medicina Perinatal, Hospital de Ginecología y Obstetricia Luis Castelazo Ayala, Instituto Mexicano del Seguro Social, México, DF. jfromarauz@hotmail.com
Objective:
To evaluate the usefulness of the fetal biophysical profile as a predictor of early neonatal infection in patients with preterm rupture of membranes in conservative management.
Patients And Methods:
This is a validation study of a diagnostic test. Between November, 2001 and August, 2003, 75 patients with 27 to 33 weeks of gestation and preterm rupture of membranes in conservative management were studied. Daily, a fetal biophysical profile was applied to them. Statistical analysis was done with chi square test and with a 2 x 2 contingency table that compared the biophysical score of + 8 and < or = 6 versus the presence or absence of early neonatal infection.
Results:
The biophysical score < or = 6 was associated with early neonatal infection (p < 0.05), with sensitivity, specificity, positive and negative predictive values of 80, 85, 64 and 85%, respectively (OR 9.73, 95% CI: 2.88-34.63; p = 0.0000164).
Conclusions:
The biophysical score < or = 6 was significantly associated with early neonatal infection.
