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Antenatal fetal assessment using biophysical profile score

F Begum1, K Buckshee, J N Pande

  • 1Deptt. of Obs & Gynae, Sir Salimullah Medical College, New Delhi, India.

Bangladesh Medical Research Council Bulletin
|August 1, 1996
PubMed
Summary

The fetal biophysical profile score effectively predicts adverse outcomes in high-risk pregnancies, though a simpler screening test is needed. This study evaluated its predictive value for fetal well-being near term.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Perinatology

Background:

  • High-risk pregnancies require accurate methods for predicting fetal outcomes.
  • The fetal biophysical profile score (BPS) is a commonly used tool in managing high-risk pregnancies.

Purpose of the Study:

  • To evaluate the utility of the fetal biophysical profile score in predicting fetal outcomes in high-risk pregnancies.
  • To assess the sensitivity and specificity of the BPS for identifying abnormal perinatal outcomes.

Main Methods:

  • A prospective cross-sectional study included 154 high-risk pregnant women.
  • The fetal biophysical profile score incorporated non-stress test, fetal breathing, movement, tone, and amniotic fluid volume.
  • Outcomes were analyzed based on BPS cut-off scores.

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Main Results:

  • At a BPS cut-off of <= 4, sensitivity was 12.5% and specificity 99.23%.
  • At a BPS cut-off of <= 8, sensitivity increased to 70.83% with 91.53% specificity.
  • Combining variables in the BPS significantly improved the positive predictive value for abnormal perinatal outcomes.

Conclusions:

  • The fetal biophysical profile score is a valuable adjunct for managing high-risk fetuses.
  • Further research is needed to identify simpler, more practical screening tests for fetal well-being.
  • Cost-benefit analyses of fetal assessment methods should be conducted.