ROLE OF MODIFIED BIOPHYSICAL PROFILE IN PREDICTING PERINATAL OUTCOME IN HIGH RISK PREGNANCY

Background: In order to achieve the target of having a healthy mother and healthy baby there is a need to identify pregnant woman with high risk factors.Ante natal foetal monitoring is aimed at identifying foetus that are at high risk of suffering from intrauterine hypoxia.

Aims and Objectives: To evaluate the role of modified biophysical profile in predicting perinatal outcome in high risk pregnant women

Material and methods: This is a hospital based observational study in the department of Obstetrics and Gynaecology , Victoria Government Hospital , Visakhapatnam, from January 2022 to May 2022.A total of 96 high risk pregnant women were included in this study. Inclusion criteria was Singleton pregnancy ,risk factors like[pre eclampsia,gestational hypertension,diabetes mellitus,anemia,past dates,post cesarian section.breech,bad obstetric history and pre term,Exclusion criteria was multifetal gestation,intrauterine death,fetal anomalies. Detailed history was taken and relavent investigations were sent.

Results: 16.9% of cases had meconium stained liquor (normal CTG and AFI), 36% with meconium stained liquor had normal AFI but abnormal CTG, 40% with meconium stained liquor had abnormal AFI but normal CTG, 50% with meconium stained liquor had abnormal AFI and abnormal CTG 0% of babies had perinatal death when AFI and CTG was normal, 100% of babies had perinatal death when AFI and CTG was abnormal

Conclusion: Modified bio physical profile is a easy ,time saving and cost effective procedure and can used as a test of antepartum fetal surveillance in order to predict perinatal outcome in high risk pregnancy.