Modified Biophysical Profile and Fetal Outcome in High Risk Pregnancy

The aims and objectives of this study was to evaluate foetal health in high risk pregnancy with modified B.P.P., to record the perinatal outcome, to evaluate efficacy of modified B.P.P. in predicting perinatal outcome in high risk pregnancy. In this study 110 admitted cases having one or more high risk factors were studied. Modified B.P.P., N.S.T. and C.T.G. was done. Only the last antenatal test within 7 days of delivery was considered for analysis. Sensitivity of the test (diagnostic accuracy) is improved in modified B.P.P. (79.5 as compared to 53.5 for N.S.T. and 60.5 for A.F.I.), P.P.V. (diagnostic power) is also improved in 85.83% as compared to 17.6% for N.S.T. and 26.16% for A.F.I. In conclusion, modified B.P.P. is cost effective, non-invasive and best screening test to evaluate fetal health and to predict fetal outcome thus perinatal mortality and morbidity can be reduced in our country. With this test we can wait for spontaneous onset of labour and decrease operative intervention associated with induction of labour. Thus maternal morbidity and mortality is also reduced.