Foetal Assessment Based on Biophysical Profile Scoring

Introduction: Accurate prenatal recognition of acquired and congenital disease states that affect foetal function and structure must be first critical step in reducing or preventing perinatal morbidity and mortality. Antepartum foetal heart rate tests based on acceleration of rate with foetal movement (non-stress test or NST) or the presence or absence of periodic decelerations with uterine contractions (contraction stress test or CST) have proved to be useful methods for antepartum assessment of foetal risk. Objective: To assess the foetal assessment based on biophysical profile scoring. Methods: A prospective design was considered suitable for the present study was conducted in the Department of Obstetrics & Gynecology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka during the period from July 2006 to December 2006. Sample Based on enrolment criteria, a total of 60 patients were taken consecutively from study population to conduct the study. High risk pregnant women attending at BSMMU to have their babies checked/delivered were the study population. Results: Out of 53 subjects participated in the study, 5.7% were below 20 years of age, 18.9% between 20-25 years, 28.3% between 25-30 years, another 28.3% between 30-35 years and 18.9% 35 or above 35 years of age. The mean age of the subjects was 28.5 ± 5.5 years and the lowest and highest ages ranged from 19 to 39 years. shows that 35.8% of the subjects were primipara and 32.1% multipara. The rest one-third (32.1%) of the subjects did not have any experience of having live-birth. demonstrates that 70% of the subjects were primigravida and the rest multigravida. Distribution of the subjects by gestational age shows that 71.7% lie between 37 - 42 weeks of gestation at the time of BPP. The rest 28.3% had gestational age below 37 weeks. Clinical presentation of the subjects at the time of BPP shows that predominant sign was anaemia (75.5%) followed by oedema (62.3%). prteinuria (50.9%), diastolic blood ....