Fetal Outcome Evaluation in High-risk Term Pregnancy Using Biophysical Profile at a Tertiary Hospital in Anambra State, Nigeria
Obi Adaeze Chidiogo
Department of Radiology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria.
Okafor Chisolum Ogechukwu
Department of Radiology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria.
Nwosu Chinekwu Skye *
Department of Radiology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria.
Ezenri Uche
Department of Obstetrics and Gynaecology, University Teaching Hospital, Nnewi, Nigeria.
Obi Darlington Chukwudinma
Department of Community Medicine, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria.
Obasikene Catherine Nchedo
Department of Radiology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria.
Eze Kenneth C
Department of Radiology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria.
*Author to whom correspondence should be addressed.
Abstract
Introduction: A high-risk pregnancy is defined as a pregnancy in which there is a significant probability of an adverse maternal or fetal outcome that is more than the incidence of that outcome in the general population.
Aim: To determine the usefulness of biophysical profile evaluation in women with high-risk term pregnancies.
Methods: Biophysical profile (BPP) parameters were used to evaluate 160 high-risk women with term pregnancies.
Results: All the participants had normal amniotic fluid index values [AFI] of 8.1-24.0cm. Most of the participants 115 (71.9%) showed good BPP scores. Outcome at delivery was as follows; fetal distress [presence 8.9%, absence 91.1%], stillbirth = none, admission into the intensive care unit (ICU) [Yes 2.0%, No 88%], meconium staining [Yes 8.2%, Clear 91.8%], birth weight [< 2.5kg = 5.7%, > 2.5kg = 94.3%]. APGAR score at 1 minute [<7 = 5.1%, >7 = 94.9%] while at 5 minutes [<7 = 3.2%, > 7= 96.8%]. The commonest mode of delivery was vaginal 84 (52.8%). The association between gross body movement, fetal breathing movement, and fetal outcome was not statistically significant p > 0.05.
Conclusion: BPP parameters were found to be associated with fetal outcomes.
Keywords: Biophysical profile, fetal outcome, high-risk pregnancy, pregnancies, participants, p-value