Comparative Study of Modified Biophysical Profile in Normal Pregnancy, High Risk Pregnancy and It's Perinatal Outcome

Background and Objectives: To evaluate the role of modified fetal biophysical profile in normal pregnancy and high risk pregnancies for predicting the perinatal outcome. And to study the correlation between AFI and NST in normal and high risk pregnancy. Aim: To assess the effectiveness of modified biophysical profile in predicting perinatal outcome in normal and high risk pregnancy. Methodology: Pregnant women with normal and high risk factors with gestational age more than or equal to 37 weeks were evaluated using modified biophysical profile, Non stress test (NST) for 20 minutes and Amniotic Fluid Index using 4 quadrant technique. The patients who underwent modified BPP within 1 week were followed up till delivery and fetal outcomes were studied as foetal distress requiring operative deliveries, meconium staining of liquor (?Grade II), APGAR score <7, Admission to NICU within 24 hrs and Perinatal death. Results: If Modified biophysical profile is normal, it gives reassurance that the fetal status is good with good perinatal outcome. In present study, the need for LSCS, meconium stained liquor, need for NICU admission, perinatal morbidity were found to be higher in cases with abnormal MBBP. Conclusion: MBPP can be used as a primary antepartum fetal surveillance test which is simple, safe, non-invasive and inexpensive to predict perinatal outcome and provide timely intervention in high risk pregnancies.