BIOPHYSICAL PROFILE;

BIOPHYSICAL PROFILE IN PRETERM FETUSES WITH INTRAUTERINE GROWTH RESTRICTION FOR DIAGNOSIS OF BIRTH ASPHYXIA.

Abstract

Objectives: To determine the diagnostic accuracy of biophysical profile in preterm
fetuses with intrauterine growth restriction for diagnosis of birth asphyxia. Study Design: Crosssectional
study. Settings: Department of Radiology / Obstetrics & Gynaecology Faisalabad
Medical University, Faisalabad and affiliated Hospitals. Duration of Study: The study was
carried out for a period of one calendar year, 1st January, 2016 to 31st December, 2016. Material
& Methods: Total 105 patients admitted through OPD and emergency fulfilling the criteria were
included in this study. Results: In our study, 63.81% (n=67) were between 18-30 years and
36.19% (n=38) were between 31-35 years of age, mean+sd was calculated as 27.52+4.69
years diagnostic accuracy of biophysical profile in preterm fetuses with intrauterine growth
restriction for diagnosis of birth asphyxia while keeping Apgar score as gold standard was
recorded, it shows 34.29% (n=36) true positive, 7.61%(n=8) had false negative, 6.67%(n=7)
false positive and 51.43%(n=54) had true negative. Sensitivity, specificity, and diagnostic
accuracy rate were calculated as 81.82% 88.52% and 85.71% respectively. Conclusion:
Higher diagnostic accuracy of biophysical profile in preterm fetuses with intrauterine growth
restriction for diagnosis of birth asphyxia. It is recommended that these high risk patients must
be screened in their antenatal period for diagnosis of birth asphyxia so that proper treatment
protocols may be followed.