Assessment of High-Risk Pregnancies using Biophysical Profile

Abstract

The purpose of the current study was to know the importance of using BPP for primary fetal surveillance in predicting fetal outcome. Methods: A total of 70 individuals with high risk pregnancies were included from 16-45 years examined through ultrasound and Doppler (Toshiba Xario 100 colour Doppler (C5-2 convex probe) having a real-time frequency range of 3.0 to 5.0 MHZ) at a private hospital in Gujranwala from October 2021 to March 2022. A Convenient sampling approach was used to collect data through informed consent forms. Data was collected using SPSS 21. Results: The current study included 70 patients who were examined using Doppler for fetal well-being. Study concluded to have correlation between age groups and development of fetal anomalies of age group 16-25years 44(62.9%), 26-35 years 21(30.0%), 36-45 years (7.1%). Most of the females in gestational weeks 34-37 weeks. Frequency of high-risk pregnancy most common is hypertension 25(35.7%) followed by other such as low fetal movement 10(14.3%), oligohydramnios 8(11.4%) and the least common is diabetes mellitus. Reactive 50(71.4%), and non-reactive 20(28.6%). Result shows the frequency of biophysical profile score in total number of patients included. Biophysical profile score 0-2 in 16(22.9%), 4-6 BPP score in 42(66%) and 8-10 BPP in 12(17.1%) patients. The frequency of IUGR in relation to biophysical profile score showing 18(72.0%), in 0-2 BPP score and 7(28%) in 4-6 BPP score. Conclusions: Normal BPP assures good fetal status and perinatal outcome. Abnormal BPP indicates that the fetus may be compromised. The study concluded that BPP has significant role in predicting fetal outcome.