Impact of Biophysical Profile (BPP) Score on Method of Delivery

Abstract

Introduction: This study aims to investigate the impact of Biophysical Profile (BPP) scores on the method of delivery and perinatal outcomes in a Bangladeshi context. Considering the significant role of maternal age, socio-economic status, and occupational factors in perinatal health, this research provides insights into how these variables interact with BPP scores to influence delivery methods and perinatal outcomes. Methods: This cross-sectional observational study was conducted with 150 pregnant women at or above 36 weeks of gestation. Participants were selected through purposive convenient sampling from outpatient and admission departments. The study assessed demographic details, BPP scores, mode of delivery, and perinatal outcomes. Statistical analysis was performed using SPSS, with a focus on the association between BPP scores and delivery methods, as well as perinatal outcomes. Result: The study population predominantly consisted of younger women, with 62.00% aged between 18-25 years and 22.67% between 26-30 years. Regarding BPP scores, 75.33% had a score of 10, 14.67% had a score of 8, and 10.00% had a score of 6. No significant correlation was found between BPP scores and the method of delivery (p-value = 0.393). However, a significant association was observed between lower BPP scores and adverse perinatal outcomes: 53.33% of participants with a BPP score of 6 experienced birth asphyxia, and 20.00% faced neonatal death. In contrast, 97.35% of participants with a BPP score of 10 had healthy babies. Conclusion: The study highlights the complex interplay of BPP scores, socio-economic and demographic factors in determining perinatal outcomes and delivery methods. It underscores the need for a holistic approach in obstetric care, integrating BPP scores with a comprehensive understanding of each patient's socio-economic and cultural context. This approach is crucial for optimizing delivery methods and improving perinatal outcomes in similar settings.