BIOPHYSICAL PROFILE; Biophysical profile in preterm fetuses with intrauterine growth restriction for diagnosis of birth asphyxia

摘要

Objectives: To determine the diagnostic accuracy of biophysical profile in pretermfetuses with intrauterine growth restriction for diagnosis of birth asphyxia. Study Design: Crosssectionalstudy. Settings: Department of Radiology / Obstetrics & Gynaecology FaisalabadMedical University, Faisalabad and affiliated Hospitals. Duration of Study: The study wascarried 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 wereincluded in this study. Results: In our study, 63.81% (n=67) were between 18-30 years and36.19% (n=38) were between 31-35 years of age, mean+sd was calculated as 27.52+4.69years diagnostic accuracy of biophysical profile in preterm fetuses with intrauterine growthrestriction for diagnosis of birth asphyxia while keeping Apgar score as gold standard wasrecorded, 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 diagnosticaccuracy rate were calculated as 81.82% 88.52% and 85.71% respectively. Conclusion:Higher diagnostic accuracy of biophysical profile in preterm fetuses with intrauterine growthrestriction for diagnosis of birth asphyxia. It is recommended that these high risk patients mustbe screened in their antenatal period for diagnosis of birth asphyxia so that proper treatmentprotocols may be followed.