A COMPARATIVE ANALYSIS OF DOPPLER ULTRASONOGRAPHY AND MODIFIED BIOPHYSICAL PROFILE IN PERINATAL OUTCOME PREDICTION IN HIGH-RISK PREGNANCIES.

Priyanka  Singh; Ashok  Kumar

doi:10.51168/sjhrafrica.v4i12.841

Authors

Priyanka Singh Consultant, Department of Obstetrics and Gynecology,Sumitram Hospital, Bidupur Bazar, Vaishali , Bihar, India.
Ashok Kumar Assistant Professor, Department of Radio- diagnosis, SKMCH, Muzaffarpur, Bihar, India.

DOI:

https://doi.org/10.51168/sjhrafrica.v4i12.841

Keywords:

perinatal problems, High-risk pregnancy, MBPP, Doppler test, umbilical artery

Abstract

Objectives
This study aimed to assess and contrast the predictive abilities of umbilical artery Doppler velocimetry and modified biophysical profile (MBPP) in forecasting antenatal outcomes among pregnant women with high-risk factors.
Methods
For this study, a group of researchers conducted analyses of patient data from two distinct medical facilities located in Bihar, India for over 2 years. This data was sourced from the obstetrics and gynecology departments at Sumitram Hospital, Bihar, and the radiology department at SKMCH, Bihar. The scope of the research encompassed 100 cases of pregnant women with high-risk factors, each with one gestation, and subsequently underwent childbirth within 2 days after assessment of health parameters.
Results
Most women had significant risk factors, with 51% exhibiting hypertension induced by pregnancy and 38% experiencing restriction of fetal growth. The group with the highest number of prenatal complications was identified to be Group D, characterized by abnormal results of Doppler and MBPP. The other group that closely followed this outcome was the group having irregular MBPP test results (Group C). Among neonates with antenatal complications, 40 showed atypical MBPP test results compared to 18 with abnormal Doppler findings. Over 10 patients had meconium-stained liquor (MSL), and all 18 of these cases had abnormal MBPP. MBPP demonstrated specificity, sensitivity PPV, and NPV of 50.94 %, 90.65 %, 62.08 %, and 89.09 %, respectively.
Conclusion
The findings of the current study indicate that modified biophysical profiling (MBPP) surpasses umbilical artery Doppler ultrasonography in its ability to predict perinatal outcomes among high-risk pregnant women.
Recommendation
It is recommended that MBPP should be routinely performed in all pregnancies with high-risk factors, regardless of the results of the Doppler tests. Moreover, to improve antenatal outcomes, the implementation of both of these tests in pregnancies associated with high-risk factors is deemed to be crucial.