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Korean Journal of Obstetrics & Gynecology 2001;44(6):1066-1071.
Published online June 1, 2001.
The efficacy of rapid biophysical profile for assessment of fetal well-being.
Hag Joon Kim, Min Seok Koh, Byeong Do Lim, Jung Eun Yeo, Eui Sik Jung
Department of Obstetrics and Gynecology, The National Medical Center, Seoul, Korea.
Abstract
OBJECT: The nonstress test(NST) and complete biophysical profile(BPP) were compared with the rapid biophysical profile(BPP) in order to evaluate the efficacy of the rapid BPP, namely, the combination of amniotic fluid index(AFI) and sound-provoked fetal movement(SPFM) detected by ultrasound, in predicting intrapartum fetal distress in high-risk pregnancies. STUDY DESIGN: From JAN 9th 2000, through JAN 5th 2001, the prospective study of diagnostic tests was conducted on a total of 91 high-risk singleton pregnancies, undergoing antepartum assessment both the standard NST and the new rapid BPP(including other indices of complete BPP). The diagnostic indices of the NST, rapid BPP and complete BPP were calculated in term of predicting intrapartum fetal distress. RESULT: The sensitivity, specificity, negative predictive value, and positive predictive value of NST were 50.00, 94.81, 96.05, and 42.86% respectively, and those of rapid BPP were 75.00, 98.53, 98.53, and 75.00%, and those of complete BPP were 83.33, 98.72, 98.72, and 83.33%, as well. In addition, the efficiency of NST, rapid BPP, and complete BPP were 91.57%, 97.22% and 97.62% respectively. CONCLUSIONS: The rapid BPP is an effective and reliable predictor of intrapartum fetal distress with high-risk pregnancies. Moreover, it may be inexpensive and less time-consuming method.
Key Words: Nonstress test(NST), Rapid biophysical profile(rapid BPP), Amniotic fluid index(AFI), Sound-provoked fetal movement(SPFM), Complete biophysical profile(complete BPP)


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