FETAL ASSESSMENT BASED ON FETAL BIOPHYSICAL PROFILE SCORING .3. POSITIVE PREDICTIVE ACCURACY OF THE VERY ABNORMAL TEST (BIOPHYSICAL PROFILE SCORE = 0)

被引:16
作者
MANNING, FA [1 ]
HARMAN, CR [1 ]
MORRISON, I [1 ]
MENTICOGLOU, S [1 ]
机构
[1] UNIV MANITOBA,DEPT OBSTET GYNECOL & REPROD SCI,DIV MATERNAL FETAL MED,WINNIPEG R3T 2N2,MANITOBA,CANADA
关键词
Fetal biophysical profile score; perinatal morbidity; perinatal mortality;
D O I
10.1016/0002-9378(90)90395-N
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
The relationship between complete absence of all components of the fetal biophysical profile score (biophysical profile score = 0) and adverse perinatal outcome was examined. Twenty-nine of 28,655 fetuses studied (0.092%) had a last biophysical profile score of 0; 48.3% of these perinates died (14 of 29 fetuses), the majority of whom (11 of 14) were stillborn, with death occurring as early as 30 minutes to as long as 11 days after the last test. Three asphyxia-related neonatal deaths occurred despite aggressive and immediate intervention. All survivors exhibited at least one of the five discrete markers used to assess perinatal morbidity. The positive predictive accuracy of a biophysical profile soore of 0, with mortality and morbidity used as end points, was 100%. These data indicate the very abnormal fetal biophysical profile score to be a perinatal emergency. © 1990.
引用
收藏
页码:398 / 402
页数:5
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