Correlation Between Less Foetal Movement with Biophysical Profile Score

Abstract

Background: Fetal Movement counts have been recommended over the past 3 decades to women in the 2^nd half of pregnancy, as a way of monitoring fetal wellbeing. The majority of women have favoured the activity of monitoring the fetal movement. A reduction of fetal movement's causes concern and anxiety, is a common indication for the assessment of fetal wellbeing. Objectives: This study was done for sonographic evaluation of a patient presenting with less fetal movement as well as to determine the importance of the Biophysical profile (BPP) when compared with conventional monitoring e. CTG only or Modified Biophysical profile (MBPP). Subjects and Methods: The cross-sectional Observational study was conducted in the Department of Obstetrics and Gynaecology in Dhaka Medical College Hospital from June 2022 to May 2023. A total of 100 female were included in the study. One hundred women having singleton pregnancy of gestational age ≥34 weeks with complaints of less fetal movement and intact membrane with no labor pain were interviewed and finally biophysical profile done. Subjects were grouped on the basis of biophysical profile score. Group-1: Subjects with normal biophysical profile score, Group-II: Subjects with equivocal score, Group-III: Subjects with abnormal score. Data were collected over a period of 12 months and analyzed by appropriate computer based programmed software Statistical Package for the Social Sciences (SPSS), version 24. Results: In this study, the mean age was 29.5±4.4 years and maximum number was found in the age group of 25-29 years. The mean (±SD) gestational age was 36.2±1.5 weeks with ranged from 34 to 40 weeks. Lower abdominal pain, history of sub fertility, history of previous c/s and dysuria were common presenting complaints in this study group. Less fetal movement was more common in primi gravida and para 1. A total 58 cases underwent elective delivery and most (72.4%) of them had abnormal and equivocal biophysical profile score. The remaining 42 patients of normal score were allowed to go term delivery. Among them outcome of 95.2% neonates were good and only 4.8% neonates were referred to scabu. Conclusion: Low biophysical profile scoring is proportionately associated with the poor outcome of neonates. BPP scoring helps the clinician to take decision for elective delivery of subjects and future planning of neonatal resuscitation. Key words: Less Foetal Movement, Biophysical Profile Score.