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Clinical and Biophysical Profile

  • F. Pierre

Abstract

For a quarter of a century, obstetricians have been fighting perinatal mortality on two fronts: prenatal diagnosis and care in specific pathologies (diabetes, hypertension, etc.) and fetal safety in the labor ward (fetal monitoring, cesarean section). With this progress, antenatal deaths account for more than half the perinatal mortalities and more than two thirds of these occur before labor. When morphological anomalies and catastrophic accidents like cord prolapse or placental abruption are excluded, the main cause of fetal death is chronic asphyxia (usually called utero-placental insufficiency), whatever its etiology. It may occur where there is no risk factor and screening tests and investigations are needed for diagnoses in which clinical and biophysical fetal profiles can be included.

Keywords

Obstet Gynecol Fetal Movement Placental Abruption Acta Obstet Gynecol Amniotic Fluid Volume 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Arulkumaran S, Anandakumar C, Wong YC, Ratnam SS (1989) Evaluation of maternal perception of sound-provoked fetal movement as a test of antenatal fetal health. Obstet Gynecol 73:182–186PubMedGoogle Scholar
  2. 2.
    Benhamou M, Tournaire M (1981) Le compte des mouvements actifs du foetus. Son intérêt dans le diagnostic de la souffrance foetale chronique. J Gynecol Obstet Biol Reprod 10:449–458Google Scholar
  3. 3.
    Boylan P, Lewis PJ (1980) Fetal breathing in labor. Obstet Gynecol 56:35–38PubMedGoogle Scholar
  4. 4.
    Devoe LD, Searle N, Castillo RA, Searle J (1987) Fetal biophysical testing. The effects of prolonged maternal fasting and the oral glucose tolerance test. J Reprod Med 32:563–568PubMedGoogle Scholar
  5. 5.
    Ehrstrom C (1979) Fetal movement monitoring in normal and high-risk pregnancies. Acta Obstet Gynecol Scand Suppl 80:315–325Google Scholar
  6. 6.
    Ehrstrom C (1984) Orcadian rythm of fetal movements. Acta Obstet Gynecol Scand 63:539–541PubMedCrossRefGoogle Scholar
  7. 7.
    Elbourne D, Grant A (1990) Study results vary in count-to-10 method of fetal movement screening. Am J Obstet Gynecol 163:264–265PubMedGoogle Scholar
  8. 8.
    Grant A, Hepburn M (1984) Merits of an individualized approach to fetal movement counting compared with fixed-time and fixed-number methods. Br J Obstet Gynecol 91:1087–1090CrossRefGoogle Scholar
  9. 9.
    Grant A, Elbourne D, Valentin L, Alexander S (1989) Routine formal fetal movement counting and risk of antepartum late death in normally formed singletons. Lancet 2: 345–349PubMedCrossRefGoogle Scholar
  10. 10.
    Jackson GM, Forouzan I, Cohen AW (1991) Fetal well-being: non-imaging assessment and the biophysical profile. Semin Roentgenol 26:21–31PubMedCrossRefGoogle Scholar
  11. 11.
    Manning FA, Platt LD, Sipos L (1980) Antepartum fetal evaluation: development of a fetal biophysical profile. Am J Obstet Gynecol 136:787–795PubMedGoogle Scholar
  12. 12.
    Manning FA, Lange IR, Morrison I, Harman CR (1984) Fetal biophysical profile score and the non-stress test: a comparative trial. Obstet Gynecol 64:326–331PubMedGoogle Scholar
  13. 13.
    Mitchell J, Schulman J, Fleisher A (1985) Meconium aspiration and fetal acidosis. Obstet Gynecol 65:352–355PubMedGoogle Scholar
  14. 14.
    Mohide P, Keirse M (1991) Biophysical assessment of fetal well-being. In: Chalmers I, Enkin M, Keirse M (eds) Effective care in childbirth, vol 2. Oxford University Press, Oxford, pp 477–492Google Scholar
  15. 15.
    Moore TTR, Piacquadio K (1989) A prospective evaluation of fetal movement screening to reduce the incidence of antepartum fetal death. Am J Obstet Gynecol 160:1075–1080PubMedGoogle Scholar
  16. 16.
    Pearce JM, Campbell S (1987) A comparison of symphysis-fundal height and ultrasound as screening tests for light for gestational age infants. Br J Obstet 94:100–104CrossRefGoogle Scholar
  17. 17.
    Pearson JF, Weaver JB (1976) Fetal activity and fetal well-being: an evaluation. Br Med J 1:1305–1307PubMedCrossRefGoogle Scholar
  18. 18.
    Piatt LD, Walla CA, Paul RH, Trujillo ME, Loesser CV, Jacobs ND, Broussard PM (1985) A prospective trial of the fetal biophysical profile versus the nonstress test in the management of high-risk pregnancies. Am J Obstet Gynecol 153:624–633Google Scholar
  19. 19.
    Rayburn WF (1982) Antepartum fetal assessment. Monitoring fetal activity. Clin Perinatol 9:231–232Google Scholar
  20. 20.
    Ribbert LS, Snijders RJ, Nicolaides KM, Visser GH (1990) Relationship of fetal biophysical profile and blood gas values at cordocentesis in severely growth-retarded fetuses. Am J Obstet Gynecol 163:569–571PubMedGoogle Scholar
  21. 21.
    Sadovsky E, Yaffe H (1973) Daily fetal movement recording and fetal prognosis. Obstet Gynecol 41:845–850PubMedGoogle Scholar
  22. 22.
    Sadovsky E, Yaffe H, Polishuk WZ (1974) Fetal movements monitoring in normal and pathologic pregnancy. Int J Gynaecol Obstet 12:75–79Google Scholar
  23. 23.
    Sadovsky E, Polishuk WZ, Yaffe H et al. (1977) Fetal movements recorder use and indications. Int J Gynaecol Obstet 15:20–24PubMedGoogle Scholar
  24. 24.
    Sadovsky E, Rabinowits R, Freeman A, Yarkoni S (1984) The relationship between fetal heart rate accelerations, fetal movements and uterine contractions. Am J Obstet Gynecol 149:187–189PubMedGoogle Scholar
  25. 25.
    Sorokin Y, Leroy J, Dierker LJ (1982) Fetal movements. Clin Obstet Gynecol 25:719–734PubMedCrossRefGoogle Scholar
  26. 26.
    Thacker SB, Berkelman RL (1986) Assessing the diagnosis accuracy and efficacy of selected antepartum fetal surveillance techniques. Obstet Gynecol Surv 41:121–141PubMedCrossRefGoogle Scholar
  27. 27.
    Valentin L, Marsal K (1986) Subjective recording of fetal movements. II. Screening of a pregnant population; methodological aspects. Acta Obstet Gynecol Scand 65:639–644PubMedCrossRefGoogle Scholar
  28. 28.
    Valentin L, Lofgren O, Marsal K, Gullberg B (1984) Subjective recording of fetal movements. I. Limits and acceptability in normal pregnancies. Acta Obstet Gynecol Scand 63:223–228PubMedCrossRefGoogle Scholar
  29. 29.
    Vintzileos AM, Gaffney SE, Saliger LM, Campbell A, Nochimson DJ (1987) The relationship among the fetal biophysical profile, umbilical cord pH and Apgar score. Am J Obstet Gynecol 157:627–631PubMedGoogle Scholar
  30. 30.
    Vintzileos AM, Campbell WA, Rodis J, McLean DA, Fleming AD, Scorza WE (1991) The relationship between fetal biophysical assessment, umbilical artery velocimetry and fetal acidosis. Obstet Gynecol 77:622–626PubMedGoogle Scholar
  31. 31.
    Yeamans ER, Houth JC, Gilstgrap LC (1985) Umbilical cord pH, pCO2 and bicarbonates following uncomplicated term vaginal deliveries. Am J Obstet Gynecol 151:798–800Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1993

Authors and Affiliations

  • F. Pierre

There are no affiliations available

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