Fetal assessment based on fetal biophysical profile scoring: experience in 12,620 referred high-risk pregnancies. I. Perinatal mortality by frequency and etiology

Fetal biophysical profile scoring was used as a method for antepartum fetal risk assessment in 12,620 high-risk patients referred in a 55-month interval. A total of 26,257 tests were performed on these patients (range, one to 18 tests per patient). Ninety-three perinatal deaths occurred (gross perin...

Full description

Saved in:
Bibliographic Details
Published inAmerican journal of obstetrics and gynecology Vol. 151; no. 3; p. 343
Main Authors Manning, F A, Morrison, I, Lange, I R, Harman, C R, Chamberlain, P F
Format Journal Article
LanguageEnglish
Published United States 01.02.1985
Subjects
Amniotic Fluid
Congenital Abnormalities - epidemiology
Female
Fetal Death - epidemiology
Fetal Death - etiology
Fetal Diseases - epidemiology
Fetal Heart - physiology
Fetal Monitoring - methods
Fetus - physiology
Heart Rate
Humans
Infant Mortality
Infant, Newborn
Movement
Pregnancy
Prospective Studies
Risk
Ultrasonography
Online AccessGet more information

Cover

More Information
Summary:Fetal biophysical profile scoring was used as a method for antepartum fetal risk assessment in 12,620 high-risk patients referred in a 55-month interval. A total of 26,257 tests were performed on these patients (range, one to 18 tests per patient). Ninety-three perinatal deaths occurred (gross perinatal mortality rate, 7.37 per 1000) of which 62 (66.6%) were due to a major anomaly, seven were due to Rh disease (7.5%), and the remaining 24 deaths (25.8%) occurred in structurally normal fetuses. The corrected perinatal mortality rate was 1.90 per 1000. Eight structurally normal fetuses died within 1 week of a normal test result (corrected false negative rate, 0.634 per 1000). These data suggest fetal biophysical profile scoring is an accurate method for identification of the fetus at risk for perinatal death.
ISSN:0002-9378
1097-6868
DOI:10.1016/0002-9378(85)90301-1