Biophysical profile scoring in the management of the postterm pregnancy: an analysis of 307 patients.
Management and outcome were reviewed in 307 consecutive postterm pregnancies assessed by biophysical profile scoring. Twice-weekly scores accurately differentiated normal fetuses from those at risk for intrauterine hypoxia. When the profile score is normal, waiting for spontaneous labor results in healthy neonates and a much lower cesarean section rate (15% versus 42% for "prophylactic" induction). Confident conservative management of postterm pregnancy is possible.
D002585:Cesarean Section; D005260:Female; D005323:Fetal Monitoring; D005324:Fetal Movement; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000517:prevention & control*; D007233:Infant, Postmature; D007751:Labor, Induced; D011247:Pregnancy; D011273:Pregnancy, Prolonged; D011446:Prospective Studies; D012306:Risk; D014463:Ultrasonography