title: The efficacy of rapid biophysical profile in predicting poor pregnancy outcomes in suspected intrauterine growth restriction fetuses: preliminary study.
abstract: OBJECTIVE
  To determine the efficacy of the rapid biophysical profile (rBPP), which includes sound-provoked fetal movement detected by ultrasonography, and amniotic fluid index for antepartum fetal well-being assessment in suspected intrauterine growth restriction (IUGR) fetuses.
  
  
  METHODS
  One hundred seven tests of rBPP were antenatally performed in 30 IUGR fetuses who attended the ANC unit at Maharaj Nakorn Chiang Mai Hospital between October 2009 and July 2010. Pregnancy outcomes were prospectively recorded for subsequent analysis. The accuracy of rBPP was based on poor outcomes including fetal distress, low Apgar score, admission to the neonatal intensive care unit, and perinatal death.
  
  
  RESULTS
  In 107 tests, the incidences of negative, equivocal, and positive rBPP were 88.8%, 10.3%, and 0.9%, respectively. There was one adverse pregnancy outcome of intrapartum fetal distress. The rBPP had a sensitivity of 100.0%, a specificity of 89.7%, a positive predictive value of 25%, and a negative predictive value of 100.0%.
  
  
  CONCLUSIONS
  The rBPP may probably be an effective predictor of poor pregnancy outcome in IUGR fetuses. With its high specificity and rapidity, the rBPP may be used as a back-up test to confirm fetal well-being in pregnancies complicated by IUGR at the antenatal care clinic.
authors.affiliation: Department of Obstetrics and Gynecology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
authors.forename: Saruta
authors.initials: S
authors.lastname: Chousawai
authors.forename: Fuanglada
authors.initials: F
authors.lastname: Tongprasert
authors.forename: Yuri
authors.initials: Y
authors.lastname: Yanase
authors.forename: Piyarat
authors.initials: P
authors.lastname: Udomwan
authors.forename: Theera
authors.initials: T
authors.lastname: Tongsong
mesh_terms: D000328:Adult; D000653:Amniotic Fluid; D015331:Cohort Studies; D005260:Female; D005317:Fetal Growth Retardation / Q000175:diagnosis*; D005324:Fetal Movement; D006801:Humans; D011237:Predictive Value of Tests; D011247:Pregnancy; D011256:Pregnancy Outcome; D011296:Prenatal Diagnosis; D013785:Thailand; D055815:Young Adult