FETAL EVALUATION IN POSTTERM PREGNANCY USING VIBROACOUSTIC STIMULATION AND AMNIOTIC FLUID INDEX VERSUS FETAL BIOPHYSICAL PROFILE WITH I MODIFIED SCORE (A COMPARATIVE STUDY)

Abstract

Postterm pregnancy is associated with increased perinatal mortality and morbidity.

Controversy exists about the appropriate method of fetal surveillance in postern pregnancy

The aim of this study was to investigate the predictive value of vibroacoustic stimulation with AFI versus fetal biophysical profile with modified score of Manning et a/.(1997) in evaluation of perinatal outcome in 60 posttenn pregnancy women who have no medical or obstetrical problem and have a reliable gestational age of 41 week or more at initial evaluation.

Gestation was estimated on the basis of certain last menstrual period with history of regular cycle. Each woman selected has been subjected to detailed history, general, abdominal, vaginal examination and ultrasonographic evaluation

The cases were randomly allocated into one of two groups each comprising 30 cases. Fetal well being was monitored by either vibroacoustic stimulation and amniotic fluid index (VAS/AFI) or fetal biophysical profile (FBP) with modified score of Manning eta/. (1987).

Both groups were compared regarding nonnal and abnormal monitoring, labor, delivery characteristics, and outcome measures.