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Obstetrics & Gynecology 1992;80:106-110
© 1992 by The American College of Obstetricians and Gynecologists
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The Biophysical Profile and the Nonstress Test: Poor Predictors of Chorioamnionitis and Fetal Infection in Prolonged Preterm Premature Rupture of Membranes

GERARDO O. DEL VALLE, MD, GARY M. JOFFE, MD, LUIS A. IZQUIERDO, MD, JAMES F. SMITH, MD, GEORGE J. GILSON, MD and LUIS B. CURET, MD

From the Department of Obstetrics and Gynecology, University of New Mexico School of Medicine, Albuquerque, New Mexico

Abstract

Sixty-eight women admitted with the diagnosis of preterm premature rupture of membranes (PROM) and a latency period of at least 48 hours were followed expectantly. Fetal surveillance consisted of daily kick counts, daily nonstress test (NST), and fetal biophysical profile every 48-72 hours. Patients were delivered as a result of spontaneous labor, clinical chorioamnionitis, fetal distress, or attainment of 37 weeks' gestation. No corticosteroids, tocolytics, or prophylactic antibiotics were used. The last biophysical profile and the last NST before delivery were evaluated for each patient. There was no statistically significant association between chorioamnionitis or fetal infection and the following: 1) a low biophysical profile (score of 6 or lower), 2) a low biophysical profile that included a nonreactive NST and absent fetal breathing movements, or 3) a nonreactive NST. We conclude that the biophysical profile and the NST are poor predictors of perinatal infectious complications.




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A. GHIDINI, C. M. SALAFIA, V. KIRN, V. DORIA, and C. Y. SPONG
Biophysical Profile in Predicting Acute Ascending Infection in Preterm Rupture of Membranes Before 32 Weeks
Obstet. Gynecol., August 1, 2000; 96(2): 201 - 206.
[Abstract] [Full Text] [PDF]


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Copyright © 1992 by the American College of Obstetricians and Gynecologists.