Resumo

MARTINEZ GONZALEZ, Luis Raúl; TORRES GARCIA, Wilfredo  e  PEREZ MARTINEZ, Caridad. Experience with the fetal biophysical profile in our environment. Rev Cubana Obstet Ginecol [online]. 1997, vol.23, n.1, pp. 31-36. ISSN 1561-3062.

A fetal welfare study was conducted among 213 pregnant women at risk in the "Justo Legón Padilla" Gynecoobstetric Teaching Hospital from October, 1993, to May, 1994. It was used the fetal biophysical profile according to the quantification criteria of the variables proposed by Manning. 90.60 % of the biophysical profile were normal, 2.30 % abnormal, and 6.60 % suspicious. It was demonstrated that when the biophysical profile is abnormal there is a significant increase of cesarotomies due to acute fetal suffering,of the low Apgar the 5th minute of life, as well as of the amount of meconium amniotic fluids. It was proved that the corporal fetal movements was the biophysical parameter of highest predictive value (80). Through the evaluation of the biophysical profile it was determined its high sensitivity, (88) specificity (94) and elevated discriminating power with a Wilks Lambds of 0.2836. The corporal movements, the tone, and the amniotic fluid are the only parameters considered in this method.

Palavras-chave : ULTRASONOGRAPHY, PRENATAL; PREGNANCY, HIGH-RISK; PRENATAL DIAGNOSIS; FETAL MONITORING [methods]; PREDICITIVE VALUE.