Alcalay M, Lipitz S, Ben Rafael Z, Barkai G, Mashiach S
Department of Obstetrics and Gynecology, Chaim Sheba Medical Center, Tel Hashomer, Israel.
J Reprod Med. 1994 Jun;39(6):436-40.
Assessment of the last fetal biophysical profile score (BPS) (excluding nonstress test) prior to delivery was carried out in 35 triplet pregnancies. A normal BPS was found to be reliable in predicting nondistressed fetuses in triplets (specificity, 94.9%), while an equivocal BPS (6/8) had low sensitivity (14.3%) in predicting distressed fetuses. Two stillbirths were not detected by ultrasound prior to delivery. No correlation was found between the BPS and either neonatal morbidity or perinatal mortality. The BPS could not differentiate between distressed and nondistressed fetuses in the same pregnancy. These results suggest that an equivocal BPS has limited value in predicting fetal distress in triplet pregnancies, but a normal one could be used to predict nondistressed fetuses.
对35例三胎妊娠患者在分娩前进行了末次胎儿生物物理评分（BPS）（不包括无应激试验）评估。结果发现，正常的BPS在预测三胎妊娠中未发生窘迫的胎儿方面具有可靠性（特异性为94.9%），而可疑的BPS（6/8）在预测发生窘迫的胎儿时敏感性较低（14.3%）。有两例死产在分娩前未通过超声检测到。未发现BPS与新生儿发病率或围产儿死亡率之间存在相关性。BPS无法区分同一妊娠中发生窘迫和未发生窘迫的胎儿。这些结果表明，可疑的BPS在预测三胎妊娠中的胎儿窘迫方面价值有限，但正常的BPS可用于预测未发生窘迫的胎儿。
