Fetal biophysical profile follow-up can safely prolong the conservative management of premature rupture of the membranes

ABSTRACT

This study aimed to evaluate the use of the biophysical profile scoring follow up to early predict the occurrence of intrauterine infection in cases of premature rupture of the membranes. This assisted the proper management of such cases. Follow up of 102 pregnancies of >/25 weeks complicated with premature rupture of the membranes were assisted with biophysical profile scoring, leucocytic count, and C-reactive protein detection. Amniotic fluid cultures were done, and at delivery neonatal cultures were obtained to diagnose cases with infection. The results showed that a biophysical profile of 6 or less was superior in the prediction of the occurrence of intrauterine infection that happened in 28 cases. Its value in the exclusion of non-infected cases led to pregnancy prolongation by an average of 1.5 weeks. Leucocytosis and C-reactive protein were of 1.5 weeks. Leucocytosis and C-reactive protein were less accurate in this respect. It was concluded that conservative management of pregnancies complicated with premature rupture of the membranes could be safely prolonged with the biophysical profile monitoring of these cases