Comparison of water and glucose in improving the biophysical profile score

N. Farshchian, M. Raisi, M. Rezaei

Abstract: Hypoxia during pregnancy causes fetal distress. Evaluation of fetal heart rate and movement advised as the helpful tool for evaluation of fetal well being. Glucose intake before the assessment in case of decreased fetal movement was advised but there are some limitations to this approach especially in diabetic mothers. The aim of this study was to determine the effect of glucose ingestion compared to water consumption on the fetal biophysical profile (BPP) parameters in pregnant woman. This study was a double blind randomized controlled trial which were divided into two groups (intervention and control, 47 women per group) and then evaluated. In the control group 200cc of water orally was administered and in intervention group 50 gram glucose diluted in 200 cc of water was administered. BPP score of all patients were taken at baseline and 30 minute after intervention. Paired t-test, McNemar's, Wilcoxon and ANCOVA were used to analysis by SPSS 16. In the glucose group, mean BPP score before and after the intervention were 6.38 and 8.76, and in the water group were 4.85 and 8.85 respectively (p<0.001). Based on our results, we have showed that water consumption can increase the BPP score and could be an alternative to the oral glucose intake especially in those who have contraindications in the use of glucose (Iranian RCT registration No: IRCT2012120111628N1).
DOI:10.18643/gieu.2015.16

Keywords: fetal vitality, ultrasound, fetal biophysical profile, fetal movement, fetal monitoring.