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    Biophysical Profile

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    Amrita
    The biophysical profile is a screening test used to assess fetal well-being and risk of uteroplacental insufficiency. It evaluates fetal biophysical activities which are regulated by the fetal nervous system and sensitive to hypoxia. The biophysical profile scores five parameters: non-stress test results, fetal breathing movements, gross body movements, muscle tone, and amniotic fluid volume. Scores of 8-10 are considered normal, 6 warrants further testing or delivery depending on other factors, and 4 or less strongly indicates fetal distress requiring delivery. An abnormal biophysical profile is associated with increased risk of stillbirth and perinatal mortality.

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    Biophysical Profile

    Uploaded by

    Amrita
    32 views8 pages
    The biophysical profile is a screening test used to assess fetal well-being and risk of uteroplacental insufficiency. It evaluates fetal biophysical activities which are regulated by the fetal nervous system and sensitive to hypoxia. The biophysical profile scores five parameters: non-stress test results, fetal breathing movements, gross body movements, muscle tone, and amniotic fluid volume. Scores of 8-10 are considered normal, 6 warrants further testing or delivery depending on other factors, and 4 or less strongly indicates fetal distress requiring delivery. An abnormal biophysical profile is associated with increased risk of stillbirth and perinatal mortality.

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    BPP

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    The biophysical profile is a screening test used to assess fetal well-being and risk of uteroplacental insufficiency. It evaluates fetal biophysical activities which are regulated by the fetal nervous system and sensitive to hypoxia. The biophysical profile scores five parameters: non-stress test results, fetal breathing movements, gross body movements, muscle tone, and amniotic fluid volume. Scores of 8-10 are considered normal, 6 warrants further testing or delivery depending on other factors, and 4 or less strongly indicates fetal distress requiring delivery. An abnormal biophysical profile is associated with increased risk of stillbirth and perinatal mortality.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    32 views8 pages

    Biophysical Profile

    Uploaded by

    Amrita
    The biophysical profile is a screening test used to assess fetal well-being and risk of uteroplacental insufficiency. It evaluates fetal biophysical activities which are regulated by the fetal nervous system and sensitive to hypoxia. The biophysical profile scores five parameters: non-stress test results, fetal breathing movements, gross body movements, muscle tone, and amniotic fluid volume. Scores of 8-10 are considered normal, 6 warrants further testing or delivery depending on other factors, and 4 or less strongly indicates fetal distress requiring delivery. An abnormal biophysical profile is associated with increased risk of stillbirth and perinatal mortality.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 8

    BIOPHYSICAL PROFILE

    Principle
    • It is a screening test for uteroplacental insufficiency.
    • Fetal biophysical activities are initiated, modulated and regulated by
    fetal nervous system.
    • Fetal CNS is very sensitive to diminished oxygenation.
    • Hypoxia Metabolic acidosis CNS depression
    Changes in fetal Biophysical activity.
    Indications:
    • Non reactive NST
    • High risk pregnancy

    Frequency:
    • Weekly after a normal NST
    • Twice weekly after abnormal NST
    Modified Biophysical Profile:

    • Modified BPP consists of NST and Ultrasonographically determined


    amniotic fluid index.
    • With USG largest vertical pockets in 4 quadrants of uterine cavity are
    measured. The sum of these 4 measurements (in cms) is the AFI.
    • Modified BPP is considered abnormal when NST is non-reactive
    and/or when AFI < 5cm.
    Biophysical Profile Scoring (Manning Scoring)
    Normal score-2; Abnormal score-0

    Parameters Minimal normal criteria Score


    Non-stress test Reactive pattern 2
    i.e., ≥ 2 accelerations of ≥ 15 beats/min
    for ≥15 sec within 20-40 mind
    Fetal breathing movements ≥ 1 episode lasting ≥ 30 seconds within 2
    30 mins
    Gross body movements ≥ 3 discrete body/limb movements 2
    within 30 mins
    Fetal muscle tone ≥ 1 episode of active exertion (limb or 2
    trunk) with return of flexion; opening
    or closing of hand considered normal
    with in 30 mins
    Amniotic fluid volume ≥ 1 pocket measuring 2cm in two 2
    perpendicular planes(2cm x 2cm
    pocket)
    BPP Scoring, Interpretation and Management
    BPP score Interpretation Management
    8-10 Normal; less risk of fetal asphaxia Repeat testing at weekly interval
    6 Suspect chronic asphaxia If ≥ 36 weeks, deliver;
    But if L/S < 2.0 or <32 weeks repeat test
    in 4-6 hours
    4 or less Strongly suspect asphaxia Test for 120 mins

    Persistent score of ≤ 4

    Deliver regardless of gestational age


    • Abnormal score of 4 or less is associated with fetal acidemia.
    • Abnormal BPP is associated with high risk of still births and perinatal
    mortality
    • False negative rate of normal BPP is 0.1%
    THANK YOU

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