Fetal_Biophysical_Profile_BPP_Score v.1
Predicts need for urgent delivery based on sonographic and nonstress testing.
Used to predict the need for urgent delivery based on sonographic and nonstress testing.
Use in pregnant patients, generally in the third trimester. Should be administered by users familiar with interpretation of fetal heart rate monitoring and fetal ultrasound. Indicated in pregnancies with risk of antepartum fetal demise, including maternal conditions (e.g. antiphospholipid syndrome, poorly-controlled hyperthyroidism) and pregnancy-related conditions (e.g. gestational hypertension, intrauterine growth restriction). Score interpretation: -Score 0–2. Almost certain fetal asphyxia. Delivery recommended -Score 4. Probable fetal asphyxia. Repeat testing same day; if ≤6, deliver -Score 6. Possible fetal asphyxia. If abnormal AFV, delivery recommended. If normal AFV, delivery recommended if >36 weeks with favorable cervix or repeat test ≤6; if repeat test >6, observe and repeat per protocol -Score 8/8, NST not done. Normal, non-asphyxiated fetus. No fetal indication for intervention; repeat testing per protocol -Score 8/10, Decreased AFV. Chronic fetal asphyxia suspected. Delivery recommended -Score 8/10, Normal AFV. Normal, non-asphyxiated fetus. No fetal indication for intervention; repeat testing per protocol -Score 10. Normal, non-asphyxiated fetus. No fetal indication for intervention; repeat test weekly except in diabetic patients and post-term pregnancy (twice weekly)
1. Manning FA, Platt LD, Sipos L. Antepartum fetal evaluation: development of a fetal biophysical profile. American journal of obstetrics and gynecology. 1980 Mar 15;136(6):787-95.
OBSERVATION.fetal_biophysical_profile_bpp_score.v0
