Biophysical Profile Score (BPS or BPP) The biophysical profile is a test used to evaluate the well-being of the fetus. The biophysical profile uses ultrasound and cardiotocography (CTG) , also known electronic fetal heart rate monitoring , to examine the fetus.
What is the biophysical profile (BPP)?
The biophysical profile (BPP) is a maximum 30-minute long ultrasound assessment to assess fetal well-being coupled with a fetal heart rate tracing. The elements are a non-stress test, assessment of fluid index, fetal breathing movements, total body movements, and limb tone demonstrated by flexion and extension of the limbs.
What are the components of the biophysical profile score?
Each of the 5 components of the biophysical profile score do not have equal significance. Fetal breathing movements, amniotic fluid volume, and the non-stress test are the most powerful variables. For example, when the biophysical profile score is 2, the perinatal mortality varies between 428/1000 with only fetal
What is a biophysical profile test?
The biophysical profile is a noninvasive prenatal diagnostic test that usually is performed after the 28th week of pregnancy to evaluate the well-being of the fetus. It combines an ultrasound examination with a nonstress test. The nonstress test is performed to assess fetal heart rate acceleration in response to movement.
What is fetal biophysical profile?
Fetal biophysical profile. Fetal biophysical profile score (BPS or BPP) refers to assessment of four discrete biophysical variables by ultrasound. It is a standard tool in antepartum fetal assessment. It is usually assessed after 28 weeks of gestation.
What are the 5 parameters of biophysical profile?
During the biophysical profile, your provider is looking at 5 main areas to check your baby's health: body movements, muscle tone, breathing movements, amniotic fluid, and heartbeat. Each of these 5 areas is given a score of either 0 (abnormal) or 2 (normal).
What does biophysical profile indicate?
The biophysical profile is a test done after the 28th week of pregnancy. This noninvasive diagnostic test helps evaluate the fetus. It measures body movement, muscle tone, breathing movement and amniotic fluid volume around the fetus.
How many parameters variables are assessed in a biophysical profile BPP )?
The BPP integrates 5 parameters to yield a biophysical profile score (BPS): The nonstress test (NST) Ultrasonographic measurement of the AFV. Observation of the presence or absence of fetal breathing movements.
What is a biophysical profile quizlet?
Biophysical profile (BPP) Real-time ultrasound that visualizes physical and physiological characteristics of the fetus and observes for fetal biophysical responses to stimuli.
How do you read a biophysical profile?
Biophysical Profile Test Score Results A total score of 10 out of 10 or 8 out of 10 with normal fluid is considered normal. A score of 6 is considered equivocal, and a score of 4 or less is abnormal [1,3, 6]. A score of less than 8 indicates the fetus may not be receiving enough oxygen.
What is a biophysical profile during pregnancy?
A biophysical profile (BPP) is a test that combines a nonstress test with ultrasound to check the health of the fetus. A nonstress test (NST) measures the fetal heart rate in response to the movements of the fetus.
What does an 8 8 BPP mean?
A score of eight to 10 means your baby seems healthy. Scores lower than eight usually mean that you need retesting. A very low score could indicate your baby is in distress. Your doctor could recommend early delivery.
How is biophysical profile scored?
BIOPHYSICAL PROFILE Each of the components is given a score of 2 (normal or present as defined previously) or 0 (abnormal, absent or insufficient). A composite score of 8 or 10 is normal, a score of 6 is equivocal and a score of 4 or less is abnormal.
Which variables are scored on a biophysical profile quizlet?
Fetal tone, fetal movement, amniotic fluid index, and fetal breathing movements are all scored on a biophysical profile.
Why do I need a biophysical profile?
A biophysical profile (BPP) measures the health of your baby during your pregnancy. The BPP checks your baby's heart rate, muscle tone, movement, and breathing. It also measures the amount of amniotic fluid around your baby. Looking at these five areas helps your doctor know how well your baby is doing.
What happens if you fail a biophysical profile?
A score of 6 may require a second BPP within 12 to 24 hours, or, depending on how far along you are in your pregnancy, your baby may be delivered. A score of 4 or less may mean you need additional tests or that your baby might need to be delivered right away.
What does a BPP of 8 8 mean?
A score of 6/8 or 8/8 is normal. Most fetuses that score ≤ 6/8 need additional monitoring. A complete BPP includes the addition of electronic fetal monitoring (nonstress test) for a total score of 10 points. A score of 8/10 or 10/10 is considered normal. A score of 6/10 is equivocal and ≤ 4/10 is abnormal.
Who needs biophysical profile?
According to the Mayo Clinic, your doctor may recommend a biophysical profile if you: have a history of pregnancy complications. have high blood pressure, diabetes, or heart disease. are at least 2 weeks past your due date.
What is a biophysical profile?
The biophysical profile is a test used to evaluate the well-being of the fetus. The biophysical profile uses ultrasound and cardiotocography (CTG) , also known electronic fetal heart rate monitoring , to examine the fetus. There are five components measured during the biophysical examination. A score of 2 points is given for each component that meets criteria as listed in the table below. The test is continued until all criteria are met or 30 minutes have elapsed. The points are then added for a possible maximum score of 10.#N#Component#N#Normal (2 points)#N#Abnormal (0 points)#N#Fetal Breathing Movements#N#One or more episodes of fetal breathing lasting at least 30 seconds within 30 minutes.#N#No episodes of fetal breathing movements lasting at least 30 seconds during a 30 minute period of observation.#N#Gross Body Movement#N#3 or more discrete body or limb movements within 30 minutes#N#Less than 3 body or limb movements in 30 minutes#N#Fetal Tone#N#One or more episodes of active extension and flexion of a fetal extremity OR opening and closing of the hand within 30 minutes#N#Slow extension with no return or slow return to flexion of a fetal extremity OR no fetal movement#N#Amniotic Fluid Volume *#N#A single deepest vertical pocket of amniotic fluid measures greater than 2 centimeters. is present#N#A single deepest vertical pocket of amniotic fluid measures 2 centimeters or less#N#Non-stress test (NST)**#N#Reactive#N#Nonreactive
What is gross body movement?
Gross Body Movement. 3 or more discrete body or limb movements within 30 minutes. Less than 3 body or limb movements in 30 minutes. Fetal Tone. One or more episodes of active extension and flexion of a fetal extremity OR opening and closing of the hand within 30 minutes.
Is modified BPP normal or abnormal?
The modified BPP is considered normal if the NST is reactive and the deepest vertical pocket of amniotic fluid is greater than 2 centimeters. The modified BPP is considered abnormal if either the NST is nonreactive or the deepest vertical pocket of amniotic fluid is 2 cm or less [1].
What to expect when undergoing this test
Jenny Lelwica Buttaccio, OTR/L, is a licensed occupational therapist and advocate for patients with Lyme disease.
Purpose of Test
During pregnancy, both the health of the mother and the baby are crucial to maximize the potential for successful delivery and minimize complications. One way to determine the well-being of the baby is through BPP.
Limitations
BBP is not 100 percent foolproof—potentially, the test could miss a problem with the health of the baby, or it could falsely indicate there’s an issue when there may not be, which could result in additional, and sometimes unnecessary, testing.
Risks and Complications
BPP doesn’t involve the use of radiation and isn’t considered invasive. Since it electrically monitors the baby’s heart rate and uses sound waves to create images, it does not pose a health risk to you or your baby.
Before the Test
BPP requires relatively little preparation, so you may have your test on the same day as your healthcare provider’s appointment or a different day. Before the test, the healthcare provider will ask you about your health history—be sure to note any health conditions you’ve been diagnosed with.
During the Test
The test will involve two components—the non-stress test portion and an ultrasound. Throughout the test, you’ll lie on a padded table with your belly exposed. Sometimes you may be asked to change into a gown, but usually, you can keep your clothes on and just expose your belly.
After the Test
Once the test is finished, your healthcare provider will wipe the gel off your abdomen and give you time to get dressed. You may or may not receive the results the same day. Typically, you’ll be allowed to go home, and your healthcare provider will notify you if you need to make arrangements for additional testing or appointments.
Who Gets the Test?
Your doctor may recommend a BPP test if you're past your due date or have a higher risk of problems during pregnancy. You could be at higher risk because of health conditions, such as diabetes or preeclampsia. Or, you may need a BPP after a fall or other accident to make sure your baby is healthy.
What the Test Does
The BPP is a combination of tests that check your baby's health. It measures your baby's body movement and muscle tone. It also measures how fast your baby's heart rate accelerates during movement, and the amount of amniotic fluid protecting your baby in the womb.
What to Know About Test Results
The results of each part of the test -- heart rate, breathing, body movement, muscle tone, and amount of amniotic fluid -- are added up to form a total score. A score of eight to 10 means your baby seems healthy. Scores lower than eight usually mean that you need retesting. A very low score could indicate your baby is in distress.
How Often the Test Is Done During Your Pregnancy
If your doctor decides you need one, you would probably get a BPP in the last trimester. Some women get them earlier. Your doctor may suggest follow-up BPPs for the rest of your pregnancy.
Tests Similar to This One
Nonstress Test, Amniotic Fluid Index (AFI), deep pocket measurements, ultrasound, amniotic fluid volume assessment
Who is a biophysical profile for?
The doctor may order a biophysical profile if he or she suspects that mother and baby are at a higher risk of certain complications. The test can tell a mother’s care team if it's time to induce labor .
How to score BPP?
Your sonographer will assign a BPP score of 0 or 2 points in each of the five categories listed above and then tally them up. Here’s what BPP score totals mean: 1 A score of 8 to 10 is "reassuring," though the test may be repeated later on. 2 A score of 6 may require a second BPP within 12 to 24 hours, or, depending on how far along you are in your pregnancy, your baby may be delivered. 3 A score of 4 or less may mean you need additional tests or that your baby might need to be delivered right away.
What is a BPP?
What is a biophysical profile (BPP)? The biophysical profile (BPP) is an assessment of fetal well-being that's often done when other tests (like the nonstress test) require follow-up.
What does a 4 amniotic fluid score mean?
A score of 4 or less may mean you need additional tests or that your baby might need to be delivered right away. Keep in mind that even if the biophysical profile score is considered "normal," low amniotic fluid levels mean that more monitoring needs to be done and, in some cases, delivery may be necessary.
Is a biophysical profile invasive?
Biophysical profiles are noninvasive, so undergoing one doesn’t pose any risks to you or your baby. But having the test can understandably make you feel worried or stressed. Some limited evidence suggests that extreme anxiety could potentially affect the results of the nonstress test portion of the BPP.
