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    • A biophysical profile (BPP) is a prenatal ultrasound evaluation of fetal well-being involving a scoring system, with the score being termed Manning's score. It is often done when a non-stress test (NST) is non reactive, or for other obstetrical indications.
      The "modified biophysical profile" consists of the NST and amniotic fluid index only.


      Procedure


      The BPP has five components: four ultrasound (US) assessments and an NST. The NST evaluates fetal heart rate and response to fetal movement. The five discrete biophysical variables are:

      Fetal heart rate
      Fetal breathing
      Fetal movement
      Fetal tone
      Amniotic fluid volume

      Use of vibroacoustic stimulation to accelerate evaluation has been described.


      Interpretation


      Each assessment is graded either 0 or 2 points and then added up to yield a number between 0 and 10. A BPP of 8 or 10 is generally considered reassuring. A BPP normally is not performed before the second half of a pregnancy since fetal movements do not occur in the first half.
      The presence of these biophysical variables implies absence of significant central nervous system hypoxemia/acidemia at the time of testing. By comparison, a compromised fetus typically exhibits loss of accelerations of the fetal heart rate (FHR), decreased body movement and breathing, hypotonia, and, less acutely, decreased amniotic fluid volume.


      See also


      Nonstress test
      Cardiotocography


      References

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