Biophysical Profiles

8-10 score

normal, repeat 1-2x weekly

6 score

suspect chronic asphyxia: deliver if over 36 weeks or if oligohydramnios present

4 score

suspect chronic asphyxia, deliver

0-2 score

extend test to 120 min, if under 4 again, deliver

components of biophysical profile test

fetal tone, fetal breathing movements, fetal movements, NST, amniotic fluid index

fetal breathing movements scores (0 vs 2)

0- none, 2- 1 breathing movement of 30 secs in 30 mins

fetal movements score (0 vs 2)

0- fewer than 3 movements 2- 3 movements in 30 mins

fetal tone score (0 vs 2)

0- none 2- 1 active flexion and extension

amniotic fluid index score (0 vs 2)

0- afi under 5 cm with no pocket 2- afi over 5 cm with pocket over 2cm

NST score (0vs2)

0- nonreactive 2- reactive