Hello!
Here's a mnemonic for biophysical profile: BAT HAM
Breathing
Amniotic fluid volume
Tone
Heart rate Acceleration
Movements
Here's an overview of interpretations from the BPP score.
BPP 10/10
BPP 8/10 (Normal AFV)
No fetal indication for intervention.
Repeat weekly.
BPP 6/10 (Normal AFV)
Equivocal. Repeat test within 24 hours.
BPP 4/10 (Normal AFV)
Fetal lungs mature (>37 weeks), deliver.
Fetal lungs immature, betamethasone, repeat test within 24 hours.
General rule: If oligohydramnios, consider delivery.
BPP 8/10 (Decreased AFV)
BPP 6/10 (Decreased AFV)
Assess clinical scenario, consider delivery depending on gestational age, risk of fetal, maternal death, etc.
BPP 4/10 (Decreased AFV)
If >32 weeks, deliver.
If <32 weeks, observe.
BPP 2/10
BPP 0/10
Deliver regardless of gestational age.
That's all!
I wrote this down from a number of resources, including uptodate
-IkaN
Good one IKAN.
ReplyDeleteI use MT BAN (Movements, tone, breathing, amniotic fluid and NST)
If BPP is 6/10, My remote memory says next step should be CST. But i may be wrong !
Oh I didn't know about that.
DeleteNice mnemonic! :)