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. 2003 Nov;13(4):197–203. doi: 10.1055/s-2004-817695

Table 2.

Suggested Clinical Intervention in Response to Biophysical Profile Scores

BPP Score Significance Recommendation
10/10 no evidence of FA no active intervention on fetal basis, serial testing
8/10 (AFV normal)
8/10 (AFV oligo) chronic fetal compromise likely exclude asymptomatic rupture of membrane, deliver at viable gestation > 26 weeks
6/10 (AFV normal) equivocal test FA not excluded repeat test immediately, if score remains 6/10, deliver mature fetus; if fetus immature repeat test in 24 hour and deliver if score 6/10
4/10 acute FA likely deliver + continuous monitoring
2/10 acute FA most likely deliver by Cæsarean section
0/10 severe/acute FA deliver by Cæsarean section

BPP, biophysical profile; AFV, amniotic fluid volume; FA, fetal asphyxia.The table shows the importance of the BPP scoring system in fetal management and the significance of oligohydramnios.