Table 2.
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.