Biophysical Profiling

The Biophysical Profile (BPP) is a medical test used to assess the well-being and overall health of a developing fetus during pregnancy. It is a combination of different assessments that provide valuable information about the fetal condition and help healthcare providers make informed decisions regarding pregnancy management.
The BPP typically includes five components:
1. Non-Stress Test (NST): This involves monitoring the fetal heart rate in response to the fetus's movements. A healthy fetus should experience an increase in heart rate when moving. This test helps assess the nervous system and cardiovascular responses of the fetus.
2. Fetal Breathing Movements (FBM): This component measures the presence of rhythmic breathing movements in the fetus. The absence of these movements may indicate potential problems with the central nervous system or the respiratory system.
3. Fetal Movement (FM): The BPP assesses the number of times the fetus moves within a certain period. Reduced fetal movement might indicate fetal distress or other issues.
4. Fetal Tone (FT): This part evaluates the muscle tone of the fetus. The presence of flexed limbs and active movements suggests good muscle tone, while limp or floppy limbs may indicate problems with the nervous system.
5. Amniotic Fluid Volume (AFV): The amount of amniotic fluid surrounding the fetus is measured. Amniotic fluid protects the fetus and allows it to move and grow properly. An abnormal amount of amniotic fluid could indicate issues with fetal kidneys, gastrointestinal system, or placental function.
Each component is scored either 0 or 2 points, depending on whether it falls within the normal range or not. A perfect BPP score is 10. A low score might indicate a potential problem with the fetus's well-being, prompting further evaluation or interventions. In some cases, if the BPP score is consistently low, healthcare providers may decide to induce labor or recommend a cesarean delivery to ensure the safety of both the fetus and the mother.
It's important to note that the BPP is typically performed in the third trimester of pregnancy, and its interpretation can vary depending on individual circumstances. The BPP is often recommended in high-risk pregnancies, such as those with gestational diabetes, preeclampsia, or when there are concerns about fetal growth or movement.
As with any medical test, the results of the BPP should be interpreted by a qualified healthcare professional, taking into account the clinical context and other relevant factors.

[@bcr1103]

Answer: Steroids (eg Dexamethasone) to promote lung maturity

[@xi_gifted_xi2689]

Short simple to the point I love this thank you!

[@AAUN]

Nice video about Biophysical profile. I would like to add that spontneous deceleration during biophysical profile teting is associated with significant fetal morbidity.

[@durrevolutionxxx2912]

Beautifully explained thank you day after tomorrow will be my paper of Obstetrics!

[@USMLEpass]

Happy to help

[@whatislove7252]

Thank you as always!

[@AzizKhan-qc6wp]

excellent very easy to understand

[@jimmymuhangi2315]

I didn't see the answer to the mcq

[@mary-ch9er]

i think it steroid for lungs maturety

[@palmharris4805]

Me either

[@nassirhussein9438]

Corticosteroids to speed up lung development.

[@nassirhussein9438]

Magnesium sulfate to prevent seizures (relaxes muscles) or to stop or slow down labor, on the other hand, oxytocin begins/improves contractions (speeds up delivery). Azithromycin is supposed to decrease maternal death/sepsis.

[@user-mr3iv7bj6n]

@@nassirhussein9438how about steroid

[@amani19700]

There's something that's not clear, how much time do you mean by saying "during the test"?! For example: >3 movements during the test is normal, I don't know how much time it will cost! Clarify it to me please, thank you

[@USMLEpass]

A test duration is 30 minutes

[@amani19700]

@@USMLEpass thank you very much

[@USMLEpass]

Anytime 🖐

[@samarfayyad4281]

Like ur video

[@brunomonarim]

The fetal heart rate part is wrong

[@najahsani6747]

Yes, he said no heart rate, which basically says baby's dead. It should be the presence or absence of acels

[@parvez963]

What is the answer of this quize

[@USMLEpass]

Steroids must be given to all newborns of prematurity.

[@mikekampoli9528]

@@USMLEpass thanks

[@bhekmusadlamini3743]

Are the steroids given to new Borns or they are given before to help with lung maturity as the baby will be born before term, then you can also use a Tocolytic agent (e.g Nifedipine in my case) to give the steroids time to work (we use Betamethasone 12mg 12 hourly), my question is why would we give steroids to new Borns and also why penicillin.
Disclaimer: I'm still a student

[@fasamah.kollie8767]

Steroids are given around 24 to 34 week gestation to facilitate lung maturation

[@yasyas2017]

what is the answer?

[@USMLEpass]

The answer is steroids and Penicllin. I forgot to highlight it 🙄

[@shorshwahbi6696]

@@USMLEpass and where is the penicillin

[@aadam1]

@@USMLEpass 😂😂😂💔

[@yellowishpeony2768]

Why not MgSo4 too? doesn't it prevent cerebral palsy?

[@Liani_billions45]

@@yellowishpeony2768 I tot as much

[@ALBaloshAlBaloshi]

mgsulfat

[@sarahkhan8776]

if less than 30 weeks

[@rashaneamah7720]

Steriod