Biophysical profile


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Definition

By Mayo Clinic staff

A biophysical profile is a prenatal test used to check on a baby's well-being. The test combines fetal heart rate monitoring (nonstress test) and fetal ultrasound — an imaging technique that uses high-frequency sound waves to produce images of a baby in the uterus. During a biophysical profile, a baby's heart rate, breathing, movements, muscle tone and amniotic fluid level are evaluated and given a score.

Typically, a biophysical profile is recommended for women at risk of pregnancy loss. A biophysical profile is typically done after week 32 of pregnancy. However, the test can be done when your pregnancy is far enough along for delivery to be considered — usually after weeks 24 to 26 of pregnancy. A low score on a biophysical profile might indicate that you and your baby need further monitoring or special care. In some cases, early or immediate delivery might be recommended.

A biophysical profile is a noninvasive test that doesn't pose any physical risks to you or your baby. However, it's not always clear that a biophysical profile can help promote a baby's health. Find out what a biophysical profile involves and whether this prenatal test might benefit you or your baby.

References
  1. Manning FA. The fetal biophysical profile. http://www.uptodate.com/index. Accessed Nov. 15, 2011.
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  3. Special tests for monitoring fetal health. American Congress of Obstetricians and Gynecologists. http://www.acog.org/publications/patient_education/bp098.cfm. Accessed Nov. 15, 2011.
  4. Gabbe SG, et al. Obstetrics: Normal and problem pregnancies. 5th ed. Philadelphia, Pa.: Churchill Livingstone Elsevier; 2007. http://www.mdconsult.com/books/page.do?eid=4-u1.0-B978-0-443-06930-7..50013-X--cesec4&isbn=978-0-443-06930-7&sid=1233508826&uniqId=301923354-3#4-u1.0-B978-0-443-06930-7..50013-X--cesec12. Accessed Nov. 15, 2011.
  5. Cunningham FG, et al. Williams Obstetrics. 23rd ed. New York, N.Y.: The McGraw-Hill Companies; 2010. http://www.accessmedicine.com/content.aspx?aID=6023002&searchStr=fetal+biophysical+profile. Accessed Nov. 15, 2011.
  6. DeCherney AH, et al. Current Diagnosis & Treatment Obstetrics & Gynecology. 10th ed. New York, N.Y.: The McGraw-Hill Companies; 2007. http://www.accessmedicine.com/content.aspx?aID=2384590. Accessed Nov. 15, 2011.
  7. Devoe LD. Antenatal fetal assessment: Contraction stress test, nonstress test, vibroacoustic stimulation, amniotic fluid volume, biophysical profile and modified biophysical profile - An overview. Seminars in Perinatology. 2008;32:247.
  8. Lalor JG, et al. Biophysical profile for fetal assessment in high risk pregnancies (review). Cochrane Database of Systematic Reviews.  http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD000038.pub2/abstract. Accessed Nov. 16, 2011.
  9. American College of Obstetricians and Gynecologists (ACOG) Committee on Practice Bulletins - Obstetrics. ACOG Practice Bulletin No. 55: Clinical management guidelines for obstetricians-gynecologists. Management of postterm pregnancy. Obstetrics & Gynecology. 2004;104:639.
  10. Oyelese Y, et al. The uses and limitations of the fetal biophysical profile. Clinics in Perinatology. 2011;38:47.
  11. Young BK. Antepartum fetal heart rate assessment. http://www.uptodate.com/index. Accessed Nov. 17, 2011.
  12. Taking a close look at ultrasound. U.S. Food and Drug Administration. http://www.fda.gov/downloads/ForConsumers/ConsumerUpdates/UCM095487.pdf. Accessed Nov. 18, 2011.
MY01919 Feb. 22, 2012

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