Ultrasound Antenatal combined with a Biophysical Profile (BPP) is a non-invasive diagnostic tool frequently used in pregnancy to assess the health and wellbeing of the baby. It comprises both an ultrasound examination and a fetal non-stress test (NST). The ultrasound evaluates the baby's movements, muscle tone, and breathing, as well as the amount of amniotic fluid around the baby. On the other hand, the NST monitors the baby's heart rate and its response to movements. Together, these provide valuable insights into the baby's health and the placenta's functionality.The Biophysical Profile, a crucial part of prenatal care, is typically performed in the third trimester, particularly in pregnancies at risk of complications. It consists of five parameters: fetal heart rate (through the NST), fetal movement, fetal tone, fetal breathing movements, and amniotic fluid volume. Each of these parameters is scored on a two-point scale (0 or 2), and the total score (out of 10) can help identify potential risks and guide further management.
The BPP and antenatal Ultrasound can provide information about the baby's neurological function, detect signs of fetal distress, and identify potential issues that might necessitate intervention, such as premature birth or induction of labor. It plays an essential role in determining the health of babies in pregnancies with complications like hypertension, diabetes, or when the baby's growth is slower than expected.
Note: Home Sample Collection is only for Pathology lab tests.
Timing of the Scan: BPPs are typically conducted from the 26th week of pregnancy, but the timing can vary depending on the mother's health condition and the doctor's recommendations.
Preparation: Usually, there's no special preparation required. However, some doctors may suggest drinking a glass of fruit juice or a sugary drink before the test to stimulate the baby's movements. Always follow your doctor's specific instructions.
Duration: A BPP typically takes about 30 minutes to complete. The NST may take more or less time depending on how active the baby is.
An antenatal ultrasound with a Biophysical Profile (BPP) is a comprehensive assessment of fetal wellbeing that combines an ultrasound and a fetal non-stress test. It evaluates various aspects of the baby's health, including heart rate, movement, muscle tone, breathing, and the amount of amniotic fluid.
A BPP is usually recommended in pregnancies where there's a higher risk of complications. It may be suggested if you have medical conditions like diabetes or hypertension, if the baby is not growing as expected, if you're carrying multiples, or if you're past your due date.
The BPP score is out of 10, with each of the five parameters scoring either a 0 (abnormal) or a 2 (normal). A score of 8-10 is generally considered reassuring, indicating that the baby is doing well. A score of 6 might be concerning, and a score of 4 or below may require immediate delivery, depending on the gestational age and specific circumstances.
The ultrasound part of the BPP is performed in a standard way where a sonographer applies a special gel on your abdomen and moves a device called a transducer to create images of the baby. The NST involves attaching monitors to your abdomen to record the baby's heart rate and movements.
The BPP test is not usually painful. Some women might feel slight discomfort from the pressure of the ultrasound transducer or from the straps holding the monitors in place during the NST.
A low BPP score can be a cause for concern and might indicate that the baby is not doing well. Your doctor will explain the results to you and may suggest further testing or closer monitoring.
If you're at high risk of complications, you might need to have BPP tests once or twice a week in your third trimester. Your doctor will determine the best schedule for you based on your specific situation.
Generally, there are no restrictions on eating or drinking before a BPP test. Some doctors may even suggest having a glass of fruit juice or a sugary drink before the test to stimulate the baby's movements.
After the BPP, you can resume your normal activities. Your doctor will discuss the results with you and let you know if any follow-up tests are needed.
A BPP is typically performed by a trained sonographer, and the results are interpreted by a doctor who specializes in pregnancy and childbirth.
Antenatal ultrasound with a Biophysical Profile (BPP) is a crucial part of prenatal care that assesses the overall wellbeing of the baby, particularly in high-risk pregnancies. Although it might seem complex, understanding its purpose and what it measures can help you better comprehend the process and significance. It's important to follow your doctor's advice, ask any questions you may have, and ensure regular prenatal appointments for the wellbeing of both you and your baby.