Replies to This Discussion

Permalink Reply by Bashir H Samma;MD,PGD&C,SrMAIUM on September 12, 2011 at 3:26pm

A score of 8 to 10 is normal. Depends on whether the fetus is asleep, or mother has taken breakfast or not.

As for me, when I see breathing movments and, a pocket of at least 2cm of liquor, as well as normal heart rate with non stress cardiac acceleration in several occasions, I classify the observations as normal. Some fetuses are lazy....have to enquire from mums about how oftne they feel the kicks!

 

did this help?

 

regards

Permalink Reply by Lisa Comer on September 12, 2011 at 7:39pm

This sounds like a modified BPP.  I realize that fetal respirations virtually excludes anoxia, but in compromised fetuses exhibiting an non-re NST, lack of respirations, and low or normal AFI, how much emphasis is placed on tone and gross movements? Certainly there must be some formal documentation for what is seen and/or not seen.  Does "merely" an opened and closed hand pass for fetal tone, for example. Thanks for your response.   

 

Bashir H Samma;MD,PGD&C,SrMAIUM said:

A score of 8 to 10 is normal. Depends on whether the fetus is asleep, or mother has taken breakfast or not.

As for me, when I see breathing movments and, a pocket of at least 2cm of liquor, as well as normal heart rate with non stress cardiac acceleration in several occasions, I classify the observations as normal. Some fetuses are lazy....have to enquire from mums about how oftne they feel the kicks!

 

did this help?

 

regards

Permalink Reply by John Trombly on September 15, 2011 at 2:37pm

What are the feelings about using some type of external stimulus during the BPP exam to provoke movement?

Permalink Reply by Lisa M. Allen on September 17, 2011 at 7:19pm

This was originally posted in February 2010.

 

ACOG Practice Bulletin Number 9, October 1999 - Antepartum Fetal Surveillance.

According to this document:

The BPP consists of an NST combined with four observations made by real time ultrasonography. Thus, the BPP comprises five components:

1. Nonstress test (which, if all four ultrasound components are normal, may be omitted without compromising the validity of the results).

2. Fetal breathing movements (one or more episodes of rhythmic fetal breathing movements of 30 seconds or more within 30 minutes).

3. Fetal movement (three or more discrete body or limb movements within 30 minutes).

4. Fetal tone (one or more episodes of a fetal extremity with return to flexion, or opening or closing of a hand).

5. Determination of the amniotic fluid volume (a single vertical pocket of amniotic fluid exceeding 2 cm is considered evidenc of adequate amniotic fluid).

Each of the five components is assigned a score of either 2 (normal or present as defined previously) or 0 (abnormal, absent, or insufficient). A composite score of 8 or 10 is normal.

Permalink Reply by Lisa Comer on September 18, 2011 at 8:50am

Perfect, thanks Lisa

 

Permalink Reply by hugo pineda 16 hours ago

Hi all of you!
What about to use Doppler? The Kappa index for BPP is 6 or 7 so there are a wide difference between one and other observer. I agree some fetuses are lazy and we can use the VAE. Or are you asking about regular risk pregnancy?