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What Does Non Stress Test Report During Pregnancy Indicate?

Posted on Mon, 20 Apr 2015

Question: To Rakhl Tayal, M>D> Hope you are well From med record 37 wk female induced for decreased fetal movement for following reason: Fetal Assessment demonstrates: 2 accelerations in 30 mins OR a BPP of 8/10. No late deceleration in the past 30 minutes. No variable deceleration's exceeding 30 seconds and decreasing greater than 60 bpm from baseline in past 30 mins. ( Baby had no problems during pregnancy; normat fetal movements and 10/10 up until two days prior to inducement): Does this finding justify early inducement no other tests done. US NST etc Thank you
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Answered by Dr. Dr. Rakhi Tayal (59 minutes later)

Brief Answer:
Induced due to low BPP.

Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
The findings of non stress test are normal. But a BPP of 8/10 is suggestive of fetal compromise. This can be due to decreased fetal movements or a decrease in liquor. Waiting for 2-3 more days could have caused a further decrease in BPP. This justifies the early inducement.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Rakhi Tayal (11 hours later)

Thank you Could there have been any test that would. confirm this condition prior to inducement. Patient came to hospital at 6:30 PM for routine sonogram (never performed) this condition was found at 11:30 PM inducement began 12:15 born 12 hrs. later vaginal birth

Answered by Dr. Dr. Rakhi Tayal (1 hour later)

Brief Answer:
BPP itself is a test.

Detailed Answer:
Hello.
Thanks for writing again.
BPP itself is a test to confirm that there are decreased fetal movements or the fetal body tone is reduced that suggests a compromised blood supply to the fetus. After it was found at 11.30 PM, it was right to induce immediately after.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Rakhi Tayal (2 hours later)

Thank you for quick reply very helpful. In this matter Biophysical test was not performed. What is BPP test referenced and should there be a printed record of results of it. Is it a subjective (not objective finding) finding by physician?. Throughput pregnancy and up to two days before inducement baby fine, fetal movements normal and 10/10 bio Thanks again

Answered by Dr. Dr. Rakhi Tayal (14 minutes later)

Brief Answer:
BPP is same as biophysical test.

Detailed Answer:
BPP refers to Biophysical profile. It is done during an ultrasound scan and the result is recorded in the report. The fetal tone and body movements are subjective findings while the amniotic fluid index is an objective finding.
The biophysical profile can reduce due to decreased fetal breathing movements or decreased liquor. It can decrease in 2-3 days also.
I hope you understand.
Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Rakhi Tayal (51 minutes later)

You are the best. But as mentioned in this matter there was no ultra sound'; no sonogram or bio physical testing of any kind noted in medical record.. Is there any other way that physician can report the 8/10 BBP and the decelerations noted in original question.? Have great day

Answered by Dr. Dr. Rakhi Tayal (7 hours later)

Brief Answer:
Ultrasound is needed.

Detailed Answer:
Without an ultrasound scan and NST it is not possible to report a BPP of 8/10. Your NST was normal. An ultrasound scan is needed to report BPP.
Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Rakhi Tayal (5 hours later)

thanks again can that be accomplished by reviewing fetal heart monitor strip?

Answered by Dr. Dr. Rakhi Tayal (3 hours later)

Brief Answer:
No.

Detailed Answer:
No. Fetal heart monitoring strip only documents the fetal heart rate accelerations with movement and deceleration with fetal distress. Fetal body tone or amniotic fluid or the frequency of movements cannot be assessed with this.
Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Rakhi Tayal (2 hours later)

Thank you once again for your brilliance Have great day Good luck you are a good person. Since there appears to be no test whatsoever in medical record could you render an opinion on where the doctor would arrive at his assessment regarding 80/10 BP, accelerations etc since he seems to rely on that for his decision to induce early? Thanks again XXXXXX

Answered by Dr. Dr. Rakhi Tayal (4 hours later)

Brief Answer:
BPP cannot be detected without an ultrasound scan.

Detailed Answer:
A BPP of 8/10 cannot be assessed without an ultrasound scan. Only the doctor who put these notes can tell how he came to this finding. The decision to induce early was correct if actually the BPP was 8/10. But this cannot be detected without an ultrasound scan.
Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar