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Journal of Ultrasound in Medicine, Vol 9, Issue 10 583-591, Copyright © 1990 by American Institute of Ultrasound in Medicine

JOURNAL ARTICLE

The biophysical profile. A literature review and reassessments of its usefulness in the evaluation of fetal well-being

H. J. Finberg, A. B. Kurtz, R. L. Johnson and R. J. Wapner
Phoenix Perinatal Associates, Arizona.

Antenatal monitoring studies to assess fetal well-being and to identify the compromised fetus are in widespread use. This literature review analyzes the theoretical basis for fetal monitoring and the clinical research that has defined its utility, and it discusses the variations in protocols and scoring systems for the biophysical profile. While recognizing that there, is as yet, no consensus on the optimal monitoring protocol, the authors espouse one approach in which the cardiac nonstress test and the amniotic fluid volume are the initial tests, with full biophysical profile reserved for abnormal test outcomes. This approach to monitoring should be expeditious without diminishing its predictive value.




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Copyright © 1990 by the American Institute of Ultrasound in Medicine.