Biophysical Profile

The biophysical profile (BPP) is an ultrasound assessment of fetal well-being. It was originally designed to mimic the Apgar score for postnatal assessment. The BPP is technically more difficult to perform and interpret but provides a greater degree of certainty of fetal well-being. During a 30-minute examination, certain behavioral patterns associated with a healthy fetus are documented. The test is scored with five components, each worth 2 points (Table 21-11). Indicators such as amniotic fluid volume, fetal breathing, fetal heart rate, movement, and tone are evaluated. A score of 8 or 10 is reassuring; a score of 6 is suspicious and indicates a need for further evaluation; and a score of 4 or less is ominous, indicating the need for immediate intervention. A low score may also reflect the fetus's behavioral state during the test, such as normal sleep or sedation from maternal use of narcotics or CNS depressants. However, a decreasing score has been well correlated with poor outcome and with increasing degrees of fetal acidemia.

Mole Removal

Mole Removal

Moles, warts, and other unsightly irregularities of the skin can be bothersome and even embarrassing. They can be removed naturally... Removing Warts and Moles Naturally! If you have moles, warts, and other skin irregularities that you cannot cover up affecting the way you look, you can have them removed. Doctors can be extremely expensive. Learn the natural ways you can remove these irregularities in the comfort of your own home.

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