What action should be taken if a BPP score is 6 or less?

A Biophysical Profile (BPP) is used to assess fetal well-being, evaluating factors such as fetal movement, tone, breathing, and amniotic fluid volume. A BPP score of 6 or less is concerning, indicating potential fetal distress or compromised well-being. This score suggests that either the fetus is not receiving adequate oxygen or there may be other complications that warrant immediate attention.

In such cases, further evaluation is necessary to determine the appropriate next steps. This may involve more detailed fetal surveillance, such as a non-stress test or additional imaging studies, to assess the baby's condition more closely. If the evaluation indicates ongoing risk to the fetus, the healthcare provider may recommend delivery, depending on gestational age and the clinical scenario.

The indication of possible delivery as part of management for a low BPP score is crucial because timely intervention can be critical in preventing further complications for the fetus, ensuring a better outcome. Therefore, recognizing the urgency of a BPP score of 6 or less guides clinicians toward proactive measures rather than watchful waiting or increased monitoring alone, which may not be sufficient in terms of ensuring fetal safety.