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This ultrasound combines three important assessments to check fetal well-being and circulation in late pregnancy:
1️⃣ FWB (Fetal Well-Being Assessment)
2️⃣ BPP (Biophysical Profile)
3️⃣ Doppler Study
It is typically done in the third trimester (after 28 weeks), especially in high-risk pregnancies to monitor fetal health and detect complications.
This includes:
✅ Fetal Growth Parameters – Measuring BPD, HC, AC, FL, and EFW to check if the baby is growing properly.
✅ Amniotic Fluid Levels (AFI) – Checking if there is enough amniotic fluid.
✅ Fetal Position – Determining if the baby is in the head-down position for delivery.
✅ Fetal Heart Rate (FHR) – Monitoring the baby’s heartbeat to detect distress.
The BPP score (out of 10) evaluates fetal health based on:
| Parameter | Normal (2 points) | Abnormal (0 points) |
|---|---|---|
| Fetal Movements | 3+ movements in 30 min | Less than 3 movements |
| Fetal Tone | Flexion & extension seen | No movement or abnormal tone |
| Fetal Breathing | 1+ breathing movements in 30 min | No fetal breathing |
| Amniotic Fluid Index (AFI) | Normal amount | Too low or absent |
| Non-Stress Test (NST) (if included) | Normal FHR pattern | Abnormal HR pattern |
🔹 Normal BPP Score: 8-10 (Healthy Baby)
🔹 Borderline BPP Score: 6 (Needs Monitoring)
🔹 Low BPP Score: ≤ 4 (Possible Fetal Distress – Immediate Action Needed)
This checks blood circulation between the baby and placenta using Doppler ultrasound:
✅ Umbilical Artery Doppler – Measures blood flow between placenta & baby.
✅ Middle Cerebral Artery (MCA) Doppler – Checks fetal brain circulation for oxygen supply.
✅ Ductus Venosus Doppler – Evaluates fetal heart & liver blood flow.
✅ Uterine Artery Doppler – Assesses placental function and risk of preeclampsia.
🔹 Abnormal Doppler readings may indicate:
❌ Placental insufficiency (poor oxygen/nutrient supply).
❌ Fetal growth restriction (IUGR).
❌ Risk of preterm birth or fetal distress.
📌 Between 28-40 weeks for fetal monitoring.
📌 More frequently in high-risk pregnancies (diabetes, hypertension, IUGR, multiple pregnancy, previous stillbirth).
🔹 No fasting required.
🔹 Drink some water before the scan (for better amniotic fluid assessment).
🔹 Wear loose clothing for easy access to the abdomen.
1️⃣ Gel is applied to the abdomen.
2️⃣ Fetal measurements (FWB) are taken.
3️⃣ BPP parameters are observed in real-time.
4️⃣ Doppler ultrasound evaluates blood flow patterns.
5️⃣ The scan takes 30-45 minutes and is painless.
✅ Yes, it is completely safe, non-invasive, and radiation-free.
✅ Helps prevent complications by detecting fetal distress early.