<prompt> Biophysical profile includes all except-NSTMuscle toneAmniotic fluidAcetyl choline level  <response>: Ans. is d i.e., Acetyl choline level Biophysical profile scoring Observation for 30 minutes Normal score 2Abnormal 0ParametersMinimal normal criteriaScoreNon stress test NSTReactive pattern2Fetal breathing movements1 or more episode lasting 30 sec2Gross body movements3 or more discrete bodylimb movements2Fetal muscle tone1 or more episode of extension limb or trunk with return to flexion2Amniotic fluid1 or more pocket measuring 2 cm in two perpendicular planes 2x2 cm pockets2BPP scoring, interpretation, managementBPP ScoreInterpretationManagement8-10No fetal asphyxiaRepeat testing at weekly interval or more6Suspect chronic asphyxiaIf 36 wks - deliver; but if LS 2.0, repeat test in 4-6 hrs4Suspect chronic asphyxiaIf 36 wks - deliver, if 32 wks, repeat testing in 4-6 hrs0-2Strongly suspect asphyxiaTest for 120 min - persistent score 4 or less - deliver regardless of gestational ageModified BPPo Consists ofNST ultrasonographically determined Amniotic fluid index AFI.o It is considered abnormal nonreassuring when NST is non-reactive and or the AFI is 5. 