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U-M Health SystemThis information is approved and/or reviewed by U-M Health System providers but it is not a tool for self-diagnosis or a substitute for medical treatment. You should speak to your physician or make an appointment to be seen if you have questions or concerns about this information or your medical condition.

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Non-Stress Test, Amniotic Fluid Index Biophysical Profile


Why is a Non-stress Test (AFIBP) performed?
What can I expect during the test?

Why is a Non-stress Test (AFIBP) performed?

Your health care provider may recommend that you have a non-stress test during the latter part of your pregnancy. The non-stress test uses a fetal monitor to listen to the heart rate of your baby and can also provide some information about contractions. The non-stress test may be done for a number of reasons, including: if you have high blood pressure or diabetes; if your baby is moving less than usual; if your baby is overdue; if there has been a problem during one of your earlier pregnancies; or to provide reassurance to you and your health care provider that your baby is doing well.

What can I expect during the test?


This test usually takes about 30 minutes depending on the activity and sleep pattern of your baby and will not hurt you or your baby. Your health care provider will look for increases in your baby's heart rate as your baby moves around inside you. These increases help to assure your health care provider of your baby's well-being. A fetal monitor will be used to record this information. The amniotic fluid index, commonly called an AFI, only takes a few minutes, and is performed to determine the amount of fluid that surrounds your baby.

Ultrasound is used to look at and measure these pockets of fluid. The amniotic fluid index may be done for a number of different reasons, including: going past your due date; rupturing of your membranes or bag of waters too early in your pregnancy; and providing reassurance to you and your health care provider that your baby is doing well.

The biophysical profile is a test that combines both fetal monitoring and ultrasound information. It may take an hour to complete and consists of the following five different parts: the non-stress test; the amniotic fluid index; the smaller movements made by your baby's arms and legs; the larger movements made by the baby; and the ability of your baby to move its chest muscles, called fetal breathing. This test would be done for a variety of reasons, including: testing without increasing your baby's heart rate; rupturing of your membranes or bag of waters prematurely; and reassuring you and your health care provider of your baby's well-being.


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