What is the recommended action if the BPP score is abnormal (less than 4)?

When the Biophysical Profile (BPP) score is abnormal, especially when it is less than 4, it indicates potential fetal distress or compromised well-being. A low BPP score suggests that the fetus may not be receiving adequate oxygen, or there may be other concerning factors affecting its health.

In such cases, the most appropriate action is to consider delivery for fetal indications. This decision is based on the understanding that a severely compromised fetus may benefit from being delivered, especially if the risks associated with prolonging the pregnancy outweigh the benefits. Timely intervention can be critical in preventing further complications or adverse outcomes for the fetus.

Other options, such as repeating the test in 24 hours or monitoring for symptoms, may delay necessary intervention that could potentially safeguard the health of the mother and baby. The decision to continue with daily fetal movement counts, while important in monitoring fetal health, does not address an immediate concern that an abnormal BPP presents. Therefore, immediate delivery may be warranted to ensure the best possible outcomes in cases of significant fetal distress indicated by such a low score.