Diagnosis and management must take into consideration maternal and fetal risk factors. A biophysical profile can only diagnose oligohydramnios or polyhydramnios. Otherwise, it is an indicator of fetal wellbeing reflecting the blood pH. A score of 8 to 10 is normal and provides reassurance that the risk of fetal asphyxia within 1 week is extremely low. Rates of this study being a false negative range from fetal death rates of 0.55 per 1000 to 0.83 per 1000. A score of 6 is considered either equivocal or abnormal. If oligohydramnios is diagnosed, the study should be repeated in 24 hours or the patient should possibly be induced if at term. If the score is 6 and all the points off relate to fetal movement, this is more reassuring, but the study should be repeated in a short interval. A score of 2 to 4 is not reassuring, and the recommendation is to either move toward labor induction or cesarean section depending on what is most prudent. A score of 0 indicates impending fetal asphyxia and delivery should be by urgent cesarean section at a hospital with NICU capability.