Fetal biophysical profile in twin gestations.

The fetal biophysical profile (nonstress test, fetal breathing movements, fetal movements, fetal tone, amniotic fluid volume, placental grading) was assessed in 49 consecutive referred high-risk patients with twin gestations. The relationship between the last fetal biophysical profile score before delivery was compared with the pregnancy outcome--as reflected by the presence of fetal distress and perinatal death. These data suggest that the fetal biophysical profile is a useful tool for observing fetal status in patients with twin gestations, and could be reliably used as a means of follow-up of nonreactive nonstress testing in these patients.