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Non-Stress Test During Pregnancy: What It Is and What to Expect

07 Dec 2024
Non-Stress Test During Pregnancy What It Is and What to Expect

A non-stress test (NST) is a common and safe way to check on your baby’s well-being during pregnancy. This painless procedure provides valuable information about how your baby is doing and helps your healthcare provider ensure everything is on track. If your doctor has recommended an NST, here’s what you need to know about the test, why it’s done, and what to expect during the process.

What is a Non-Stress Test?

A non-stress test monitors your baby’s heart rate and how it changes with movement. The term “non-stress” simply means that no stress is placed on the baby during the test, unlike other tests that may simulate contractions.

Why is a Non-Stress Test Done?

An NST is typically performed to check on your baby’s health in the third trimester or if you have certain conditions that might affect your pregnancy.
Common Reasons for an NST Include:
  • Past Your Due Date: To ensure the baby is doing well after 40 weeks.
  • High-Risk Pregnancy: Conditions like gestational diabetes, preeclampsia, or multiple pregnancies may require extra monitoring.
  • Decreased Fetal Movements: If you notice your baby is less active than usual.
  • Medical History: Previous complications or concerns during pregnancy.

The goal of the NST is to ensure that your baby is receiving enough oxygen and that their heart responds appropriately to activity.

What Happens During a Non-Stress Test?

An NST is a simple and straightforward procedure:
  1. Getting Comfortable:
    • You’ll lie down on a reclined chair or bed in a comfortable position.
  2. Monitoring Equipment:
    • Two belts with sensors will be placed around your abdomen. One monitors your baby’s heart rate, and the other tracks uterine activity (to detect any contractions).
  3. Recording Movements:
    • You may be asked to press a button whenever you feel your baby move.
  4. Duration:
    • The test typically lasts about 20-40 minutes. If your baby is asleep, the test may take longer, or your provider may use a gentle sound or vibration to encourage movement.

What Do the Results Mean?

Reactive Result (Normal):
  • The baby’s heart rate increases at least twice during the test in response to movement. This indicates that the baby is doing well.
Non-Reactive Result:
  • If the baby’s heart rate doesn’t meet the expected criteria, it may simply mean that your baby was asleep or not very active. However, further testing, such as a biophysical profile or an ultrasound, may be recommended to assess your baby’s health.

Are There Any Risks?

An NST is a non-invasive and completely safe test for both you and your baby. There are no known risks associated with this procedure.

How to Prepare for a Non-Stress Test

  • Eat a light meal or snack before your appointment, as this can encourage your baby to be more active.
  • Stay hydrated to improve the accuracy of the test.
  • Wear comfortable clothing for easier access to your belly.

When to Expect an NST

Your doctor might recommend regular NSTs if you have a high-risk pregnancy. These are usually scheduled weekly or twice weekly during the final weeks of pregnancy, depending on your specific needs.

Final Thoughts

A non-stress test is a reassuring way to monitor your baby’s well-being and ensure a safe pregnancy journey. If you’re feeling nervous about the test, remember that it’s a routine procedure designed to provide peace of mind.

Always feel free to ask your healthcare provider any questions you have—they’re there to support you every step of the way.

Content Reviewed by Dr V. profile picture

Content Reviewed by Dr V.

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Dr. Vaheh Shirvanian, a family medicine physician and father. With over 17 years of experience, he specializes in inpatient acute hospital care, outpatient family medicine, urgent care, emergency medicine, and hospice care. Dr. V is passionate about guiding new parents through the challenges and joys of parenthood, offering compassionate and expert support at every step.

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