NST CST

A test that monitor FHR in response to fetal A test that monitor FHR in response to uterine
movement, in order to assess the integrity of contraction to determine how well the fetus will
fetal CNS and CVS cope with the contractions during childbirth

It is done after 26 to 28 weeks of pregnancy It is done after 34 weeks pregnancy

RESULTS RESULTS
➢ Reactive non stress
test(normal/negative)
- It indicate healthy
fetus
- FHR acceleration of
15 b/mt above the
baseline lasting for
15-40 sec in
association with fetal
movement
➢ Negative(normal)
- No late or significant
variable decelerations,
with at least 3 uterine
contractions (lasting 40
seconds) in 10 minute
period.

➢ Non-reactive(Positive)
- No acceleration /
acceleration less than
15 b/mt lasting less
than 15 sec duration
occur during 40mt
observation.
➢ Equivocal
- There are definite
FHR acceleration in
association with fetal
movement but the
number of
acceleration, length of
their duration does not
meet the criteria for
being either
reactive/non reactive .
➢ Unsatisfactory
- Result cannot be
interpreted because of
➢ Positive
- Presence of late
decelerations of FHR
with at least 50% or
more contractions in the
absence of
hyperstimulation of
uterus
➢ Equivocal
- Presence of late
decelerations less than
50% of contractions or
hyper stimulation of
uterus
➢ Unsatisfactory
 poor quality of FHR - No adequate uterine
tracing contractions/FHR not
tracing.

MANAGEMENT MANAGEMENT

A. Reactive Nonstress Test A. Negative Contraction Stress Test

1. Follow daily Fetal Kick
Counts
B. Non-Reactive Nonstress Test
1. Perform Oxytocin Challenge
Test (OCT)
1. Follow daily Fetal Kick Counts
B. Positive Contraction Stress Test
1. Hasten fetal delivery

(HYPERSTIMULATION OF UTERUS is defined as either occurrence

of uterine contractions lasting more than 60 seconds, or occurrence of
more than four contractions within 10 minutes)