Non stess test (NST) done on a 36 week pregnant diabetic female is found to be non reactive. What should be done next?
Nonreactive NST refers to absence of any fetal activity. Since the NST of this patient is non reactive, the most appropriate next step would be to do a Biophysical profile (BPP). Common indications for BPP are during conditions with significant risk of fetal hypoxia, or as a followup testing for a nonreactive NST. The most common indications for BPP are: Suspected IUGR Preganancy more than 40 weeks Insulin dependent diabetes Hypeension Oligohydramnios Multiple gestation Preterm rupture of membranes Non stress test is based on the principle that well oxygenated fetus responds to spontaneous or induced movement with fetal hea accelerations. NST is considered to be reactive when there are two or more accelerations of more than 15 beats per minute above the baseline and longer than 15 seconds in duration are present in a 20minutes observation.
Induction of labour
LSCS
Do NST after 1hr
Proceed to biophysical profile