How It Is Done
A contraction stress test may be done in your doctor's office or
hospital by a
family medicine doctor or an
obstetrician and a trained laboratory technician or
nurse. You usually do not need to stay overnight.
During the test, you will lie on a bed with your back raised. You
will be tilted a little to your left side so you will not have pressure on the
blood vessels in your belly. Two belts with sensors will be placed around your
belly. One belt holds the sensor that records your baby's heart rate; the other
sensor measures your uterine contractions. Gel may be used on your skin with
the heart rate sensors. The sensors are hooked to a recording unit. The heart
rate monitor may be moved if your baby changes position. Your baby's heart rate
and your contractions are recorded for 10 minutes. Your blood pressure and
other vital signs are also recorded.
The hormone oxytocin is given in a low dose and increased until you
have three contractions within 10 minutes, each one lasting longer than 45
seconds. Or you may be asked to massage one of your nipples by hand to start
contractions. If you don't have a second contraction within 2 minutes of the
first, you will massage your nipple again. If contractions do not occur within
15 minutes, you will stimulate both nipples.
After the test, you will be watched until your contractions go away
or slow down to what they were before the test. A contraction stress test may
take 2 hours.