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.