A comparison of perinatal outcome in patients undergoing contraction stress testing performed by nipple stimulation versus spontaneously occurring contractions

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      Perinatal outcomes were analyzed in 848 high-risk pregnancies managed with a prospective weekly contraction stress testing protocol. In 615 patients the last test was performed by a nipple stimulation protocol whereas 233 patients had sufficient spontaneous contractions for performance of the test. All patients were either delivered of their infants or admitted for delivery within 7 days of the last test. The results of the last test were compared to various perinatal outcome parameters. There was no significant difference in perinatal outcomes between the two groups. (AM J OesTET GYNECOL 1989;160:1081-5.) Key words: Contraction stress test, high-risk pregnancy, perinatal mortality, nipple stimulation
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        • Granados JL
        Survey of the management of postterm pregnancy.
        Obstet Gynecol. 1984; 63: 651
        • Freeman RK
        The use of the oxytocin challenge test for antepartum clinical evaluation of uteroplacental respiratory function.
        Amt J OBSTET GYNECOL. 1975; 121: 481
        • Huddleston JF
        • Sutliff G
        • Robinson D
        Contraction stress testing by intermittent nipple stimulation.
        Obstet Gynecol. 1984; 63: 669
        • Lenke RR
        • Nemes JM
        Use of nipple stimulation to obtain contraction stress test.
        Obstet Gynecol. 1984; 64: 345
        • Keegan KA
        • Helms DA
        • Porto DM
        • et al.
        A prospective evaluation of nipple stimulation techniques for contraction stress testing.
        Amt J OBSTET GYNECOL. 1987; 157: 121
      1. Gabbe SG Niebyl JR Simpson JL Obstetrics: Normal and problem pregnancies. Churchill Livingstone, New York1986
      2. American College of Obstetricians and Gynecologists. Antepartum fetal surveillance. Washington, DC: American College of Obstetricians and Gynecologists August, 1987; ACOG Technical Bulletin no. 107.

        • Freeman RK
        • Anderson G
        • Dorchester W
        A prospective multi-institutional study of antepartum fetal.
        Amt J OBSTET GYNECOL. 1982; 143: 778
        • Brenner WE
        • Edelman DA
        • Hendricks CH
        A standard of fetal growth for the United States of America.
        Amt J OBSTET GYNECOL. 1976; 126: 555
        • Freeman RK
        • Anderson G
        • Dorchester W
        A prospective multi-institutional study of antepartum fetal.
        Amt J OBSTET GYNECOL. 1982; 143: 771
        • Freeman RK
        • Garite TJ
        • Mondanlou H
        • et al.
        Postdate pregnancy: utilization of the contraction stress test for primary fetal surveillance.
        Amt J OBSTET GYNECOL. 1981; 140: 128
        • Miyazaki FS
        • Miyazaki BA
        False reactive nonstress tests in postterm pregnancies.
        Amt J OBSTET GYNECOL. 1981; 140: 269
        • Gabbe SG
        • Freeman RD
        • Goebelsmann U
        Evaluation of the contraction stress test before 33 weeks' gestation.
        Obstet Gynecol. 1978; 52: 649
        • Murata Y
        • Martin CB
        • Ikenoue T
        • et al.
        Fetal heart rate accelerations and late decelerations during the course of intrauterine death in chronically catheterized rhesis monkeys.
        Amt J OBSTET GYNECOL. 1982; 144: 218
        • Crane J
        • Andersen B
        • Marshall R
        • et al.
        Subsequent physical and mental development in infants with positive CST.
        J Reprod Med. 1981; 26: 113
        • Leveno K
        • Williams M
        • Depalma R
        • Whally P
        Perinatal outcome in the absence of antepartum fetal heart rate acceleration.
        Obstet Gynecol. 1983; 61: 347
        • Lin C
        • Moawad AH
        • River P
        • et al.
        An OCT-reactivity classification to predict fetal outcome.
        Obstet Gynecol. 1980; 56: 17
        • Braly P
        • Freeman RK
        The significance of fetal heart rate reactivity with a positive OCT.
        Obstet Gynecol. 1977; 50: 689
        • Evertsen LR
        • Gauthier RJ
        • Collea JV
        Fetal demise following negative contraction stress tests.
        Obstet Gynecol. 1978; 51: 671
        • Crowley P
        • O'Herlihy C
        • Boylan P
        The value of ultrasound measurement of amniotic fluid volume in the management of prolonged pregnancy.
        Br J Obstet Gynecol. 1984; 91: 444