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Tests to Evaluate Your Baby’s Well-Being
Fetal
Movement Count or Fetal Kick Count
What it measures.
This is the one test that is performed by the mother. Your provider
might
ask you to begin this at about 32 weeks.
It involves counting how long it takes for your baby to move 10 times. The count
is done around the same time each day.
What it tells you. Every baby has a personality
and a certain style of movement. Some babies are more active than others. This
test allows the mother to focus on what is normal for her baby and to report if
the baby’s pattern changes. Having the mother count her baby’s movements on a
daily basis has been found in some studies to be a highly effective screening
tool.
Non-Stress
Test (NST) and Contraction Stress Test (CST)
What it
measures. The non-stress test (NST) and the contraction stress test
(CST) check for well-being by evaluating how the baby’s heart rate responds to
movement (NST) or, if present, to contractions (CST).
What it tells you.
These tests are usually used when the pregnancy goes past the due date,
at about 41 weeks. Occasionally they may be initiated sooner if there are
additional risk factors in the pregnancy. They are all designed to evaluate the
well-being of the baby’s heart and autonomic system (brain), as well the
functioning of the placenta.
Amniotic
Fluid Index (AFI), Biophysical Profile (BPP)
What it
measures. The amniotic fluid index (AFI) uses ultrasound to measure the
fluid around the baby. The quantity of fluid is an indirect indicator of the
functioning of the placenta and the baby’s body. The biophysical profile (BPP)
also uses ultrasound and includes the NST and AFI, and checks for baby’s
breathing movements, body movements, and body tone.
What it tells you.
The tests, used in combination with one another, are very effective in
verifying that all is well. In other words, a normal test is very reassuring.
Abnormal tests, though, are less effective at predicting a problem. The NST and
AFI are performed most often; the CST and BPP are used when there are abnormal
results. In some cases, abnormal tests might point to the need to initiate labor
by medical means rather than to wait for spontaneous labor to start.