search:

Re: Why isn't NST a standard test for all?

From: anonymous@obgyn.net
Tue, 12 Dec 2000 10:29:19 -0500


Tests are only as good as our abilities to interpret them. The NST is based upon the concept that the fetus matures at a certian rate with regard to the development of central nervous system control over the heart rate. This is not true for EVERY fetus. Therefore, the test is not a great test and requires additional testing when it is abnormal. However, in the case of a fetus already at risk for placental probelms: that is diabetes, high blood pressure, etc. then the false positives are worth it. In a normal population you would be screaming loudly about how the test scared you into having numerous other unnecessary tests.

Selman I. Welt, M.D. Shreveport, LA

-- Original Message --

>At Fri, 8 Dec 2000, anon wrote:
>>
>>I am 30w and have been experiencing a lot of BH contractions for 7 weeks
>>(>50 per day). My OB hasn't sent me for an NST nor does she plan to.
>>Yet I have a friend who had one (she has diabetes) and she found out
>>that the baby wasn't tolerating her contractions well (she didn't even
>>know she was having contractions). How do I know if MY baby is doing
ok >>during all of MY contractions?
>
>Babies of women with diabetes or high blood pressure or other medical
>conditions are already compromised and may not tolerate contractions as
>well as babies of mothers without any complications.
>
> Why aren't NSTs given to all pregnant
>>women?
>
>It just isn't cost effective -- and besides, most babies have some
>little occasional blips with contractions -- and if we monitored
>everyone, we would cause more harm than good by intervening for
>perfectly normal events in perfectly normal babies.
>
>--
>M. Kelly Shanahan, MD
>S. Lake Tahoe, CA
>
>***all posts are archived and can be retrieved; keep this in mind when
posting >items of a personal nature.
>***this is for educational purposes only and does not construe a doctor-patient
>relationship. You should always consult your own health care provider.
>****private e-mails will not be answered! Please respect my (and all the
>other docs on the Forum) personal time.
>

--
iWon <http://www.iwon.com/> - Best Search Engine on the Web plus the
chance to win $10,000 every day, $1 million every month and $10
million on Tax Day! See http://www.iwon.com for details.



recommended search...
Google
OBGYN.net forums endometriosis zone Web

use when must restrict search to only the pregnancy & birth forum...
Enter search keywords:
Returns per screen: Require all keywords:
Return to [ Pregnancy & Birth Forum ] Report TECHNICAL Problems ONLY to: webmaster@obgyn.net
Last Updated: Thu Jun 18 13:42:11 2009

Women's Insurance Checklist from Auto Insurance Quote

home | medical professionals | women | industry | forums | international
e-mail | about us | advertising | our sponsors | contact us | disclaimer |

This information is provided for educational purposes only.
Please read the disclaimer. ©1996-2008, all rights reserved.
Do not reproduce without permission of MediSpecialty.com