"Does giving juice or glucose to a patient increase the likelihood of a reactive nonstress test?"
Several studies have
not shown maternal glucose administration
to have a statistically significant
effect on the time to reactivity or the incidence of reactive nonstress tests
[1-4]. However, one study showed that breathing movements may be increased
following maternal glucose administration [5]. Some studies suggest
that the percentage of false nonreactive nonstress tests results may be reduced
by performing the test in the sitting or lateral decubitus position, or
after walking [6,7].
REFERENCES
1.
McCarthy KE, Narrigan D. Is there scientific support for the use of juice to
facilitate the nonstress test?
J Obstet Gynecol Neonatal Nurs. 1995 May;24(4):303-6.PMID:7643260
2.
Druzin ML, Foodim J.Effect of maternal glucose ingestion compared with maternal water ingestion on the nonstress test.Obstet Gynecol. 1986 Mar;67(3):425-6.PMID:3511421
3.Richardson B, et al.,The effect of maternal glucose administration on the specificity of the
nonstress test. Am J Obstet Gynecol. 1983 Jan 15;145(2):141-6.PMID:6849350
4.
Phelan JP, Kester R, Labudovich ML.Nonstress test and maternal serum glucose determinations.
Obstet Gynecol. 1982 Oct;60(4):437-9.PMID:7121930
5.
Divon MY, et al.Effect of maternal intravenous glucose administration on fetal heart rate
patterns and fetal breathing.Am J Perinatol. 1985 Oct;2(4):292-4.PMID:3902040
6.
Abitbol MM, et al.Nonstress test and maternal position.Obstet Gynecol. 1986 Sep;68(3):310-6.
PMID:3737051
7. Cito G,et al.Maternal position during non-stress test and fetal heart rate
patterns. Acta Obstet Gynecol Scand. 2005 Apr;84(4):335-8.
PMID:15762962
|
|