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Prenatal Diagnosis & Treatment Center
Antepartum Testing:
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Our Nurses:
Kathleen Costigan and Rosemary Critzer |
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Understanding the Biophysical Profile:
Why are you having a Biophysical Profile?
Mothers and babies who need special medical care and extra attention will need a biophysical profile. This test is to check for the well-being of your baby. Some common reasons for a biophysical profile:
- diabetes
- high Blood Pressure
- small baby or baby not growing properly
- past your due date
- too much or too little fluid around the baby
Who will do the test?
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A nurse who specializes in fetal testing will perform the biophysical profile.
What is a biophysical profile?
A biophysical profile is a simple, painless procedure. We will be "listening" and "seeing" the baby's heartbeat using the fetal monitor. We will observe the baby's heartbeat while the baby is resting and while the baby is moving. We will also use a sonogram machine to look at your baby's movement, amniotic fluid and to see if your baby is "practicing breathing".
It usually takes between 40-70 minutes to complete the biophysical profile.
How is the test done?
We would like you to eat before the test because some babies move more after their moms have eaten.
You will be more comfortable if you empty your bladder before the biophysical profile. For monitoring the baby's heart rate, we will ask you to lie on your left side. The two fetal monitor pieces will be placed on you abdomen and held in position by elastic belts. One piece is to record the baby's heartbeat. The other device is to record any "tightening" or contractions of the uterus.
We will be looking at the baby's movement and heart rate. Just as your heart beats faster when you run up a flight of stairs, your baby's heart should beat faster when kicking and moving.
For the second part of the test, the nurse will use a sonogram machine to see what position your bay is in and watch the baby's movement. The nurse will also measure the fluid around the baby and look to see if your baby is "practicing" breathing.
The results of the biophysical profile will be explained to you after the test is completed by the nurse.
When will the test be done?
Biophysical Profiles are usually performed once a week. You will be given an appointment for your next test. We will try to schedule your biophysical profile on the same day as your doctor's visit.
Where will the test take place?
The test will be performed in the Fetal Assessment Center, which is located on the 2nd floor of the Nelson Building, room 278. Please bring your Johns Hopkins Hospital plate and Insurance information for each scheduled test.
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Understanding the Non-Stress Test (NST)
Why Are You Having A Non-Stress Test (NST)?
Mothers and babies who need special medical care and extra attention will need an NST. The test is to check for the well-being of your baby. Some common reasons for an NST are:
- diabetes
- high Blood Pressure
- small baby or baby not growing properly
- less active baby
after an amniocentesis
- past your due date
Who will do the test?
A nurse who specializes in fetal testing will perform the biophysical profile.
What is an NST?
An NST is a simple, painless procedure. We will be "listening" to and "seeing" your baby's heartbeat. We will do this by "fetal monitoring". Monitoring is a way of observing your unborn baby. We will listen to and see the baby's heartbeat while the baby is resting and while the baby is moving. It usually takes 20-40 minutes to do an NST.
How is the test done?
We would like you to eat before the test because some babies move more after their moms have eaten.
You will be more comfortable if you empty your bladder before the NST. We will ask you to lie on your left side for the test. The two fetal monitor pieces will be placed on your abdomen and held in place by elastic belts. One piece is to record the baby's heartbeat and movement. The other device is to record any tightening or contractions of your uterus.
We will be looking at the baby's movement and heart rate. Just as your heart beats faster when you run up a flight of stairs, your baby's heart should beat faster when kicking and moving.
The NST is REACTIVE if the heart beats faster when the baby moves. This must happen at least two times in 20 minutes. If your baby is quiet and not moving, the nurse may give you juice or water to drink.
The NST is NONREACTIVE if the heart does not beat faster when the baby moves or if the baby is quiet and not moving. THIS DOES NOT MEAN THAT SOMETHING IS WRONG!! It simply means the NST has not given us enough information. Additional tests may be needed such as a biophysical profile or contraction stress test.
When will the test be done?
NST's are usually performed once or twice a week. You will be given an appointment for your next NST. We will try to schedule your test for the same day as your doctor's visit.
Where will the test be done?
The test will be performed in the Fetal Assessment Center which is located on the 2nd floor of the Nelson Building, room 278. Please bring your Johns Hopkins Hospital plate and Insurance information for each scheduled test.
Prepared by:
Carey Cezar, R.N., B.S.
Kathleen Costigan, R.N., M.P.H.
Laura Lucas, R.N., M.S.N.
Catharine Treanor, R.N., M.S.
10/91
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