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All You Need To Know About A Contraction Stress Test

All You Need To Know About A Contraction Stress Test

If you are pregnant you may be considering having a contraction stress test. If so, you may be asking yourself questions such as what the procedure is like and how it feels? Well, we have you covered. Continue to read on for the answers.

What Is A Contraction Stress Test?

One of the most important points to remember about the test is that it is conducted to simulate labor and the contractions you have where the oxygen levels will decrease for your baby. This is the only way to test whether or not the unborn baby will be able to deal with the stress of “proper” labor, when contractions will be coming on a regular basis. You’re probably dreading this part the most, but bear in mind the end results – your baby in your arms.

If you are 34 or more weeks pregnant, it may have been suggested that you have a contraction stress test. The test monitors the heartbeat of your unborn baby externally.

fetal heart monitor
    image source: Healthwise, Incorporated

    During contractions, the oxygen and blood supply that is going to your unborn baby drops. However, in most circumstances there is generally no cause to be alarmed. For the majority of babies, this isn’t going to be an issue. On the other hand in, a small portion of babies, the rate of the heartbeat can slow down. This is where it is picked up by the monitor as it can become an issue in labor.

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    The test may last for as little as 10 minutes, but this may depend on your doctor and individual circumstances.

    How to Prepare

    Before you are due to take the contraction stress test you will be asked to prepare for it.

    Here is what you should do:

    • Avoid eating and drinking for between 4 to 8 hours.
    • If you are a smoker, you will be asked not to have a cigarette at least 2 hours before you are due to have the test.
    • You will have to sign a consent form stating that you know the risks of having the test done and you agree to those risks.

    What Is the Procedure Like?

    The procedure can be a bit of a worry to most women. However, it really shouldn’t be since the test is pain free and it is for the benefit of your baby.

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    Throughout the test you will be asked to lie down with your back raised up and tilted slightly to the left. This may be a bit uncomfortable, but you will just have to try and grin and bear it. Plus, it won’t last long.

    An injection of the hormone Oxytocin will be given and you will have contractions. Strange, as it seems you may also be asked to massage one of your nipples since this will also start off the contractions.

    Two belts will then be placed around your belly, with one of them holding down the sensor to record the heartbeat of your unborn baby, while the second measures contractions. The sensors are plugged into the recording unit, monitoring the heartbeat of the baby for about 10 minutes.

    heart monitoring
      image source: medical-dictionary.thefreedictionary

      Why You May Need a Contraction Stress Test

      Not everyone may be offered a contraction stress test. It is only conducted after 34 weeks of pregnancy. You may be offered the test if any of the following applies:

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      • If you have had a non-stress test that appears abnormal.
      • You have had a biophysical profile that was abnormal.
      • You may also be advised to have more than one test throughout the duration of your pregnancy, depending on your circumstances.

      What Do The Results Mean?

      Once you have gone through the discomfort of the test, what do the results of the test mean?

      If the test is normal then it will be classed as being negative. This means that the heart rate of your unborn baby didn’t slow down or remained slowed after the contraction. This is a good thing, of course.

      If the test should be abnormal it is classed as a positive result. This means that the heartbeat of the baby slowed down and generally remained slow after the contraction stopped. Generally, this will occur on over half of the contractions you have when being monitored.

      If the heartbeat remains slow after the contractions it may result in the unborn baby suffering issues in normal labor.

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      What Might Affect The Test Results?

      As with any medical tests you have there are certain factors that might have an effect on the results of the test, or in some cases may mean you cannot have the test, these generally include:

      • Any issues in past pregnancies, including caesarean section where the cut was vertical.
      • Placenta Previa or placenta abruption.
      • If you are having twins or triplets.
      • If you have an incompetent cervix.
      • There is a risk of premature rupture of your membranes.
      • You have undergone uterine surgery.
      • If you are a heavy smoker or have used cocaine.
      • If you are classed as being overweight.

      Are There Any Risks?

      Before undergoing the contraction stress test your physician will explain any risks involved. You should also be aware that monitoring the baby’s heartbeat cannot detect all problems.

      There are some risks in taking Oxytocin. They are:

      • It may bring on early labor and premature birth of the baby.
      • The contractions may become prolonged and may cause problems for your baby.
      • In the extreme event of the contractions not stopping when they stop the Oxytocin, the doctor may recommend that the baby is delivered.

      Featured photo credit: Flikr via flickr.com

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      Published on March 13, 2019

      What Makes A Great Place to Work Whilst Pregnant

      What Makes A Great Place to Work Whilst Pregnant

      Among women who had their first child in the early 1960s, just 44% worked at all during pregnancy. The latest figures show that 66% of mothers who gave birth to their first child between 2006 and 2008 worked during their pregnancy.[1]  It also showed that about eight-in-ten pregnant workers (82%) continued in the workplace until within one month of their first birth which has vastly increased from 35%. It is clear to see form the statical trends that more women are choosing to continue working through, and late into, pregnancy.

      Unlike other developed world countries, the USA does not mandate any paid leave for new mothers under federal law,[2] though some individual employers make that accommodation and it is mandated by a handful of individual states. Finding what makes a great workplace whilst pregnant can alleviate stress and provide more stability for you and your family. 

      In this article, you will discover exactly the best places to work whilst pregnant.

      How Difficult Is It to Work Whilst Pregnant?

      Many people strive to find and attain good jobs. For pregnant women, however, that process is often especially challenging. After all, you’ll face extra obstacles that are unique to expectant mothers.

      If you are pregnant and need a job, then you’re definitely not alone. You are also not alone if you’re already employed and want to find a new job that is more family-friendly. Changing jobs while pregnant is something that many women consider, especially when they realise that their current positions may not be suitable for pregnancy or offer the benefits or flexibility that they’ll soon need. 

      Getting a job while pregnant may not be the easiest thing in the world to do, but it is possible.

      You can look for employment opportunities that don’t require too much physical exertion and that won’t cause you much emotional stress. Also, look for jobs that come with the chance to work flexible hours, offer good medical benefits, allow you to take time off as needed, and don’t require a long commute. In addition, it’s obviously wise to consider avoiding jobs that may expose you to toxins, people with communicable illnesses, or other physical hazards.

      The Pre-Natal Mamma’s Needs

      During pregnancy, there are many mental and physiological changes that a woman will go through. In understanding those changes, it is more clear which types of jobs and workplaces are more suited to you as a pregnant woman. 

      During pregnancy, the birth of your baby and the postnatal period, changes in the hormones in your body can have an effect on your emotions during pregnancy. These hormones and the changes can cause joy, fear, surprise and anxiety all of which can be assisted with necessary support and talking. 

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      The physiological changes are more varied according to each trimester:

      1st Trimester (0-13 weeks)

      In the first few weeks following conception, your hormone levels change significantly. Your uterus begins to support the growth of the placenta and the fetus, your body adds to its blood supply to carry oxygen and nutrients to the developing baby, and your heart rate increases.

      These changes accompany many of the pregnancy symptoms, such as fatigue, morning sickness, headaches, and constipation. During the first trimester, the risk of miscarriage is significant.

      2nd Trimester (13 – 27 weeks)

      While the discomforts of early pregnancy should ease off, there are a few new symptoms to get used to. Common complaints include leg cramps and heartburn. You might find yourself growing more of an appetite, and your weight gain will accelerate. 

      3rd Trimester (28 weeks – birth)

      Travel restrictions take effect during the third trimester. It’s advised that you stay in relatively close proximity to your doctor or midwife in case you go into labor early. The baby is growing bigger and stronger; the kicks can be quite powerful and your abdomen is becoming larger and heavier.

      Stretch marks may develop if they haven’t earlier in the pregnancy. Braxton-Hicks contractions- which are usually perceived as painless tightening can be felt. Lower back pain is very common and there may be more pelvic pressure and with this more frequent urination. 

      Swollen legs and feet are very common as are increased fatigue, interrupted sleep and a reduced ability to eat a full meal at one sitting.

      4th Trimester (Post birth onwards)

      Your baby’s fourth trimester starts from the moment she’s born and lasts until she is three months old. The term is used to describe a period of great change and development in your newborn, as she adjusts to her new world outside your womb. There are many adaptations, recovery and rest that you and your baby need through this trimester whether you have a natural or c-section birth.

      All of these considerations need to be in mind when looking to find a great workplace whilst pregnant — whether you’re looking to ask for more support from your current workplace, find a new job or enter employment. 

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      Next, let’s look at the factors that would define the opposite; somewhere you shouldn’t look to work whilst pregnant.

      How to Spot The Worst Workplaces to Work Whilst Pregnant

      1. Non-Negotiable Heavy Lifting

      Do you have to lift, push, bend, shove, and load materials all day? If you do, many experts believe you should ask for a job reassignment or quit by the 20th week of pregnancy.

      2. Toxic Environments

      The list of jobs that involve dangerous substances is miles long. Consider the artist who works with paint and solvents all day, the dry cleaner who breathes in cleaning fumes, the agricultural or horticultural worker who works with pesticides, the photographer who uses toxic chemicals to develop pictures, the tollbooth attendant who breathes in car and truck exhaust, or the printer who works with lead substances.

      3. Proximity to People with Communicable Illnesses

      Working with or exposure to certain bacteria, viruses, or other infectious agents could increase your chances of having a miscarriage, a baby with a birth defect, or other reproductive problems.  Some infections can pass to an unborn baby during pregnancy and cause a miscarriage or birth defect. Infections like seasonal influenza (the flu) and pneumonia can cause more serious illness in pregnant women.

      4. Extended Hours of Standing

      Cooks, nurses, salesclerks, waiters, police officers, and others, have jobs that keep them on their feet all day. This can be difficult for a pregnant woman, but it might be downright dangerous for her unborn baby. Studies have found that long hours of standing during the last half of pregnancy disrupt the flow of blood.[3]

      Key Factors Creating a Great Workplace whilst Pregnant

      1. Flexibility

      You might feel tired as your body works overtime to support your pregnancy — and resting during the workday can be tough. Having an employer or job that provide care and is understanding to your needs is hugely beneficial.

      A compassionate and empathetic employer will understand morning sickness; they will facilitate changes in working hours to accommodate your energy and assist with the smells from the work kitchen. 

      They will also enable you to remain flexible to snack as and when you want to – crackers and other bland foods can be lifesavers when you feel nauseated. Nad eating small frequent meals are similarly saving you as your meal quantity decreases.

      2. Compassion

      More employers are learning that the idea that pregnant women are willing and necessary contributors to the economy and are capable of adding long-term value to their organizations. 

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      Employers that follow good practice in maternity can improve the experience of pregnant employees and new mothers and encourage them to return to work following maternity leave.

      A good relationship between a pregnant employee and her line manager is essential to the successful reintegration of the employee following maternity leave.

      3. Stress Reduced

      Stress on the job can sap the energy you need to care for yourself and your baby.

      To minimize workplace stress, take control. Make daily to-do lists and prioritise your tasks. Consider what you can delegate to someone else — or eliminate. 

      Talk it out. Share frustrations with a supportive co-worker, friend or loved one. 

      Practice relaxation techniques, such as breathing slowly or imagining yourself in a calm place. Try a prenatal yoga class, as long as your health care provider says it’s OK.

      4. Adaptable

      As your pregnancy progresses, everyday activities such as sitting and standing can become uncomfortable. Remember those short, frequent breaks to combat fatigue? Moving around every few hours also can ease muscle tension and help prevent fluid buildup in your legs and feet. 

      Using an adjustable chair with good lower back support can make long hours of sitting much easier — especially as your weight and posture change. If your chair isn’t adjustable, use a small pillow or cushion to provide extra support for your back.

      Elevate your legs to decrease swelling. If you must stand for long periods of time, put one of your feet up on a footrest, low stool or box. Switch feet every so often and take frequent breaks.

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      Wear comfortable shoes with good arch support. Consider wearing support or compression hose, too.

      5. Financial Support

      Financial strain is one of the leading causes of peri & post natal depression. Employers can support employees by offering them benefits beyond the statutory minimum, for example training mechanisms to help them cope with balancing work and family commitments. 

      The employer should conduct a performance review with the employee prior to her maternity leave to boost her confidence and encourage her to consider how parenthood and work will fit together.

      Key Take-Aways

      If you’re working while you’re pregnant, you need to know your rights to antenatal care, maternity leave and benefits. 

      If you have any worries about your health while at work, talk to your doctor, midwife or occupational health nurse. You can also talk to your employer, union representative, or someone in the personnel department (HR) where you work. 

      Once you tell your employer that you’re pregnant, they should do a risk assessment with you to see if your job poses any risks to you or your baby. If there are any risks, they have to make reasonable adjustments to remove them. This can include changing your working hours. 

      If you work with chemicals, lead or X-rays, or in a job with a lot of lifting, it may be illegal for you to continue to work. In this case, your employer must offer you alternative work on the same terms and conditions as your original job. If there’s no safe alternative, your employer should suspend you on full pay (give you paid leave) for as long as necessary to avoid the risk.

      Look for employment opportunities that don’t require too much physical exertion and that won’t cause you much emotional stress. Also, look for jobs that come with the chance to work flexible hours, offer good medical benefits, allow you to take time off as needed, and don’t require a long commute. 

      Your current employer may need to offer you different types of work or a change to your working hours. If your employer can’t get rid of the risks (for example by finding other suitable work without any reduction in pay for you), they should offer you suspension on full pay.

      Featured photo credit: Alicia Petresc via unsplash.com

      Reference

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