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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 September 20, 2018

      12 Tips for Parenting the Strong Willed Child in a Compassionate Way

      12 Tips for Parenting the Strong Willed Child in a Compassionate Way

      How do you know if you have a strong willed child? You just know. Nobody had to tell you and you didn’t have to analyze your child to determine if they were strong willed.

      Their personality is so strong that there is no guessing that they have a strong will. This type of personality is especially challenging to parents because it is difficult to parent someone who already has their mind made up about just about everything in life.

      If channeled in the right direction and you don’t break your child’s spirit along the way, you can have a kid who is destined for epic things in life. Strong willed children are often highly self-motivated, so they are go-getters from a young age.

      Help your child become the best person they can be by parenting your strong willed child appropriately, so their spirit is not broken.

      Below are tips on parenting the strong willed child:

      1. Don’t make yourself the enemy

      Don’t make yourself the enemy by making it your way or the highway. Being a dictator as a parent will only drive your child away from you and make you the enemy.

      Some parents want their strong willed child to listen and obey above all else, so they become forcefully strict in their parenting. They think that they need to act dominating and forceful in order to gain obedience from their child.

      This is not helpful for the strong willed child. This will make you out to be the enemy because the perception is that you want your way and you are against their way.

      It becomes a battle of wills; yours versus theirs. This obviously isn’t your goal as a parent; which is why you need to practice authoritative parenting methods.

      Authoritarian vs. Authoritative Parenting

      Parents should try to be authoritative parents of their strong willed child.

      Authoritarian parenting methods should be avoided, as this type of parenting is a dictatorship with parents trying to exert their will over their children. Authoritarian parenting is especially not helpful with strong willed children.

      Conversely, authoritative parenting methods are very effective with strong willed children. Parents who utilize authoritative methods have clear rules, are loving, consistent, while also placing value on their child’s bests interests.

      At the end of the day, their goal is to do what is in the best interest of their child. Rules for one child are not the same for another within an authoritative home.

      They see each child as an individual. They have rules, but rather than always seeing everything as black and white, which would be the case with an authoritative parent, they are willing to listen to their child regarding the situation at hand and determine the course of action in each case.

      The rules are not there to simply be enforced. Rather, the authoritative parent sees the rules as guidelines to the end goal of raising healthy, happy, morally sound individuals.

      Seeing the rules as guidelines provides some flexibility.

      For example, if you have a rule that your child’s bedtime is at 8:00 PM bedtime and your strong willed child wants to stay up until 9:00 PM because they want to watch the Miss America Pageant, then you take the time to listen their reasons and a discussion takes place.

      Your child explains that they want to watch the talent portion of the competition because they have a goal to someday be in this pageant and they want to see what kind of talent is needed to get to the Miss America level.

      Rather than being an enforcer of the rules, for the sake of the rules, you begin to understand that they are wanting to watch because they have a goal and dream that they want to pursue.

      You allow a one hour flexibility in this case, but make an agreement that anything beyond that hour will have to be recorded. You also include in the agreement that if there is any complaining or arguing when the hour is up, then the show will not be recorded at all.

      Creating clear boundaries, but also taking into consideration their desires, dreams, and goals (within reason) will help you make better decisions that aren’t black and white all of the time.

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      The example above helps to create responsibility for the child with expectations, allowing them to not simply “have their way”, but to create an environment where they are treated with love and consideration.

      Their hopes and dreams should not be squashed or minimalized. Your strong willed child may have great dreams and you don’t want to send the message that their dreams don’t matter because the 8:00 bedtime is more important.

      2. They need to make choices: Offer them options

      Love and Logic parenting methods can work quite well with strong willed children. This parenting method emphasizes offering options to children.

      How it works is that from even the youngest of age, a child will be offered two choices for most daily decisions. This allows the strong willed child to be the decision maker for themselves.

      Strong willed children want to feel in control of their decisions and will. Allowing for decisions throughout the day, even on the most basic level, puts the decision making in the hands of the child.

      This is obviously within reason though. Parents provide the options, so they should be options that are win-win for the situation.

      For example, at lunch time you can offer your child a peanut butter and jelly sandwich or macaroni and cheese. These are both options that you don’t mind making, yet it leaves a decision for the child. This helps the child feel empowered, because they are in control of decision making.

      What if you went to a restaurant every day and there was only one option and no choice to be made? That could make it feel like prison day in and day out.

      Your child’s home environment can feel the same way to them. Are they being told what to do all day long or are they being allowed to make decisions on what they want throughout the day?

      Making it a point to allow decisions, with two options (that are both win-win options), you are helping your strong willed child to not only feel empowered, but you are also helping to develop a positive relationships with them.

      You don’t want your child to feel like they are being raised in a prison, so allow them to make decisions daily.

      You will have a better relationship with your child when you allow them to make these daily decisions because you are sending the message that their thoughts and opinions matter.

      3. Instill morals: Don’t force your views

      Strong willed children become determined adult. If you want your children to have good morals and character as adults, then you need to help guide them by your example.

      You can’t force a strong willed child to believe what you believe. However, if you live a virtuous life, then you are providing a great example.

      You are their number one role model as a parent. Their morals are shaped in the home.

      If you want your strong willed child to have good morals, then practice what you preach. If you talk about not cheating and stealing and then your child overhears you at the dinner table talking about cheating on your taxes, you are not being a good example.

      Teach your strong willed child to live a virtuous life by how you act. Be the example you want them to follow.

      Have conversations with your strong willed child about their morals and character. Having these discussions will help them determine what kind of person they want to become.

      Allow them to digest the important role that morality and good character play in their future. This will help shape their behavior because you are shaping their mind.

      4. Keep in mind that they learn from experience

      One reason that strong willed children appear to not listen to their parents is because they learn primarily through personal experience.

      They learn from their first hand experience, rather than taking someone’s word on it, and therefore they test limits and boundaries.

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      A parent can say repeatedly “don’t touch the stove because it is hot”. The strong willed child will inevitably touch the stove for a millisecond to see for themselves that it is hot.

      They learn from their experiences and tend to test parental advice rather than just listen to the advice provided.

      They are listening though. They will likely challenge parental advice by seeing for themselves whether the advice has substance.

      Because strong willed children learn from experience, safety is of utmost importance when they are young. These children can be highly determined to do things on their own.

      You don’t want them falling down stairs or touching hot stoves, so protect them when they are young and don’t know any better. As they grow, they become smarter about their safety.

      A strong willed child needs extra safety measures when they are young because of their determined spirit.

      5. Listen to their reasons

      Strong willed children usually have a reason behind their behavior. Allow the opportunity for them to explain themselves before you disagree with their decisions at face value.

      Ask them “why” when things don’t make sense to you. Kids are not always logical, but the strong willed child usually has a reason behind their decisions and it is not just to defy you as the parent.

      Allow them the opportunity to explain themselves, so you can better understand them and their decisions.

      For example, your strong willed child may be refusing to wear the outfit that you laid out for them to wear to school. You lay out their outfit to make the morning routine go more smoothly and quickly. Their obstinance is not a welcomed part of the routine.

      Rather than get angry and order them to put the outfit on, ask them why they don’t want to wear it.

      To your surprise, there may be a logical explanation such as it is gym day and they need to wear clothing and shoes that are fitting for the activities.

      Get to the bottom of the reason, so you can better understand their logic. Don’t assume that their refusal to follow the rules or routine is out of sheer disobedience.

      Let their voice be heard, so they know that you are listening and you want to understand their reasons.

      6. They need to know why

      Strong willed children need to know the reasons behind a request. If you are asking them to stop jumping on the bed, your request for their obedience needs to be explained.

      They have a strong will, which also means a strong need to understand the “why” behind things.

      Explain to your child jumping on the bed that you don’t want them to get hurt or break a bone, like you did when you are kid.

      Let them know that you are concerned about their safety and whatever other reasons you have behind the rule, so that they can understand your logic.

      They don’t take rules at face value. They need to know the “why”, so be prepared to explain your reasons for your rules. The consequences should also be clearly explained.

      That way, they know the logical reasons behind the rules and the consequences if the rules are not followed.

      7. Use empathy and compassion

      Strong willed kids need empathy, compassion, and respect. This can be difficult because strong willed children can appear obstinate and disobedient.

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      Parents have to understand that their child is not doing things for the sake of disobedience, rather the child has a strong will and determined spirit.

      They have reasons behind what they do and why they do it. It takes extra compassion and empathy to seek understanding the child and why they do what they do.

      For example, on a morning when you are already running late and your child is refusing to put on their shoes and you yell at them to put on their shoes now or you are leaving without them is lacking in compassion.

      They may not want to wear those specific shoes because they are too tight. If you don’t take the time to ask them “why”, then compassion is lacking.

      Take the time to talk to your child empathetically. This means a true desire to listen to them and their reasons. If they are not feeling listened to, then they will feel that you don’t care.

      Listen with your full attention. This means stopping what you are doing and set electronics to the side while you communicate with your child.

      Also, try to use a calm and loving tone when asking them their “why” and listen to their response. If you don’t listen to them, then who will?

      If the child feels that they are not being heard or are being treated unfairly, their emotions will likely turn into behavioral issues.

      Allow them to express themselves verbally, so that they don’t resort to physical expressions of their emotions, such as meltdowns, hitting others, or throwing things.

      8. Repeated bad behavior is often a message

      Strong willed children will often repeat themselves until they feel heard. This can also true with their bad behavior. They are often trying to communicate something to you because they are not feeling heard.

      For example, that melt down in the store because you are ignoring their demands? Is it because they think that the melt down will get what they want or is it because they aren’t feeling heard?

      When they ask a question, answer them and provide your reasons why. Don’t ignore them and hope they will stop asking. The strong willed child will not stop. They will escalate to the next level until they feel that they are being heard.

      It doesn’t mean that they always get what they want. Instead, your goal should be to communicate that they have been heard and they are respectfully answered.

      Yelling at them “no, because I am the Mom” is not a good approach when parenting a strong willed child. Instead answering with “no, we haven’t had lunch yet, but you can have a dessert after dinner if you a well behaved today”, will more likely result in good behavior.

      The child feels that you listened to them and furthermore, you understood that their desire was for something sweet. Explaining that they can have something sweet later, as a result of their good behavior, puts the ball back in their court.

      They now have the decision to be well behaved to get what they want later, or they can have a melt down which will result in the consequence of no dessert after dinner.

      Children who are strong willed require more time because you need to listen more, explain more, discuss more, and respect more. It is a not an easy road.

      However, the strong willed child can be a great success in life when their energies are channeled appropriately because things are clearly communicated. This communication is a two way street.

      Don’t ignore their words until it escalates to bad behavior. If the behavior is seemingly out of control, then you need to help them verbalize their desires.

      They are communicating something through their behavior. You need to help channel the behavior back into meaningful verbalization in order to figure out what they want and determine how to resolve the situation.

      10. Weather the storm

      It is not easy parenting a strong willed child. You will likely endure many storms while parenting your child.

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      Keep doing what is in the best interest of your child, keep listening to them, and keep loving them.

      Don’t be defeated by the storms which can come as temper tantrums, bad behavior, and rebellion. Know that they will pass.

      Know that you are not alone. There are parents out there also dealing with strong willed children.

      If you are feeling overwhelmed, then its time to reach out for help. A counselor or therapist can help both you and the child. You can also find support groups on Facebook. Use the search term “strong willed child”.

      Don’t go at it alone. Find support now so you can weather the next storm even better.

      11. Embrace their strong will — It can make them successful

      Strong willed children are determined individuals. If their spirit is not squashed, they can use that determination to become successful people as adults.

      Parents obviously need to protect their children from harm, but the smaller issues should be let go.

      Learn to differentiate between issues that matter and those that really don’t matter in the long run. Does it really matter if they wear mismatched socks to school? No, if that is what they want, then let it be.

      Allow them to make some decisions, especially about their own body, without making an issue out of it.

      You don’t want to break their spirit because someday that spirit is what will make them stand out in the world. They are their own person, with unique ideas, and a determined spirit that will help them become successful in life.

      They are more likely to persevere through difficulties because of their determined spirit. Don’t break this spirit at a young age by demanding obedience for the sake of obedience.

      Take the time to understand your child, their reasons, and allow them to make choices along the way.

      12. Motivate them!

      Strong willed children tend to be highly self motivated. This means that when they decide, they want to do something they really go for it.

      Provide motivation for your child by providing incentives. Strong willed children can be motivated with the use of a reward system.

      The use of the “CHART method”[1] I developed can be especially helpful in parenting strong willed children. I have a strong willed six year old and this system is working great for her! Here is the article I wrote on the CHART method, so other parents can use this system as well.

      Final thoughts

      Having a strong willed child can be very challenging for a parent. If parents take the time to parent their strong willed child the right way, then this child can become a great success in life.

      Strong willed children are not acting the way they do out of disobedience. It is their inner determined spirit that makes them want to do thing their own way.

      They are highly motivated individuals and when that energy is channeled correctly, with their will in mind, then they can accomplish just about anything!

      Featured photo credit: Unsplash via unsplash.com

      Reference

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