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Contraction stress test
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Contraction stress test

Measures fetal heart rate response during uterine contractions to check how the baby tolerates labor.

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SAMPLE TYPE
Tissue
FASTING REQUIRED
No
GENDER
Female
GET REPORTS IN
24 hours
TEST INCLUDED
1
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20K+Customers
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CertifiedLabs
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What is a Contraction stress test Test ?

A contraction stress test measures the fetal heart rate while uterine contractions occur. It shows how the baby’s heart responds when the uterus tightens. This matters because contractions can reduce oxygen flow through the placenta. The test helps detect whether the fetus is getting enough oxygen and can tolerate labor. It is used when there are concerns like decreased fetal movement, abnormal screening results, or high-risk pregnancy conditions. Doctors use the results to decide whether closer monitoring, induction of labor, or delivery by cesarean may be needed. The test is done in a clinic or hospital with continuous fetal monitoring and a method to start or mimic contractions if needed.

Contraction stress test Test Preparation

No special preparation is required.

Contraction stress test Test Parameters

The Contraction stress test test evaluates various parameters related to the different components. Here are the main parameters that are checked in the test:

  • Single test

Why Take a Contraction stress test Test ?

Contraction stress test is part of fetal surveillance panels such as nonstress testing and biophysical profiles. Doctors order it when there are worries like decreased fetal movement, post-term pregnancy, or abnormal screening results. It helps diagnose or monitor fetal distress and placental insufficiency. Abnormal results can be caused by poor placental function, maternal conditions like high blood pressure or diabetes, smoking, or certain medications. A family or obstetric history of stillbirth, growth restriction, or complicated pregnancies may make this test more likely to be recommended.

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Frequently asked questions

For any unanswered questions, reach out to our support team via email. We will assist you as soon as possible

Is a positive contraction stress test good?plus

No. A positive contraction stress test is generally unfavorable. It means the fetal heart shows late or repetitive decelerations with contractions, suggesting possible uteroplacental insufficiency and fetal intolerance of labor. This indicates increased risk of fetal hypoxia and usually prompts prompt further evaluation (for example, a biophysical profile and closer monitoring) and consideration of delivery if abnormalities persist.

What does a positive CST mean?plus

A positive contraction stress test (CST) means the fetal heart shows late decelerations with contractions, suggesting possible uteroplacental insufficiency and fetal compromise. It indicates the fetus may not tolerate labor well and needs further evaluation and closer monitoring. Management can include repeat testing, continuous fetal monitoring, corticosteroids if preterm, or induction/expedited delivery after discussion with your obstetrician.

What does it mean if a contraction stress test is positive?plus

A positive contraction stress test means fetal heart rate decelerations occur with uterine contractions, suggesting the placenta may not be delivering enough oxygen (uteroplacental insufficiency). It signals increased risk of fetal distress and usually leads to further evaluation—repeat testing, biophysical profile, continuous monitoring—or consideration of delivery based on gestational age and severity. Management is individualized to protect the baby.

What if a stress test is positive?plus

If a stress test is positive, it suggests reduced blood flow to the heart and possible coronary artery disease. Your doctor will review results, order further evaluation (cardiac imaging, CT or invasive coronary angiography) and modify treatment. Management may include medications, intensified risk‑factor control, lifestyle changes, and—if significant blockages are found—revascularization with angioplasty/stent or bypass. Seek urgent care for worsening chest pain.

Can a stress test induce labor?plus

Routine non‑stress tests (external fetal heart monitoring) do not induce labor—they’re noninvasive and only record fetal heart rate and activity. A contraction stress test (oxytocin or nipple stimulation) intentionally provokes mild contractions and can occasionally trigger ongoing labor, though this is uncommon and done under supervision. If concerned, discuss the specific test and risks with your care provider.

What comes after a positive contraction stress test?plus

A positive contraction stress test — recurrent late decelerations with contractions — suggests possible uteroplacental insufficiency. Immediate steps: continuous fetal monitoring and obstetric review, stop uterotonics, provide maternal oxygen and IV fluids as needed, and perform confirmatory tests (biophysical profile, nonstress test, umbilical Dopplers). If findings remain nonreassuring or the fetus deteriorates, prepare for expedited delivery and neonatal team involvement; give corticosteroids if appropriate.

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