Non-stress tests and "post dates"

So my due date was yesterday (Sept 5) and no sign of labor. I know the average first baby comes at around 41w1d, so this doesn't surprise or concern me. My baby is still active and everything.

However, my doctor wants me to go in for a non-stress test on Monday if I haven't gone into labor yet. This seems unnecessary to me. I have had a perfectly healthy, low-risk pregnancy and there is no sign that anything is wrong. I will only be 40w3d on Monday.

My big concern with having a NST is that a "non-reassuring" test does not necessarily mean anything is wrong, yet could lead to an induction or c-section. I'm also not sure what other testing options there are if the NST is non-reassuring, and how accurate those options would be.

If I were further past my due date, it would be different but this seems more like a cover your ass, legal medicine move than something necessary for me. (FWIW I'm sure the dating of my pregnancy is accurate to within a few days).

With my second pregnancy I went in for a routine prenatal appt 3 days before my due date and when listening to baby's heartbeat noticed it was low. I got hooked up to a NST, and I can't remember how they came to this conclusion, but they recommended an ultrasound to measure amniotic fluid. When I got the ultrasound they found I had hardly any amniotic fuid left. I had to be induced and had my baby later that evening.

I think the NST picked up on something that I didn't realize there was something wrong. I felt fine.

I don't know Iris, it's not an invasive test and I think they just want to make sure that baby is okay in there. You can always discuss with your doctor what options and risks there are after your test. I'm sure you and baby are fine, but sometimes things creep up at the end, at least in my case.
you can decline the NST, you can decline the induction you can even decline the appointment.

personally I believe the NSTs are done as both CYA measures and to wear down the resolve of the mother towards those last few days of "oh my goodness I'm done" waiting.

Both deteriorating placentas and low amniotic fluid are normal at this stage in your pregnancy. In fact, amniotic fluid can vary just from how much your own fluid intake varies from day to day. However in the ob world everything is a concern. If they saw certain signs, coupled with other concerns it would be different.
I had a couple NST tests. One was after a fall and one was when I went into labor. They aren't invasive, and weighing the risks vs. benefits, I would lean on the side of having the test. That said, I'm a worrywart.

Good luck with whatever you decide to do.
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you can decline the NST, you can decline the induction you can even decline the appointment.

personally I believe the NSTs are done as both CYA measures and to wear down the resolve of the mother towards those last few days of "oh my goodness I'm done" waiting.

Both deteriorating placentas and low amniotic fluid are normal at this stage in your pregnancy. In fact, amniotic fluid can vary just from how much your own fluid intake varies from day to day. However in the ob world everything is a concern. If they saw certain signs, coupled with other concerns it would be different.
Originally Posted by marielle448

I'm going to co-sign all of the above, especially the "wear down the resolve" part. *I* would just-say-no to the appointment and tell them maybe I'd consent at 41 weeks...or maybe at 42 weeks, when I was actually "overdue". I would feel re-assured by just doing fetal kick counts a couple times a day at home. You have to decide what is right for you.
I personally would consent to the NST just because it's a completely non-invasive and not uncomfortable test. I know for my OB with the last pregnancy, it's routine to do them starting at 40 weeks. If you think it's not necessary, just decline it or only consent once you hit 41 weeks on friday. Good lucj whatever you decide and I'll send some labor vibes your way hoping you'll have the baby this weekend and don't have to argue with the doc about it.
*Poster formerly known as Bailey422*

Here's all you have to know about men and women: women are crazy, men are stupid. And the main reason women are crazy is that men are stupid. ~ George Carlin
Both deteriorating placentas and low amniotic fluid are normal at this stage in your pregnancy. In fact, amniotic fluid can vary just from how much your own fluid intake varies from day to day. However in the ob world everything is a concern. If they saw certain signs, coupled with other concerns it would be different.
Originally Posted by marielle448
Just curious...what are the "certain signs" and "other concerns"?

FWIW, my midwife doesn't do NST until 41 weeks.
Life with Lydia

Both deteriorating placentas and low amniotic fluid are normal at this stage in your pregnancy. In fact, amniotic fluid can vary just from how much your own fluid intake varies from day to day. However in the ob world everything is a concern. If they saw certain signs, coupled with other concerns it would be different.
Originally Posted by marielle448
Just curious...what are the "certain signs" and "other concerns"?

FWIW, my midwife doesn't do NST until 41 weeks.
Originally Posted by Brown_Eyed_Girl
Pretty much anything else but those two as a standalone sign. A placenta is meant to peter out at the end of pregnancy, amniotic fluid varies from day to day but baby grows. Those two signs alone shouldn't be anything for an informed caregiver even in a 40+ weeks mom. However, if the caregiver saw something else they would be able to better assess the situation.

As it is the variant among women's labors is plus OR minus two weeks. So just like it's no big deal for a woman to give birth at 38 weeks I cannot comprehend why caregivers do ANYTHING at under 42 weeks.

Like I mentioned earlier and RCW reiterated since they can't harass you over the phone they schedule you for an NST. If anything to make it known via papertrail that they were doing SOMETHING in the small chance that something would go wrong (and by small chance I mean the same small chance of something going wrong that you had in the previous 40 weeks of pregnancy).

Then they take advantage of having you in office, bring you into the exam room and even if the NST/us were normal, they bring up the induction. And they do this, repeatedly. Every two days for my last pregnancy. And let me tell you there is NOTHING non-stress about standing around with a monitor strapped to your belly while your husband prevents your toddler from dismantling the monitoring room. There is nothing non-stress about having to drive across town every two days to get strapped to said monitor and be told that you are that much closer to risking your poor baby's life by not agreeing to induction under 42 weeks. There is nothing nonstress about having to defend your informed choices from your CHOSEN caregiver at a moment when all you should be doing is focusing and resting.

eta: my rant was not directed at you BEG - just a general one I had on my mind from last time.

Last edited by marielle448; 09-07-2008 at 11:49 AM.
Both deteriorating placentas and low amniotic fluid are normal at this stage in your pregnancy. In fact, amniotic fluid can vary just from how much your own fluid intake varies from day to day. However in the ob world everything is a concern. If they saw certain signs, coupled with other concerns it would be different.
Originally Posted by marielle448
Just curious...what are the "certain signs" and "other concerns"?

FWIW, my midwife doesn't do NST until 41 weeks.
Originally Posted by Brown_Eyed_Girl
Pretty much anything else but those two as a standalone sign. A placenta is meant to peter out at the end of pregnancy, amniotic fluid varies from day to day but baby grows. Those two signs alone shouldn't be anything for an informed caregiver even in a 40+ weeks mom. However, if the caregiver saw something else they would be able to better assess the situation.

As it is the variant among women's labors is plus OR minus two weeks. So just like it's no big deal for a woman to give birth at 38 weeks I cannot comprehend why caregivers do ANYTHING at under 42 weeks.

Like I mentioned earlier and RCW reiterated since they can't harass you over the phone they schedule you for an NST. If anything to make it known via papertrail that they were doing SOMETHING in the small chance that something would go wrong (and by small chance I mean the same small chance of something going wrong that you had in the previous 40 weeks of pregnancy).

Then they take advantage of having you in office, bring you into the exam room and even if the NST/us were normal, they bring up the induction. And they do this, repeatedly. Every two days for my last pregnancy. And let me tell you there is NOTHING non-stress about standing around with a monitor strapped to your belly while your husband prevents your toddler from dismantling the monitoring room. There is nothing non-stress about having to drive across town every two days to get strapped to said monitor and be told that you are that much closer to risking your poor baby's life by not agreeing to induction under 42 weeks. There is nothing nonstress about having to defend your informed choices from your CHOSEN caregiver at a moment when all you should be doing is focusing and resting.

eta: my rant was not directed at you BEG - just a general one I had on my mind from last time.
Originally Posted by marielle448
Thanks! I read one time that for some reason, 40 weeks has gone from an average to a deadline. It makes no sense.

I didn't know that about the placenta & amniotic fluid. Interesting.
Life with Lydia

So...how did the non-stress test go today?
I co-sign on all that Marielle said. I also was thinking, isn't this also the time they want to do internals, and some doctors 'accidentally' strip the membranes, which also induces labor?
I had 2 NST with my first baby. I ended up going 13 days after due date. With the 2nd NST the doctor said he wasn't moving much, and directed me to go to the hospital at 9 am for induction. Within 2 hours of leaving the office I was having regular contractions, all on my own.
There's no such thing as global warming. Chuck Norris was cold so he turned up the sun.
Well I went ahead and did the NST and it was fine. The doctor asked if I wanted to be induced on Wednesday and I said no. Not sure where things will go from here. Hopefully it won't even be an issue.

I would feel comfortable inducing at 42 weeks but I'm not sure about earlier than that. It would also depend on my bishop score, which I don't know at this point.

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