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Prathima Setty, M.D.

Prathima Setty, M.D.

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Nonstress test

Nonstress test

What is a nonstress test?

This simple, painless procedure is done during pregnancy to evaluate your baby's condition. During the test, your healthcare practitioner or a technician monitors your baby's heartbeat, first while the baby is resting and then while he's moving. Just as your heart beats faster when you're active, your baby's heart rate should go up while he's moving or kicking.

The test is typically done if you've gone past your due date, or in the month or two leading up to your due date if you're having a high-risk pregnancy. Here are some reasons you might have a nonstress test:

  • You have diabetes that's treated with medication, high blood pressure, or some other medical condition that could affect your pregnancy.
  • You have gestational hypertension.
  • Your baby appears to be small or not growing properly.
  • Your baby is less active than normal.
  • You have too much or too little amniotic fluid.
  • You've had a procedure such as an external cephalic version (to turn a breech baby) or third trimester amniocentesis (to determine whether your baby's lungs are mature enough for birth or to rule out a uterine infection). Afterward, your practitioner will order a nonstress test to make sure that your baby's doing well.
  • You're past your due date and your practitioner wants to see how your baby is holding up during his extended stay in the womb.
  • You've previously lost a baby in the second half of pregnancy, for an unknown reason or because of a problem that might happen again in this pregnancy. In this case, nonstress testing may start as early as 28 weeks.
  • You have a medical problem that may jeopardize your baby's health.
  • Your baby has been diagnosed with an abnormality or birth defect and needs to be monitored.

What's the procedure like?

You may be advised to eat a meal just before the test in the hope that eating will stimulate your baby to move around more. Although there's no hard evidence that this works, it can't hurt. It's also a good idea to use the bathroom before the test, because you may be lying strapped to a monitor for up to an hour.

During the procedure, you lie on your left side, possibly with a wedge under your back that allows you to lean back. A technician straps two devices to your belly: One monitors your baby's heartbeat and movement; the other records contractions in your uterus. The technician listens to and watches your baby's heartbeat on an electronic screen while your contractions are recorded on paper.

If your baby's not moving, he could be asleep. You might be asked to drink some water, juice, or soda to get him going, or the technician may nudge him gently through your abdomen or try to wake him with a buzzer. In some cases, you'll be asked to press a button when you feel the baby move. The test usually takes 20 to 60 minutes.

What do the results mean?

If your baby's heart beats faster (at least 15 beats per minute over his resting rate) while he's moving for at least 15 seconds on two separate occasions during a 20-minute span, the result is normal, or "reactive." A normal result means that your baby is probably doing fine for now. Your practitioner may want to repeat the test every week (or more often) until your baby's born.

If your baby's heart doesn't beat faster while he's moving or your baby doesn't move after about 90 minutes, the result is "nonreactive." A nonreactive result doesn't necessarily mean something is wrong. It just means that the test didn't provide enough information and you may need to take it again in an hour or take other tests such as a biophysical profile or contraction stress test.

However, a nonreactive result could indicate that your baby isn't getting enough oxygen or that there are problems with the placenta. If your practitioner thinks that your baby's no longer doing well in the womb, she'll probably decide to induce labor.

Why does the test measure contractions, and why would I be having them?

For several reasons. First, you may or may not be having contractions at this point in your pregnancy. If you are, they could be Braxton-Hicks contractions, which are usually mild, irregular, and sporadic. These are harmless and common during the third trimester. But if you're less than 37 weeks pregnant and you're having continuous, repetitive, regular contractions, it could be a sign of preterm labor, and your practitioner will want to evaluate your cervix to see if it's dilated.

Another reason to monitor contractions is to see whether your baby's heart rate changes when you're having them. If the heart rate drops during a contraction, it may be a sign that that there's a problem with your placenta and that your baby's oxygen supply is compromised.

Calcium doesn't do anything if you have allergic symptoms.

Calcium has nothing to do with allergic symptoms, he said Nike Christian, the president of the Hungarian Allergy Association.The expert was asked about the life of an allergic baby by an injection of adrenaline by a boy of fourteen.
According to him, anyone who has access to anti-allergy drugs can be prescribed by a home doctor. Calcium has nothing to do with allergic symptoms Nykob Kristouf emphasized that if someone has allergic symptoms, they should go to a doctor and have them diagnosed. It is also worthwhile to use some kind of therapy for less severe symptoms, to prevent them from getting worse, he added.
  • An allergy to antihistamines is the solution, not calcium
  • Don't give your child calcium unnecessarily.
  • Allergy - Everything you need to know about roula
Children born by the age of 41 are smarter, but also more prone to certain diseases

Children who spent one week more in the womb than their peers are better at school tests. However, it also comes with a price: Physical disabilities are more common among children born at the age of 41 weeks.

According to a University of Florida researcher, by the age of 41, we are more likely to say they are talented and cognitively proficient. However, it has also been found that physical problems are more common in this condition than in babies born by week 40. According to research published in JAMA Pediatrics better test results for early-born children in their eighth grade: 2.8 percent more likely to be identified by their talented teachers, and 3.1 percent less likely to have cognitive problems. This results in approx. 10 points difference for the benefit of children born at 41 weeks.

Out-of-home children perform better

However, physical problems are 2.1 percent more common in this condition: in the widest range, speech problems and orthopedic problem appearing. There are times when these conditions are so serious that they may require hospitalization. "The abnormalities are poor, but it is worth talking about them again. carries a number of dangers, but overloading can also be extremely dangerous. Jeffrey Roth.Also read these:
  • 3 requests from the house
  • Why in 40 weeks?
  • Therefore, it is not the baby who is getting pregnant
  • When did your baby decide to give birth?
  • Fatty liver in children and childhood obesity

    Fatty liver in children and childhood obesity

    Childhood obesity is a serious global health problem characterized by an increase in body fat in children. Obesity causes a series of health problems for children. In this case, we will talk about fatty liver in children.

    We will explain what fatty liver is and what relationship exists between fatty liver in children and childhood obesity.

    Know what exactly is fatty liver? It is the excessive accumulation of fat (triglycerides) in the liver, which can lead to a malfunction and a variable degree of affectation of this important organ, ranging from the simple accumulation of fat in the liver without associated symptoms, passing through fibrosis up to cirrhosis.

    Fatty liver it is a relatively new disease, was described for the first time in 1983 associated with the increase in childhood obesity. In fact, fatty liver is the most common cause of liver disease in preteens and teens in developed countries.

    The main risk factor for fatty liver is obesityIn fact, more than 90% of children with fatty liver are obese.

    The accumulation of fat (adipose tissue) in the abdomen or middle part of the body is one of the main risk factors for developing fatty liver, hence men are at higher risk of developing fatty liver than women, who tend to accumulate fat towards low areas such as the hips.

    Fatty liver occurs most often in children 10 years of age and olderHowever, it can develop as early as obesity develops from 2 years of age.

    Y what are the symptoms or clinical data of fatty liver in children? Most children with fatty liver have no symptoms. When these symptoms occur, they are usually unspecific, such as:

    • Diffuse abdominal pain in the upper right part of the abdomen.
    • Tiredness, general malaise.
    • More rarely liver growth.
    • Acanthosis nigricans (black spots on the neck) is present in up to 90% of children with fatty liver
    • In laboratory studies, an increase in liver enzymes (transaminases) and an elevation of triglycerides in the blood can be found.

    Timely identification of overweight and obese children is necessary to avoid the development of fatty liver and its complications such as cirrhosis.

    Ultrasound is the most frequently used study to detect fatty liver, is a non-invasive study, easy to access and low cost.

    The European Society for Pediatric Gastroenterology, Hepatology and Nutrition recommends performing an abdominal ultrasound to search for fatty liver in all obese children over 3 years of age.

    Liver biopsy is the most specific study To establish the definitive diagnosis, it can also determine liver damage and the existence of fibrosis, however, it is an invasive and expensive procedure, so it is reserved only for when advanced liver disease is suspected.

    Treatment is aimed at improving the patient's lifestyle, their eating habits and physical activity, in order to reduce obesity and body fat.

    Remember that in pediatric age you not only have to change the habits and lifestyle of the minor, but of the entire family, otherwise it does not work.

    A reduction in weight and body fat based on a healthy diet and exercise they are enough to reverse the hepatitis associated with fatty liver on many occasions.

    In those children who do not respond to dietary measures and exercise, pharmacological management by a specialist with medications such as metformin and vitamin E as antioxidants is reserved.

    The best prevention for fatty liver is to avoid obesity. It is essential that you follow these tips:

    • Avoid sugary drinks, their intake is the main factor associated with obesity and the development of fatty liver in children.
    • Physical activation, encourages the practice of sports, limits the hours in front of a screen such as the television, tablet or cell phone, avoids a sedentary lifestyle.
    • Substitute whole grain or whole grain foods for refined carbohydrates or sugars.

    By preventing obesity we are not only preventing fatty liver, also other associated problems such as type 2 diabetes, high blood pressure, cardiovascular diseases and other chronic degenerative diseases that are increasingly common in pediatric age, which in the end will translate into better quality and life expectancy.

    You can read more articles similar to Fatty liver in children and childhood obesity, in the Obesity category on site.

    May 2018 Pediatric NAFLD Webinar

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