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"Does giving juice or glucose to a patient increase the likelihood of a reactive nonstress test?"

Several studies have not shown maternal glucose administration  to have a statistically significant effect on the time to reactivity or the incidence of reactive nonstress tests [1-4]. However, one study showed that breathing movements may be increased following maternal glucose administration [5]. Some studies suggest that the percentage of false nonreactive nonstress tests results may be reduced by performing the test in the sitting or lateral decubitus position, or after walking [6,7].



1. McCarthy KE, Narrigan D. Is there scientific support for the use of juice to facilitate the nonstress test? J Obstet Gynecol Neonatal Nurs. 1995 May;24(4):303-6.PMID:7643260
2. Druzin ML, Foodim J.Effect of maternal glucose ingestion compared with maternal water ingestion on the nonstress test.Obstet Gynecol. 1986 Mar;67(3):425-6.PMID:3511421
3.Richardson B, et al.,The effect of maternal glucose administration on the specificity of the nonstress test. Am J Obstet Gynecol. 1983 Jan 15;145(2):141-6.PMID:6849350
4. Phelan JP, Kester R, Labudovich ML.Nonstress test and maternal serum glucose determinations. Obstet Gynecol. 1982 Oct;60(4):437-9.PMID:7121930
5. Divon MY, et al.Effect of maternal intravenous glucose administration on fetal heart rate patterns and fetal breathing.Am J Perinatol. 1985 Oct;2(4):292-4.PMID:3902040
6. Abitbol MM, et al.Nonstress test and maternal position.
Obstet Gynecol. 1986 Sep;68(3):310-6. PMID:3737051
7. Cito G,et al.Maternal position during non-stress test and fetal heart rate patterns. Acta Obstet Gynecol Scand. 2005 Apr;84(4):335-8. PMID:15762962


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