NST at one day overdue?

CoreysGal

I have had a completely complication free pregnancy, as I did with my first one. With my first I went into labor on my own and she was born one day after her due date. Yesterday I went in for my 40 week appt and the doc checked me - I am 2cm dilated and not really effaced at all. She tells me to come in on Friday for an NST (one day after due date) and I said, "I have an appt next Tuesday, can't we just do it then?" and she said, "Nah, we really like to just go ahead and do one as soon as your overdue and then if you are still pregnant on Tuesday, we will do another" and so I scheduled it. But now I am regretting it because I am just really worried that somehow, someway it will be a catalyst to induce me which I DO NOT want! I could understand if I was a week overdue or having complications. What do you guys think? Has this happened to you and did they explain the reasoning? Do you think I should just go?

sschwege

My office doesn't do them until 41w unless there is a reason.  If it were me I would hold off until then, but that's just me.

AmyRI

Seems overboard to me.

However, I also don't see the harm in an NST, so long as that's all it is and doesn't include a weight-check ultrasound. You should have no problem passing the NST, and if you don't - well, then that's a valid reason for induction. Weight estimates, on the other hand, are often wrong and I would refuse induction for suspected macrosomia.

sbevmc09

sschwege:

My office doesn't do them until 41w unless there is a reason.  If it were me I would hold off until then, but that's just me.

This.  I definitely wouldn't want to go in and then have to go back on Tuesday (if you don't go into labor before then).  As long as there's no factors indicating you really need a NST this early I'd push for waiting until 41 weeks.  It just seems unnecessary.  You may very well go into labor on your own before 41 weeks in which case the NST won't even be performed.

Plus, it all just seems so strange.  It's pretty impossible to REALLY know down to the day how pregnant you are.  For all anyone knows you could be 40 weeks today, or tomorrow, KWIM?  

CoreysGal

sbevmc09:

sschwege:

My office doesn't do them until 41w unless there is a reason.  If it were me I would hold off until then, but that's just me.

This.  I definitely wouldn't want to go in and then have to go back on Tuesday (if you don't go into labor before then).  As long as there's no factors indicating you really need a NST this early I'd push for waiting until 41 weeks.  It just seems unnecessary.  You may very well go into labor on your own before 41 weeks in which case the NST won't even be performed.

Plus, it all just seems so strange.  It's pretty impossible to REALLY know down to the day how pregnant you are.  For all anyone knows you could be 40 weeks today, or tomorrow, KWIM?  

Yes, exactly this!!  One day overdue??  I agree with PP that 1 day overdue just seems overboard.  I am totally down with doing it at 41 weeks. 

spaceunicorn

with DS#2 I went to 41w2d. After 40w I had NSTs twice a week.

If you really don't want to have one done, I believe you can decline/refuse it, but I really do not think that they are a fast track to induction.. 

laurack

seems a bit soon, but it wouldn't bother me. I had three NST in the last week (i was 2 weeks overdue), one at 41w and two later that week after each dose of cervadil.

But i wouldn't decline one at 40w unless I was still working and didn't want to take time off or something. They don't hurt and it's not like theres much else to do when that pregnant. And they won't induce unless something alarms them about it, in which case it would be a GOOD thing you had one so early!

skyejo

spaceunicorn:

with DS#2 I went to 41w2d. After 40w I had NSTs twice a week.

If you really don't want to have one done, I believe you can decline/refuse it, but I really do not think that they are a fast track to induction.. 

All of this. 

RayRay007

AmyRI:

Seems overboard to me.

However, I also don't see the harm in an NST, so long as that's all it is and doesn't include a weight-check ultrasound. You should have no problem passing the NST, and if you don't - well, then that's a valid reason for induction. Weight estimates, on the other hand, are often wrong and I would refuse induction for suspected macrosomia.

I wouldn't do an NST at one day over unless there was some other indications. I do see the harm in doing an NST - if you go looking for something wrong, you are likely to find something wrong. They probably won't like something about the results. My NST wound up in an emergency c/s. So I would wait until 41 wks.

CoreysGal

RayRay007:

AmyRI:

Seems overboard to me.

However, I also don't see the harm in an NST, so long as that's all it is and doesn't include a weight-check ultrasound. You should have no problem passing the NST, and if you don't - well, then that's a valid reason for induction. Weight estimates, on the other hand, are often wrong and I would refuse induction for suspected macrosomia.

I wouldn't do an NST at one day over unless there was some other indications. I do see the harm in doing an NST - if you go looking for something wrong, you are likely to find something wrong. They probably won't like something about the results. My NST wound up in an emergency c/s. So I would wait until 41 wks.

Exactly my fear. If I had ANY issues going on, any thing at all, it would make sense to me.  But a due date is an estimate and for goodness sake - one day overdue really doesn't call for this.  I agree that there can be harm, too.  I just don't want to give them any reason to be hasty, and unfortunately, I am not with an OB practice that I trust enough to not be hasty.  

jlrschmidt

I think you are probably fine to wait until 41 weeks. As long as you feel baby move regularly and there are no other issues.  That being said, I haven't had any issues at my NSTs (started them at 41 weeks). If anything they gave my doctor piece of mind that they wouldn't induce until 42 weeks because they looked so good. 

AmyRI

RayRay007:

AmyRI:

Seems overboard to me.

However, I also don't see the harm in an NST, so long as that's all it is and doesn't include a weight-check ultrasound. You should have no problem passing the NST, and if you don't - well, then that's a valid reason for induction. Weight estimates, on the other hand, are often wrong and I would refuse induction for suspected macrosomia.

I wouldn't do an NST at one day over unless there was some other indications. I do see the harm in doing an NST - if you go looking for something wrong, you are likely to find something wrong. They probably won't like something about the results. My NST wound up in an emergency c/s. So I would wait until 41 wks.

So you're saying that your emergency c/s was unnecessary? Yours would be the first I heard of a provider making up poor results to a NST. I'm very sorry if they did that to you.

RayRay007

AmyRI:

RayRay007:

AmyRI:

Seems overboard to me.

However, I also don't see the harm in an NST, so long as that's all it is and doesn't include a weight-check ultrasound. You should have no problem passing the NST, and if you don't - well, then that's a valid reason for induction. Weight estimates, on the other hand, are often wrong and I would refuse induction for suspected macrosomia.

I wouldn't do an NST at one day over unless there was some other indications. I do see the harm in doing an NST - if you go looking for something wrong, you are likely to find something wrong. They probably won't like something about the results. My NST wound up in an emergency c/s. So I would wait until 41 wks.

So you're saying that your emergency c/s was unnecessary? Yours would be the first I heard of a provider making up poor results to a NST. I'm very sorry if they did that to you.

No I do believe it was necessary given what we knew, but on the other hand, it's impossible to say what would've happened if we didn't know about it. If we had been none the wiser, she might have been fine. But, because we knew about it we had to act on it. In my case, she had bradycardia and they even lost her heart tones during contractions (I didn't even know I was having contractions). She recovered fine between contractions, and came out kicking and screaming. Her cord had been around her neck but her cord gases her good which indicates she was not deprived of oxygen. I'm not saying they would make up poor results, but they may say something along the lines of "mmmm I don't really like how baby's handling contractions" or "mmmm I don't really like your fluid levels" and talk about speeding things up. I just threw in my case as an example about how they didn't like the results.