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Fetal Activity Determinations and Oxytocin Challenge Tests for Assessment of Fetal Well-Being

From the Department of Gynecology and Obstetrics at the University of Wisconsin School of Medicine and the Wisconsin Perinatal Center at Madison General Hospital, Madison, Wisconsin

Abstract

Fetal activity determinations followed by oxytocin challenge tests were performed in 101 patients. When fetal heart accelerations occurred following fetal movement, the oxytocin stress test was negative in 99.5% of the cases. An abnormal fetal activity determination was followed by a positive oxytocin challenge test in 12% of the cases. It is suggested that a normal fetal activity determination is indicative of good fetal reserve and therefore reduces the need for oxytocin challenge test. An abnormal fetal activity determination, however, is unreliable and requires that an oxytocin challenge test be performed.