#437: What Is The Value Of The Fetal Non Stress Test?

#437: What Is The Value Of The Fetal Non Stress Test?

In this week’s episode, Blyss and Stu do a deep dive into the methodology, history, and current practices surrounding the non-stress test (NST) used in prenatal care. They answer all your questions: What is a non-stress test? Where did it come from? How did it become so accepted? Does it actually tell you what it's supposed to tell you? And, is there evidence that a previous stillbirth is an indication for for NST testing?


Discussed in This Episode

Understanding Non-Stress Test (NST) and Its Limitations

History and Evolution of NST

NST vs. Biophysical Profiles

Predictive Value of NST

ACOG Guidelines on NST

Fetal Kick Counting vs. NST


Mentioned in this Episode

An Inconvenient Study: aninconvenientstudy.com

ACOG Practice Bulletin: Antepartum Fetal Surveillance

Birthing Instincts Episode #386 with David Hayes


Podcast Produced by: Raquel Hernandez, Pride and Joy Doula Care


This show is supported by


Connect with Dr. Stu and Blyss

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#318 Your Cholestasis Questions Answered…Finally!

#318 Your Cholestasis Questions Answered…Finally!

Join us as we celebrate the arrival of Stu’s first grandchild, and finally cover a topic that has been highly requested: cholestasis. This is a lesser-known health issue that affects a significant number of pregnant women and usually results in interventions once it is discovered. You'll walk away from this episode with a deeper understanding of cholestasis - from its potential treatments, its impact on the liver, and whether or not it is as scary as it is sometimes portrayed.We dissect the risks and benefits of various treatments for cholestasis, alongside a poignant story from a listener who was diagnosed with this condition. We don't shy away from examining the harsh realities, but also shed light on the real facts of what different bile levels mean and their corresponding risks. We further delve into the medical model of treating cholestasis, highlighting the need for an individualized approach that takes into account the woman's unique experience and not just the medical perspective.Not only do we discuss cholestasis, but we also tackle topics like the potential risks of placental pathology and the controversy surrounding forceps usage in childbirth. We pull back the curtain on the medical world, questioning the incentives behind the non-disclosure of placental pathology by hospitals, and revisiting the debate on the induction of labor. This episode is packed with valuable insights, personal stories, and expert advice - an invaluable resource for anyone seeking a comprehensive understanding of cholestasis and its management during pregnancy. Tune in and let's grow together!The Biology of Aging and FertilitySensitivity of Hands and FeetReevaluating Induction Practices in ObstetricsCholestasis in Pregnancy and Risk FactorsPreeclampsia Risk in ICP PatientsAntepartum Testing in Intrahepatic CholestasisLikelihood of ICP RecurrenceObstetricians' Approach to Risk and IndividualityRespiratory Distress Syndrome in Cholestatic PregnanciesEpisode resources:Statistics: Risk of Stillbirth with Intrahepatic Cholestasis of Pregnancy: What do Bile Acid Concentrations Tell Us?Society for Maternal-Fetal Medicine Consult Series #53: Intrahepatic cholestasis of pregnancy: Replaces Consult #13, April 2011Intrahepatic cholestasis of pregnancy and neonatal respiratory distress syndromeBlyss' Cholestasis ProtocolThis show is supported by:LMNT | Go to com/birthinginstincts to get a free sample pack with every orderNeeded | Use code BIRTHINGINSTINCTS for 20% off your first month or first 3 months of a one-month subscription at com.BIRTHFIT | Go to com and use the code INSTINCTS1 for a discount on the Basics Prenatal program, or INSTINCTS2 for a discount on the Basics Postpartum program.Connect with Dr. Stu & Blyss:Instagram: @birthinginstincts / @birthingblyssWebsite: com / birthingblyss.comEmail: birthinginstinctspodcast@gmail.comCall-in line: 805-399-0439

19 Juli 20231h 26min

#317 The Seduction of Induction

#317 The Seduction of Induction

Medical induction of labor continues to rise. Most OBs will want to induce all of you. Does this make sense? No! Blyss & Dr. Stu explain. Blyss hangs with her boys & Dr. Stu becomes a grandpa.

12 Juli 20231h 39min

#316 Reclaiming Birth with Dr. Sara Wickham

#316 Reclaiming Birth with Dr. Sara Wickham

On the Summer Solstice, Dr. Sara Wickham, author and researcher, joins the podcast to share her wisdom. Dr. Stu and Dr. Sara talk about the meaning of risk and prevention and the risk of prevention as it pertains to some very relevant topics: BMI, "Needing" a cesarean, Pitocin & Vitamin K. She is a treasure trove of knowledge.

5 Juli 20231h 33min

#315 Advanced Maternal Age: Debunking Myths

#315 Advanced Maternal Age: Debunking Myths

In this episode, Blyss and Dr. Stu delve into the term 'Geriatric Pregnancy', debunking myths and embracing evidence around advanced maternal age and the need for individualized care. They also touch upon stories of successful births, medical interventions, and the risks of synthetic oxytocin (Pitocin) versus natural oxytocin. Amidst personal anecdotes, survival strategies for a metaphorical apocalypse, and reflections on adaptability, the episode underscores the importance of informed consent and patient autonomy in making birth choices.

28 Juni 20231h 21min

#314 Low Platelets & Deficiencies of Wisdom

#314 Low Platelets & Deficiencies of Wisdom

Today, Blyss meets up with Dr. Stu at his new homestead for some in-person podcasting! They discuss thrombocytopenia and low levels of independent thought in so many health care providers. Learn about the importance of a complete blood count and peripheral blood smear, the risks associated with certain medications, and the key characteristics of gestational thrombocytopenia. They also discuss various platelet count thresholds and what they mean for the expecting mother.

21 Juni 20231h 4min

#313 Comforting Truths About Low Lying Placenta

#313 Comforting Truths About Low Lying Placenta

Today, Blyss and Dr. Stu dive into the topic of low-lying placenta and challenge the commonly held perception of it being a high-risk condition, discussing the medical gaslighting that often occurs. Blyss shares her firsthand experience of witnessing an unassisted birth where the mother made the empowered choice to stay home. Together, they provide comforting truths and alternative perspectives on low-lying placenta, offering insights that challenge the traditional approach and empower women to make informed decisions about their birth plans.

14 Juni 20231h 20min

#312 Activating Your Inner Jaguar with Kimberly Ann Johnson

#312 Activating Your Inner Jaguar with Kimberly Ann Johnson

The brilliant author of “The Fourth Trimester” & “Call of the Wild”, Kimberly Ann Johnson joins Blyss & Dr. Stu for a really fascinating conversation into rites of passage and our autonomic nervous system. You have to hear her!

7 Juni 20231h 13min

#311 Low Hanging Fruit: The Marketing of our Health

#311 Low Hanging Fruit: The Marketing of our Health

Do physicians live up to their definition? Blyss and Dr. Stu delve into the troubling relationship between big medicine, big government, and big pharma. Blyss & Dr. Stu, together again, break down the ugly reality.

1 Juni 202359min

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