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My doctor tells me the nipple stimulation test uses the external fetal monitor (EFM). What is the nipple stimulation test and how does it differ from the nonstress test?

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My doctor tells me the nipple stimulation test uses the external fetal monitor (EFM). What is the nipple stimulation test and how does it differ from the nonstress test?

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Like the nonstress test, the nipple stimulation test is a measure of fetal wellbeing. The test may be used in conjunction with the nonstress test or independently. The nipple stimulation test uses both the ultrasound and pressure transducers of the external fetal monitor. Your doctor will ask you to roll your nipple between your fingers to release oxytocin from the pituitary gland and stimulate mild uterine contractions. Premature labor is not a common complication of the test. During the contractions your doctor will monitor your baby’s fetal heart rate for signs of stress. The length of the test is about 45 minutes and you may be asked to undergo testing once or twice weekly during your third trimester.

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