Use of breast stimulation for contraction stress tests

A breast stimulation technique is currently being used for stimulation of uterine contractions when a contraction stress test is indicated for antepartal fetal evaluation. The breast stimulation stress test is considered a practical alternative to the intravenous oxytocin stress test and may be as effective in producing contractions adequate for evaluation of fetal reserve as reflected in a fetal heart rate tracing. Along with a review of related research findings and the purpose of using the breast stimulation stress test indications for use and a step-by-step protocol are provided. In addition, the problem of hyperstimulation of uterine contractions and psychological considerations for the pregnant patient requiring a breast stimulation stress test are included.