Recent postings have discussed NSTs (non stress tests) and the use of
nipple stimulation to elicit the release of oxytocin (pitocin). I think
it's important that a clarification be made so that any expectant mothers
on line are not under any misconceptions, should their MD suggest an NST.
An NST is a screening test which evaluates fetal well being by observing
how the fetal heart rate reacts to fetal movement. The healthy, well
oxygenated fetal heart should accelerate when the fetus moves. There is no
oxytocin or nipple stimulation involved in an NST; that would be an OCT or
Oxytocin Challenge Test, which measures the fetus' reaction to
contractions. The contractions may be elicited by using nipple stimulation
or small doses of IV Pitocin. Have been doing these tests for 7 years now
and am often dismayed at the misconceptions and anxiety that many women
bring in with them. A simple explanation by the Doc would alleviate alot of
the their concerns, and yes, I have shared this opinion with many of them.
Thanks for letting me offer my .02 worth.
 Mary A. Banaszewski, RN, Lactation Specialist