Advantages and limitations of NST
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Some advantages of NST are that it is safe, simple, noninvasive, inexpensive, widely available, and well-tolerated by mothers and fetuses. It has a high negative predictive value, meaning that a reactive result reliably excludes fetal hypoxia or acidosis. It can also be repeated as often as needed without adverse effects.
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Some limitations of NST are that it has a low positive predictive value, meaning that a nonreactive result does not necessarily indicate fetal compromise. It may also have false-positive or false-negative results due to factors such as maternal medications, fetal sleep cycle, maternal obesity, or technical errors. It also does not provide information about other aspects of fetal well-being such as amniotic fluid volume or fetal breathing movements.
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