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'''Vibroacoustic stimulation (VAS)''', sometimes referred to as '''fetal vibroacoustic stimulation''' or '''fetal acoustic stimulation test (FAST)''', is the application of a vibratory sound stimulus to the [[abdomen]] of a [[pregnancy|pregnant]] woman to induce [[Cardiotocography#Accelerations|FHR accelerations]]. The presence of FHR accelerations reliably predicts the absence of [[Acidemia#Fetal_metabolic_acidemia|fetal metabolic acidemia]]. Vibroacoustic stimulation is typically used during a [[nonstress test]] (NST).<ref name="isbn1-84214-333-6">{{cite book |author=Chervenak, Frank A.; Kurjak, Asim |title=Textbook of Perinatal Medicine, Second Edition (Two Volumes) |publisher=Informa Healthcare |location= |year=2006 |pages=963 |isbn=1-84214-333-6 |oclc= |doi= |accessdate=}}</ref><ref name="FHM">{{cite book |title= Fetal Heart Monitoring: Principles and Practices|last= Association of Women’s Health, Obstetric, and Neonatal Nurses |authorlink= AWHONN|editor= Audrey Lyndon, Linda Usher Ali|edition= 3rd|year= 2005|publisher= Kendall/Hunt Publishing Co|location=Dubuque, IA |isbn= 978-0-7575-6234-1}}</ref> |
'''Vibroacoustic stimulation (VAS)''', sometimes referred to as '''fetal vibroacoustic stimulation''' or '''fetal acoustic stimulation test (FAST)''', is the application of a vibratory sound stimulus to the [[abdomen]] of a [[pregnancy|pregnant]] woman to induce [[Cardiotocography#Accelerations|FHR accelerations]]. The presence of FHR accelerations reliably predicts the absence of [[Acidemia#Fetal_metabolic_acidemia|fetal metabolic acidemia]]. Vibroacoustic stimulation is typically used during a [[nonstress test]] (NST).<ref name="isbn1-84214-333-6">{{cite book |author=Chervenak, Frank A.; Kurjak, Asim |title=Textbook of Perinatal Medicine, Second Edition (Two Volumes) |publisher=Informa Healthcare |location= |year=2006 |pages=963 |isbn=1-84214-333-6 |oclc= |doi= |accessdate=}}</ref><ref name="FHM">{{cite book |title= Fetal Heart Monitoring: Principles and Practices|last= Association of Women’s Health, Obstetric, and Neonatal Nurses |authorlink= AWHONN|editor= Audrey Lyndon, Linda Usher Ali|edition= 3rd|year= 2005|publisher= Kendall/Hunt Publishing Co|location=Dubuque, IA |isbn= 978-0-7575-6234-1}}</ref> |
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In 2013, the [[Cochrane Database of Systematic Reviews]] concluded that there was insufficient evidence from randomized trials to support its use to assess [[fetus|fetal]] well-being in labor.<ref>{{Cite journal | last1 = East | first1 = C. E. | last2 = Smyth | first2 = R. M. | last3 = Leader | first3 = L. R. | last4 = Henshall | first4 = N. E. | last5 = Colditz | first5 = P. B. | last6 = Lau | first6 = R. | last7 = Tan | first7 = K. H. | editor1-last = East | editor1-first = Christine E | title = Vibroacoustic stimulation for fetal assessment in labour in the presence of a nonreassuring fetal heart rate trace | doi = 10.1002/14651858.CD004664.pub3 |
In 2013, the [[Cochrane Database of Systematic Reviews]] concluded that there was insufficient evidence from randomized trials to support its use to assess [[fetus|fetal]] well-being in labor.<ref>{{Cite journal | last1 = East | first1 = C. E. | last2 = Smyth | first2 = R. M. | last3 = Leader | first3 = L. R. | last4 = Henshall | first4 = N. E. | last5 = Colditz | first5 = P. B. | last6 = Lau | first6 = R. | last7 = Tan | first7 = K. H. | editor1-last = East | editor1-first = Christine E | title = Vibroacoustic stimulation for fetal assessment in labour in the presence of a nonreassuring fetal heart rate trace | doi = 10.1002/14651858.CD004664.pub3 | journal = The Cochrane Library| volume = 1 | pages = CD004664 | year = 2013 | pmid = 23440793 | pmc = }}</ref> A related Cochrane Review, however, concluded that its use in antenatal testing did reduce the incidence of non-reactive cardiotocography and the overall testing time.<ref>{{Cite journal | last1 = Tan | first1 = K. H. | last2 = Smyth | first2 = R. M. | last3 = Wei | first3 = X. | editor1-last = Tan | editor1-first = Kelvin H | title = Fetal vibroacoustic stimulation for facilitation of tests of fetal wellbeing | doi = 10.1002/14651858.CD002963.pub2 |journal=The Cochrane Library| volume = 12 | pages = CD002963 | year = 2013 | pmid = 24318543 | pmc = }}</ref> |
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| journal = The Cochrane Library| volume = 1 | pages = CD004664 | year = 2013 | pmid = 23440793 | pmc = }}</ref> A related Cochrane Review, however, concluded that its use in antenatal testing did reduce the incidence of non-reactive cardiotocography and the overall testing time.<ref>{{cite pmid| 24318543}}</ref> |
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==References== |
==References== |
Vibroacoustic stimulation (VAS), sometimes referred to as fetal vibroacoustic stimulationorfetal acoustic stimulation test (FAST), is the application of a vibratory sound stimulus to the abdomen of a pregnant woman to induce FHR accelerations. The presence of FHR accelerations reliably predicts the absence of fetal metabolic acidemia. Vibroacoustic stimulation is typically used during a nonstress test (NST).[1][2]
In 2013, the Cochrane Database of Systematic Reviews concluded that there was insufficient evidence from randomized trials to support its use to assess fetal well-being in labor.[3] A related Cochrane Review, however, concluded that its use in antenatal testing did reduce the incidence of non-reactive cardiotocography and the overall testing time.[4]
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Tests and procedures relating to pregnancy and childbirth
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Maternal tests |
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Fetal tests |
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Interventions |
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Delivery |
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Pregnancy and childbirth
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Planning |
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Conception |
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Testing |
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Types |
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Childbirth |
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Prenatal |
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Postpartum |
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Obstetric history |
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