What does the presence of two or more accelerations in a non-stress test indicate?

The presence of two or more accelerations during a non-stress test indicates fetal reactivity, which is a positive sign of fetal well-being. In a non-stress test, healthcare providers monitor the fetal heart rate in relation to fetal movements. Accelerations are short-term increases in the heart rate that typically happen when the fetus is active. If two or more accelerations are observed within a specific timeframe, it suggests that the fetus is responding appropriately and is likely receiving adequate oxygen and not facing distress.

This finding is essential as it reflects the healthy functioning of the fetal nervous system and the adequacy of placental function. In contrast, the absence of such accelerations could indicate potential fetal distress or the need for further assessment to ensure the fetus's health. Therefore, the indication of fetal reactivity demonstrates a favorable condition for the fetus, enabling healthcare providers to have confidence in the ongoing monitoring and management of the pregnancy.