I've worked nights for years and recently started working 3-11 in a differant hospital. On night shift we didn't perform CSTs.. Well, yesterday the doctor discussed performing a CST on a 33 weeker because her NST was not reactive...she had accels but not 15 by 15...I asked about a biophysical profile and the doctor told me that they had one that showed an AFI of 7 which was concerning to the doctor. I read a while ago that CST are contraindicated in pretermers because of the risk of putting the mother into preterm labor. I need more information. Do you perform CST on pretermers? How about nipple stim CSTs? What is the standard?