Evaluation of the Effects of Different Positions Given During Antenatal Electro-Fetal Monitoring

Study Overview
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Brief Summary
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The aim of this study was to examine the effects of different positions given to pregnant women during electro fetal monitoring on maternal and fetal health. The study was conducted in a pregnant follow-up outpatient clinic of a maternity hospital in Istanbul, between December 2021 and January 2023, in a randomized controlled experimental study design with two interventions and a control group. In the study, 60 participants were placed in the right side lying position (intervention 1), 60 participants in the semi-sitting position (intervention 2) and 120 participants in the left side lying position (control group), and the study was completed with a total of 240 pregnant women. According to NST extraction positions, systolic blood pressure and body temperature of the pregnant women were found to have a statistically significant difference between pre-NST extraction, NST extraction time and post-NST extraction positions, time and group-time (p<0.05). It was determined that the difference between the groups was that the semi-sitting position created a significant difference compared to the other position averages. In terms of time, the NST moment made a difference compared to other times. It was determined that the right position made a statistical difference compared to the other position averages in the pulse count. It was found that the semi-sitting position had a statistically significant effect on maternal comfort (t=3.834, p<0.05). It was determined that the semi-sitting position caused an increase of 0.911 on general comfort (β=0.911).

Detailed Description
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Introduction: Electro Fetal Monitoring is widely used all over the world because it is non-invasive, accessible and easy to use in the follow-up of pregnancy and labor. The accuracy of the result is affected by factors such as the position of the pregnant woman during the procedure, maternal comfort and maternal blood pressure. Objective: The aim of this study was to examine the effects of different positions given to pregnant women during electro fetal monitoring on maternal and fetal health. Method: The study was conducted in a pregnant follow-up outpatient clinic of a maternity hospital in Istanbul, between December 2021 and January 2023, in a randomized controlled experimental study design with two interventions and a control group. In the study, 60 participants were placed in the right side lying position (intervention 1), 60 participants in the semi-sitting position (intervention 2) and 120 participants in the left side lying position (control group), and the study was completed with a total of 240 pregnant women. Research data were collected through the Information Form and the General Comfort Scale-Short Form.

Official Title
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Evaluation of the Effects of Different Positions Given During Antenatal Electro-Fetal Monitoring on Maternal Comfort, Maternal Blood Pressure and Fetal Health

Conditions
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Fetal Monitoring, Patient Comfort, Maternal Health

Intervention / Treatment
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* Diagnostic Test: Right side lying position
* Diagnostic Test: Semi Fowler
* Diagnostic Test: left side lying position


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Being over the age of 18, Being 35 years of age and under, Being a single fetus in the late 3rd trimester (34th-40th gestational week), Fetal biometric measurements between 34-40 weeks of gestation, No maternal and fetal risk affecting pregnancy, It was determined that the vital signs were within normal values before the application, not being hungry during the application (at the latest 2 hours of fasting time will be checked), and accepting the recommended application position. Exclusion Criteria: - The pregnant woman does not accept the recommended application position.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 49 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: The study was conducted in a pregnant follow-up outpatient clinic of a maternity hospital in Istanbul, between December 2021 and January 2023, in a randomized controlled experimental study design with two interventions and a control group. In the study, 60 participants were placed in the right side lying position (intervention 1), 60 participants in the semi-sitting position (intervention 2) and 120 participants in the left side lying position (control group), and the study was completed with a total of 240 pregnant women. Research data were collected through the Information Form and the General Comfort Scale-Short Form.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: intervention 1<br>electro fetal monitoring | Diagnostic Test: Right side lying position<br>* In the study, 60 participants were placed in the right side lying position (intervention 1)<br>* Other names: (intervention 1);Diagnostic Test: Semi Fowler<br>* In the study, 60 participants in the semi-sitting position (intervention 2)<br>* Other names: (intervention 2);Diagnostic Test: left side lying position<br>* In the study, 120 participants in the left side lying position (control group).<br>* Other names: (control group);|
| Experimental: intervention 2<br>electro fetal monitoring | Diagnostic Test: Right side lying position<br>* In the study, 60 participants were placed in the right side lying position (intervention 1)<br>* Other names: (intervention 1);Diagnostic Test: Semi Fowler<br>* In the study, 60 participants in the semi-sitting position (intervention 2)<br>* Other names: (intervention 2);Diagnostic Test: left side lying position<br>* In the study, 120 participants in the left side lying position (control group).<br>* Other names: (control group);|
| Experimental: control group<br>electro fetal monitoring | Diagnostic Test: Right side lying position<br>* In the study, 60 participants were placed in the right side lying position (intervention 1)<br>* Other names: (intervention 1);Diagnostic Test: Semi Fowler<br>* In the study, 60 participants in the semi-sitting position (intervention 2)<br>* Other names: (intervention 2);Diagnostic Test: left side lying position<br>* In the study, 120 participants in the left side lying position (control group).<br>* Other names: (control group);|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| right side lying post NST (3) | Blood Pressure (Systolic) | before NST | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| right side lying | Blood Pressure (Systolic) | NST instant | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Fetal Monitoring, Patient Comfort, Maternal Health, Midwifery