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Journals / İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi / 2018 / Cilt: 8 - Sayı: 2

The effect of different maternal positions on reactivity of the nonstress test, maternal blood pressure and heart rate

Farklı maternal pozisyonların nonstres test reaktivitesi, maternal kan basıncı ve kalp atım hızına etkisi

Tülay YAVAN
Didem KIRATLI
Kazım Emre KARAŞAHİN
Müfit Cemal YENEN
Pages
101–108
Publication Date
2022-10-18
DOI
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AI Summary & Key Takeaways

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Maternal heart rateswere significantly different in semifowler left lateral position (p

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: We aimed to investigate the effects of different maternal positions on reactivityof the Nonstress Test (NST), maternal blood pressure and heart rate.Methods: In this experimental study, 243 pregnants were randomized to the position groups(sitting, semi-Fowler’s, semi-Fowler’s left lateral) at 34-37 and 38-40 gestational weeks.
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Key Findings & Data:For the statistical comparison of the continuous variables, one-wayANOVA, and independent groups t test were used.Results: Though not statistically significant difference existed, NST reactivity at sittingposition was higher than the other positions, and it was higher in 38-40 gestational weeksrelative to 34-37 gestational weeks (p>0.05).
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Conclusion & Impact:Maternal heart rateswere significantly different in semifowler left lateral position (p
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: We aimed to investigate the effects of different maternal positions on reactivityof the Nonstress Test (NST), maternal blood pressure and heart rate.Methods: In this experimental study, 243 pregnants were randomized to the position groups(sitting, semi-Fowler’s, semi-Fowler’s left lateral) at 34-37 and 38-40 gestational weeks. Thequestionnaire form inquiring socio-demographic and obstetric characteristics and “NSTForm” were used. For the statistical comparison of the continuous variables, one-wayANOVA, and independent groups t test were used.Results: Though not statistically significant difference existed, NST reactivity at sittingposition was higher than the other positions, and it was higher in 38-40 gestational weeksrelative to 34-37 gestational weeks (p>0.05). Results of NST reactivity were evaluated at 4time periods. Time-to-reactivity in relation to position didn’t reveal a significant difference.Independent of the position, we found a significant difference in time to reactivity between0-5 and 0-10 minutes, and between 0-10 and 0-15 minutes (p0.05). Fetal heartrate, maternal systolic, diastolic blood pressure levels were similar in all gestational weeksregardless of the position, at baseline and 10 minutes later (p>0.05). Maternal heart rateswere significantly different in semifowler left lateral position (p

Özet

Amaç: Farklı maternal pozisyonların Nonstres Test (NST) reaktivitesi, maternal kan basıncı ve kalp atım hızına etkisini incelemeyi amaçladık. Yöntem: Bu deneysel çalışmada, 34-37 ve 38-40 gestasyonel haftalarda 243 gebe kadın, belirlenen pozisyon gruplarına (oturarak, semifowler, semifowler sol lateral) randomize edildi. Veri toplamak için sosyodemografik ve obstetrik özellikleri içeren anket formu ve “NST Formu” kullanıldı. Sürekli değişkenlerin istatistik karşılaştırmalarında one-way ANOVA ve bağımsız gruplarda t testi kullanıldı. Bulgular: NST reaktivitesi oturur pozisyonda diğer pozisyonlara göre daha yüksek, 38-40 haftalarda 34-37 haftalara göre daha yüksek bulundu fakat istatistiksel olarak anlamlı bir fark belirlenmedi (p>0,05). Reaktif NST sonuçları 4 zaman diliminde değerlendirildi. Pozisyona göre reaktivite zamanları arasında istatistiksel olarak anlamlı bir fark yoktu. Pozisyondan bağımsız olarak, 0-5 ve 0-10 dk.’lar arasında, 0-10 ve 0-15 dk.’lar arasında reaktivite oranı açısından istatistiksel olarak anlamlı fark belirlendi (p0,05). Pozisyondan bağımsız olarak bütün gestasyonel haftalarda bazal fetal kalp hızı, başlangıç ve 10. dk.’da maternal sistolik ve diastolik kan basıncı düzeyleri benzerdi (p>0,05). Maternal kalp atım hızı yarı-Fowler sol lateral pozisyonda önemli derecede farklı idi (p

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Cite This Article

YAVAN, T., KIRATLI, D., KARAŞAHİN, K. E., YENEN, M. C. (2022). The effect of different maternal positions on reactivity of the nonstress test, maternal blood pressure and heart rate. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi, Cilt: 8 - Sayı: 2, 101–108. https://ajindex.com/articles/557683

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References (9)

  1. Kinas MG, Demircan Sezer S, Yuksel H, Odabasi AR, Ture M. The role of fetal movement amount on predicting the nonstress test results. Journal of Turkish Society of Obstetrics and Gynecology. 2011;8(4):238-43. https://doi.org/10.5505/tjod.2011.45822
  2. Çiçek N, Akyürek C, Çelik Ç, Haberal A. Kadın Hastalıkları ve Doğum Bilgisi [Obstetrics and Gynecology Textbook]. Güneş. İstanbul, 2006; p. 239. In Turkish Çorbacıoğlu Kara A. Antepartum fetal monitoring. In: Has R. (Translation Editor). Fetal Heart Rate Monitoring (Editors: Freeman RK, Garite TJ, Nageotte MP). Nobel, 2015; p. 181- 202. Esin S. Factors that increase reactivity during fetal nonstress testing. Current Opinion in Obstetrics and Gynecology. 2014;26(2):61-6. https://doi.org/10.1097/GCO.0000000000000050
  3. Demir N, Okumuş H, Aluş Tokat M. The effect of EFM education program on midwifes and nurses’ knowledge and interpretation skills. Dokuz Eylül University Nursing Journal. 2011;4(2):63-6. https://dspace.deu.edu.tr/xmlui/handle/12345/4585
  4. Miller DA, Miller LA. Electronic fetal heart rate monitoring: applying principles of patient safety. American Journal of Obstetrics & Gynecology. 2012;206(4):278-83. https://doi.org/10.1016/j.ajog.2011.08.016
  5. Kiettisanpipop P, Phupong V. Intrapartum and neonatal outcome of screening non-stress test (NST) compared with no screening NST in healthy women at 40-40 (+6) weeks of gestation. The Journal of Obstetrics and Gynaecology Research. 2015;41(1):50-4. https://doi.org/10.1111/jog.12497 McConaughey E. Fetal Evaluation and Clinical Applications. In: Angelini DJ, Lafontaine D. (editors). Obstetric Triage and Emergency Care Protocols. Springer Publishing Company. 2013; p.97-109.
  6. Liston R, Sawchuck D, Young D. Fetal health surveillance: Antepartum and intrapartum consensus guideline. Journal of Obstetrics and Gynaecology Canada. 2007;29(9):3-4. https://doi.org/10.1016/S1701-2163(16)32615-9
  7. Aktulay A, Engin Üstün Y, Yapar Eyi E, Yörük Ö, Hançerlioğulları N, Mollamahmutoğulları L. Evaluation of non-reactive NST at low risk pregnancy. The Journal of Gynecology-Obstetrics and Neonatology 2013;10(37):1542-4.
  8. McKinney ES, James SR, Murray SS, Nelson K, Ashwill J. Maternal-Child Nursing E-Book. Fifth Edition, Elsevier 2018; (Last Accessed Date: November 9, 2017), p. 281. https://books.google.com.tr/books?isbn=0323478344
  9. Davidson M, London M, Ladewig P. Old’s maternal-newborn nursing&women’s health across the lifespan. Ninth edition, Harlow, 2014; p. 548-50. Aluş Tokat M. Antepartum