Pregnancy Related
Conditions
Keywords
Pain, Birth, Chilbirth Satisfaction, Wireless Fetal Monitoring, Comfort
Brief summary
Wireless EFM shortens labor duration, increases birth satisfaction, and reduces perceived pain during labor. With wireless EFM, comfort in labor increases and higher labor comfort increases birth satisfaction. As perceived pain in labor decreases, birth satisfaction increases. Therefore, wireless EFM practice is recommended during the antepartum and intrapartum periods.
Detailed description
Problem Wired Electronic Fetal Monitoring (EFM) limits the woman's freedom of movement during labor, causes inability to cope with labor pain, lack of comfort, and a decrease in labor satisfaction. Background While EFM is performed as wired and wireless in the antepartum and intrapartum periods, wired application is common in the world and in our country. Aim This randomized controlled study was conducted to evaluate the effect of the wireless fetal monitoring, which is used during birth, on the woman's comfort, labor pain and birth satisfaction. Methods The study population consisted of 88 women, divided into two groups the experimental group (n=44) and the control group (n=44). The data were collected with the Personal Information Form, Childbirth Comfort Questionnaire (CCQ), Visual Pain Scale (VAS), and Birth Satisfaction Scale-Revised (BSS-R). During the intrapartum period, the wireless fetal monitoring system was used in the experimental group and the wired fetal monitoring system was used in the control group.
Interventions
DEVICEwireless fetal monitoring system
The wireless fetal monitoring system shortens the period of labor by enabling the woman to be more mobile during the intrapartum period.
Sponsors
Tokat Gaziosmanpasa University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
* Pregnant women who are willing to participate in the study, * Aged 18-40 years, * Having a healthy pregnancy, * With a gestational age of \> 37+0 weeks, * With a cervical dilatation of 4-5 cm, * With a singleton pregnancy, * With a live fetus, * Can speak Turkish, * Do not have comprehension, perception, and communication problems participated in the study.
Exclusion criteria
* Pregnant women who did not comply with the study had communication problems, * Had complications, * Needed urgent cesarean delivery and wanted to withdraw from the study were excluded from the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Childbirth Comfort Questionnaire | When the cervical dilatation of the pregnant woman was 8-10 cm in labor, the CCQ were filled out by the researcher between contractions, when the pregnant feels good. | The participants rated the questionnaire through a Likert-type scale ranging from 1 to 5. The scores that can be obtained from the scale vary from 9 to 45. Higher scores indicate higher comfort during labor, whereas lower scores mean lower comfort |
| Visual Analogue Scale | When the cervical dilatation of the pregnant woman was 8-10 cm in labor, the VAS were filled out by the researcher between contractions, when the pregnant feels good. | To measure the level of the pain, mostly a 10-cm-long vertical or horizontal line labeled from No pain to Unbearable pain is used. The participants are asked to mark their pain level on the line by a line, dot, or simply showing. The distance between the no pain point and the marked point indicates the level of pain |
| Birth Satisfaction Scale-Revised | The BSS-R was conducted 1 h after the mother was taken from the labor room to the gynecology and obstetrics service. The time required for the rest need of the postpartum mother, to meet her personal needs and breastfeed her baby was also provided | The lowest and the highest scores that can be obtained from the scale were 0 and 40, respectively. Higher scores indicate higher satisfaction. Satisfaction is classified as low satisfaction (0-13), medium satisfaction (14-27), and high satisfaction (28-40). The scale is implemented within the first three days after delivery birth. |
Countries
Turkey (Türkiye)
Outcome results
None listed