Doğum yapan kadının sesine maruz kalmanın non-stres test (NST) sonuçları üzerine etkisi: Vaka-kontrol çalışması

Year 2022, Volume: 3 Issue: 3, 149 - 153, 29.12.2022

Gülçin Nacar , Sevda Türkmen

https://doi.org/10.29228/anatoljhr.65933

Abstract

Amaç: Araştırma, doğum yapan kadının sesine maruz kalmanın Non-stres test (NST) sonuçları üzerine etkisini belirlemek amacıyla yapılmıştır.
Yöntem: Vaka-kontrol çalışması olarak tasarlanan araştırma 41 vaka, 44 kontrol olmak üzere toplam 85 gebe ile tamamlanmıştır. Vaka grubuna, Türkiye’nin doğusunda bulunan bir ildeki bir özel hastanesinin doğum ve kadın hastalıkları polikliniğine başvuran, NST izlemi istenen gebeler alınmıştır. Kontrol grubuna ise, aynı ilde bulunan bir kamu hastanesinin doğum ve kadın hastalıkları polikliniğine başvuran ve NST izlemi istenen gebeler alınmıştır. Vaka grubunda yer alan gebelerin NST işlemi, doğumhane içerisinde bulunan bir ortamda ve doğum yapan kadınların seslerine maruz kalınan bir odada gerçekleştirilmiştir.
Bulgular: Araştırmada NST işlemi sırasında doğum yapan kadınların sesine maruz kalan gebelerin fetal hareket sayısının 3.305 kat (OR=3.305, p=0.004) arttığı ve NST sonucunun 0.008 kat (OR=0.008, p=0.001) daha az reaktif olduğu saptanmıştır.
Sonuçlar: Sonuç olarak araştırmada, doğum yapan kadının sesine maruz kalan gebelerin fetal hareketlerinin arttığı ve reaktif NST sonuçlarının azaldığı saptanmıştır

Keywords

doğum, fetal hareket, fetal izlem, gebelik, gürültü

The effect of exposure to the voice of the giving birth on non-stress test (NST) results: A case-control study

Abstract

Aim: The research was conducted to determine the effect of exposure to the voice of the woman giving birth on Non-stress test (NST) results.
Methods: The study, which was designed as a case-control study, was completed with a total of 85 pregnant women, 41 cases and 44 controls. Pregnant women who applied to the obstetrics and gynecology outpatient clinic of a private hospital in a province in the east of Turkey and requested NST follow-up were included in the case group. In the control group, pregnant women who applied to the obstetrics and gynecology outpatient clinic of a public hospital in the same province and requested NST follow-up were included. The NST procedure of the pregnant women in the case group was carried out in an environment in the delivery room and in a room where the voices of women who gave birth were exposed.
Results: It was found that the number of fetal movements of pregnant women who were exposed to the voice of women who gave birth during the NST procedure increased 3.305 times (OR=3.305, p=0.004) and the NST result was 0.008 times (OR=0.008, p=0.001) less reactive.
Conclusion: As a result, it was determined in the study that fetal movements of pregnant women exposed to the voice of the woman giving birth increased and reactive NST results decreased. Based on this result, it is seen that the environment where NST will be shot should be a quiet, calm and isolated environment where the number of people is reduced.

Keywords

delivery, fetal movement, fetal monitoring, pregnancy, noise

References

• Birkan, I. (2014). Müzikle tedavi, tarihi gelişimi ve uygulamaları. Ankara Akupunktur ve Tamamlayıcı Tıp Dergisi 2(1), 37–49.
• Erkun Dolker, H., & Basar, F. (2019). The effect of music on the non-stress test and maternal anxiety. Complementary Therapies in Clinical Practice, 35, 259–264. https://doi.org/10.1016/j.ctcp.2019.03.007
• Esin, S. (2014). Factors that increase reactivity during fetal nonstress testing. Current Opinion in Obstetrics and Gynecology, 26(2), 61–6. https://doi.org/10.1097/GCO.0000000000000050
• González, J. G., Miranda, M. V., García, F. M., Ruiz, T. P., Gascón, M. M., Mullor, M. R., ... & Carreño, T. P. (2017). Effects of prenatal music stimulation on fetal cardiac state, newborn anthropometric measurements and vital signs of pregnant women: A randomized controlled trial. Complementary Therapies in Clinical Practice, 27(46), 61–67. https://doi.org/10.1016/j.ctcp.2017.03.004
• Güney, E., Bal, Z., Okyay Karataş, E., & Uçar, T. (2022). Renkli abdominal örtü ve kemer kullanımının non-stress test parametreleri ve maternal kaygıya etkisi: randomize kontrollü bir çalışma. Samsun Sağlık Bilimleri Dergisi, 7(2), 393–406.
• Kafali, H., Derbent, A., Keskİn, E., Sİmavlİ, S., & Gözdemir, E. (2011). Effect of maternal anxiety and music on fetal movements and fetal heart rate patterns. The Journal of Maternal-Fetal & Neonatal Medicine, 24(3), 461–464. https://doi.org/10.3109/14767058.2010.501122
• Karakoc, G., Yalcin, S., Eroglu, H., Şen Selim, H., Kurt, K., Şengül, M., & Yucel, A. (2022). Chocolate or fetal doppler sonography for non-reactıve non-stress test patterns: randomized prospective controlled study fetal. Journal of Cukurova Anesthesia and Surgical Sciences, 5(2), 85–91. https://doi.org/10.36516/jocass.1058996
• Küçükkelepçe, D. Ş., & Taşhan, S. T. (2018). The effect of music on the results of a non-stress test: A non-randomized controlled clinical trial. European Journal of Integrative Medicine, 18, 8–12. https://doi.org/10.1016/j.eujim.2018.01.002
• Özyer, Ş., Özel, Ş., Aksoy, R. T., & Engin Üstün, Y. (2017). İntrapartum fetal kalp hızı değerlendirmesi. Jinekoloji - Obstetrik ve Neonatoloji Tıp Dergisi, 14(3), 133–137.
• Rania, N. (2019). Giving voice to my childbirth experiences and making peace with the birth event: the effects of the first childbirth on the second pregnancy and childbirth. Health Psychology Open, 6(1), 2055102919844492. https://doi.org/10.1177/2055102919844492
• Stark, M. A., Remynse, M., & Zwelling, E. (2016). Importance of the birth environment to support physiologic birth. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 45(2), 285–294. https://doi.org/10.1016/J.JOGN.2015.12.008
• Tavakoli, M., Emami, A., & Mirsaeediec, L. (2020). Environmental factors affecting mother in the maternity ward (case study: four hospitals in Golestan Province). International Journal of Architectural Engineering and Urban Research, 30(1), 54–65. https://doi.org/10.22068/ijaup.30.1.54
• Timur Taşhan, S., İnci Coşkun, E., Nacar, G., & Erci, B. (2022). The effect of motivational video and nutrition on the non-stress test: a randomised controlled clinical trial. Journal of Obstetrics and Gynaecology, 42(6), 2144-2150. https://doi.org/10.1080/01443615.2022.2034765
• Uçar, T., & Gölbaşı, Z. (2015). Nedenleri ve sonuçlarıyla doğum korkusu. İnönü Üniversitesi Sağlık Bilimleri Dergisi, 4(2), 54–58.
• Umana, O. D., & Siccardi, M. A. (2022). Prenatal Non-stress Test. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK537123/
• Xi, Q., Du, J., Liu, X., & Shao, L. (2011). Clinical study on detecting false non-reactive of non-stress test by improved acoustic stimulation. Archives of Gynecology and Obstetrics, 284(2), 271–274.
• Zhang, Y. (2020). Music therapy and music selection -a case study of music intervention during pregnancy. Journal of Contemporary Educational Research, 4(5), 27–31. https://doi.org/10.26689/jcer.v4i5.1247