The Effect of Wireless Fetal Monitoring System on Comfort, Pain and Satisfaction
The Effect Of The Wireless Fetal Monitoring Used During Birth On The Women's Comfort, Labour Pain And Birth Satisfaction
1 other identifier
interventional
88
1 country
1
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Sep 2021
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 11, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 3, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
December 3, 2021
CompletedFirst Submitted
Initial submission to the registry
December 28, 2022
CompletedFirst Posted
Study publicly available on registry
March 21, 2023
CompletedMarch 21, 2023
March 1, 2023
3 months
December 28, 2022
March 9, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Childbirth Comfort Questionnaire
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
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.
Visual Analogue Scale
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
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.
Birth Satisfaction Scale-Revised
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.
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
Study Arms (2)
wireless fetal monitoring group
EXPERIMENTALwireless fetal monitoring system was applied to the experimental group
Control group
NO INTERVENTIONStandard wired fetal monitoring system was applied to the control group.
Interventions
The wireless fetal monitoring system shortens the period of labor by enabling the woman to be more mobile during the intrapartum period.
Eligibility Criteria
You may qualify if:
- 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.
You may not qualify if:
- 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
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Cumhuriyet University
Sivas, 58140, Turkey (Türkiye)
Related Publications (29)
van den Heuvel JFM, Teunis CJ, Franx A, Crombag NMTH, Bekker MN. Home-based telemonitoring versus hospital admission in high risk pregnancies: a qualitative study on women's experiences. BMC Pregnancy Childbirth. 2020 Feb 4;20(1):77. doi: 10.1186/s12884-020-2779-4.
PMID: 32019499BACKGROUNDMenihan CA, Kopel E. Electronic Fetal Monitoring: Concepts and Applications. 2nd Ed. Chapter 2. Philadelphia, Lippincott: Williams&Wilkins; 2008.
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PMID: 25874722BACKGROUNDMugyenyi GR, Atukunda EC, Ngonzi J, Boatin A, Wylie BJ, Haberer JE. Functionality and acceptability of a wireless fetal heart rate monitoring device in term pregnant women in rural Southwestern Uganda. BMC Pregnancy Childbirth. 2017 Jun 8;17(1):178. doi: 10.1186/s12884-017-1361-1.
PMID: 28595604BACKGROUNDvan den Heuvel JFM, Ganzevoort W, De Haan-Jebbink JM, van der Ham DP, Deurloo KL, Seeber L, Franx A, Bekker MN. HOspital care versus TELemonitoring in high-risk pregnancy (HOTEL): study protocol for a multicentre non-inferiority randomised controlled trial. BMJ Open. 2019 Oct 28;9(10):e031700. doi: 10.1136/bmjopen-2019-031700.
PMID: 31662396BACKGROUNDMhajna M, Schwartz N, Levit-Rosen L, Warsof S, Lipschuetz M, Jakobs M, Rychik J, Sohn C, Yagel S. Wireless, remote solution for home fetal and maternal heart rate monitoring. Am J Obstet Gynecol MFM. 2020 May;2(2):100101. doi: 10.1016/j.ajogmf.2020.100101. Epub 2020 Mar 17.
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PMID: 25193792BACKGROUNDLawrence A, Lewis L, Hofmeyr GJ, Styles C. Maternal positions and mobility during first stage labour. Cochrane Database Syst Rev. 2013 Oct 9;2013(10):CD003934. doi: 10.1002/14651858.CD003934.pub4.
PMID: 24105444BACKGROUNDNguyen K, Bamgbose E, Cox BP, Huang SP, Mierzwa A, Hutchins S, Caso B, Culjat M, Connelly C, Lacoursiere DY, Singh RS. Wearable Fetal Monitoring Solution for Improved Mobility During Labor & Delivery. Annu Int Conf IEEE Eng Med Biol Soc. 2018 Jul;2018:4397-4400. doi: 10.1109/EMBC.2018.8513321.
PMID: 30441327BACKGROUNDGoncu Serhatlioglu S, Karahan N, Hollins Martin CJ, Martin CR. Construct and content validity of the Turkish Birth Satisfaction Scale - Revised (T-BSS-R). J Reprod Infant Psychol. 2018 Jul;36(3):235-245. doi: 10.1080/02646838.2018.1443322. Epub 2018 Mar 19.
PMID: 29553295BACKGROUNDRyu D, Kim DH, Price JT, Lee JY, Chung HU, Allen E, Walter JR, Jeong H, Cao J, Kulikova E, Abu-Zayed H, Lee R, Martell KL, Zhang M, Kampmeier BR, Hill M, Lee J, Kim E, Park Y, Jang H, Arafa H, Liu C, Chisembele M, Vwalika B, Sindano N, Spelke MB, Paller AS, Premkumar A, Grobman WA, Stringer JSA, Rogers JA, Xu S. Comprehensive pregnancy monitoring with a network of wireless, soft, and flexible sensors in high- and low-resource health settings. Proc Natl Acad Sci U S A. 2021 May 18;118(20):e2100466118. doi: 10.1073/pnas.2100466118.
PMID: 33972445BACKGROUNDFaul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007 May;39(2):175-91. doi: 10.3758/bf03193146.
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PMID: 16856111BACKGROUNDDelice K. Before Birth Of Pregnant, Memoır, Postpartum Evaluation Of Knowledge Level Of Satisfaction From Services (Elbistan Sample). Master's thesis, Beykent University, Social Sciences Institute, Department Of Business, Hospıtal And Health Institutions Management Department, Istanbul. 2019. https://tez.yok.gov.tr/UlusalTezMerkezi/tezDetay.jsp?id=1gk8TzmGFaXVQPYkrUU_4Q&no=Enb8wsxJlkjAQuCt4e2yfQ
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PMID: 21456488BACKGROUNDRoham M, Saldivar E, Raghavan S, Zurcher M, Mack J, Mehregany M. A mobile wearable wireless fetal heart monitoring system. In 2011 5th International Symposium on Medical Information and Communication Technology (pp. 135-138). IEEE. (2011, March).
BACKGROUNDAkbas P, Ozkan Sat S, Is M, Yaman S. Turkısh Validity-Reliability Study Of The Scale Of For Coping With Labor Pain. Journal of Health Sciences of Kocaeli University. 2021;7(3):235-241.
BACKGROUNDPehlivan N, Demirel Bozkurt O. Vertıcal position in the second stage of labor: Vertical birth chair. Acta Medica Nicomedia. 2020;3(1):42-48.
BACKGROUNDSchramm K, Lapert F, Nees J, Lempersz C, Oei SG, Haun MW, Maatouk I, Bruckner T, Sohn C, Schott S. Acceptance of a new non-invasive fetal monitoring system and attitude for telemedicine approaches in obstetrics: a case-control study. Arch Gynecol Obstet. 2018 Dec;298(6):1085-1093. doi: 10.1007/s00404-018-4918-y. Epub 2018 Sep 27.
PMID: 30264201BACKGROUNDWHO recommendations: Intrapartum care for a positive childbirth experience. Geneva: World Health Organization; 2018. Available from http://www.ncbi.nlm.nih.gov/books/NBK513809/
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BACKGROUNDWatson K, Mills TA, Lavender T. Experiences and outcomes on the use of telemetry to monitor the fetal heart during labour: findings from a mixed methods study. Women Birth. 2022 May;35(3):e243-e252. doi: 10.1016/j.wombi.2021.06.004. Epub 2021 Jul 2.
PMID: 34219033BACKGROUNDHarkey KT, Casale MB, Pantelopoulos AA, Zurcher MA. Assessing the clinical use of a novel, mobile fetal monitoring device. Obstetrics & Gynecology. 2014;123:55S.
BACKGROUNDBoatin AA, Wylie B, Goldfarb I, Azevedo R, Pittel E, Ng C, Haberer J. Wireless fetal heart rate monitoring in inpatient full-term pregnant women: testing functionality and acceptability. PLoS One. 2015 Jan 26;10(1):e0117043. doi: 10.1371/journal.pone.0117043. eCollection 2015.
PMID: 25622043RESULTKnupp RJ, Andrews WW, Tita ATN. The future of electronic fetal monitoring. Best Pract Res Clin Obstet Gynaecol. 2020 Aug;67:44-52. doi: 10.1016/j.bpobgyn.2020.02.004. Epub 2020 Mar 19.
PMID: 32299728RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Gülseren Dağlar
Cumhuriyet University
- PRINCIPAL INVESTIGATOR
Demet Çakır
Cumhuriyet University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SCREENING
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Assist.Prof.Dr.
Study Record Dates
First Submitted
December 28, 2022
First Posted
March 21, 2023
Study Start
September 11, 2021
Primary Completion
December 3, 2021
Study Completion
December 3, 2021
Last Updated
March 21, 2023
Record last verified: 2023-03
Data Sharing
- IPD Sharing
- Will not share
There is not a plan to make IPD available.