The Effect of Showing Fetal Images to High-Risk Pregnant Women on Stress and Sleep

NCT07260838 | Completed

• 1 other identifier: 147-67/06.09.2024
• Study Type: interventional
• Target: 70
• Locations: 1 country
• Sites: 1

Brief Summary

The study will be conducted to determine the effect of showing fetal images to high-risk pregnant women on pregnancy stress and sleep quality. The study was conducted at Adana City Training and Research Hospital between November 2024 and May 2025 using a randomized controlled, interventional design. The sample of the study consisted of 35 intervention and 35 control group participants, totaling 70 individuals. Data were collected using the Personal Information Form, the Pregnancy Stress Rating Scale (PSRS-36) and the Richard-Campbell Sleep Scale. The intervention group was shown fetal images three times a day for two days; the control group received no intervention. The collected data were analyzed by comparing the pre-test and post-test scores. The data obtained from the study will be evaluated using SPSS IBM 24.0 package program in computer environment. Research Hypotheses: In the intervention and control groups; H0-1: Showing fetal images to high-risk pregnant women has no effect on pregnancy stress. H0-2: Showing fetal images to high-risk pregnant women has no effect on sleep quality. H1-1: Showing fetal images to high-risk pregnant women has an effect on pregnancy stress. H1-2: Showing fetal images to high-risk pregnant women has an effect on sleep quality.

Conditions

Pregnancy, High-Risk

Keywords

Risky Pregnancy; Fetal Imaging; Pregnancy Stress; Sleep Quality; Nursing

Outcome Measures

Primary Outcomes (2)

• The effect of showing fetal images to high-risk pregnant women on pregnancy stress

  Pregnancy Stress Rating Scale; The scale is a 5-Likert type. The degree of anxiety, distress, and worry experienced by pregnant women is rated as "definitely no," "mild," "moderate," "severe," or "very severe," and scores range from 0 to 4. Perceived stress levels during pregnancy range from a minimum of 0 to a maximum of 144 points. Higher scores on the scale indicate increased stress.

  Three times a day for two days

• The effect of showing fetal images to high-risk pregnant women on sleep quality

  Richard-Campbell Sleep Scale; The scale consists of 6 items. Each item is rated on a visual analog scale ranging from 0 to 100. A score between "0-25" on the scale indicates very poor sleep, while a score between "76-100" indicates very good sleep. The total scale score is evaluated based on 5 items; the 6th item, which assesses the noise level in the environment, is excluded from the total score evaluation. As the scale score increases, patients' sleep quality improves.

  Three times a day for two days

Study Arms (2)

Intervention Group (Fetal images were shown.)

EXPERIMENTAL

The video containing fetal images will be shown to participants in the intervention group. Support will be obtained from the clinical doctor in preparing this video. At the clinic, each pregnant woman will have a video of her own fetus recorded using an ultrasound device in the examination room, and each pregnant woman will watch the video containing her own fetal images.

Other: Showing fetal images

Control Group

NO INTERVENTION

The researcher will not intervene with the pregnant women in the control group.

Interventions

Showing fetal images OTHER

High-risk pregnant women in the intervention group were shown fetal images three times a day for two days.

Intervention Group (Fetal images were shown.)

Eligibility Criteria

• Age: 18 Years - 45 Years
• Gender Eligibility Details: This study only covers women with high-risk pregnancies.
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Being between the ages of 18 and 45
• Having an educational background of elementary school or higher
• Being at least 20 weeks pregnant
• Having a planned hospital stay of at least 3 days
• Being hospitalized for the first time during pregnancy
• Being able to speak Turkish
• Being able to communicate verbally

You may not qualify if:

• Having previously participated in the practice of viewing fetal images
• Diagnosis of mental illness
• Becoming pregnant through infertility treatment
• Presence of visual/hearing impairment

Sponsors & Collaborators

• Melike Nur SÖNMEZ: lead

Study Sites (1)

Adana City Training and Research Hospital

Adana, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Sleep Initiation and Maintenance Disorders

Condition Hierarchy (Ancestors)

Sleep Disorders, Intrinsic; Dyssomnias; Sleep Wake Disorders; Nervous System Diseases; Mental Disorders

Study Officials

• EVŞEN NAZİK, Professor

  Çukurova University Faculty of Health Sciences

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Master's Student Researcher

Study Record Dates

• First Submitted: November 16, 2025
• First Posted: December 3, 2025
• Study Start: December 2, 2024
• Primary Completion: May 17, 2025
• Study Completion: May 19, 2025
• Last Updated: December 3, 2025

Record last verified: 2025-11

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)