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

Melike Nur SÖNMEZ70 enrolled

Overview

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.

This study was supported by the Scientific Research Projects Coordination Unit (BAP) of Çukurova University, Project Code: \[TYL-2025-17328\].

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

SINGLE

Enrollment

Conditions

Pregnancy, High-Risk

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 45 Years

Medical Language ↔ Plain English

Inclusion Criteria: * 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 Exclusion Criteria: * Having previously participated in the practice of viewing fetal images * Diagnosis of mental illness * Becoming pregnant through infertility treatment * Presence of visual/hearing impairment

Outcomes

Primary Outcomes

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.

Time frame: 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.