Effect of Position and Pillow Support on Maternal Blood Pressure and Fetal Heart Rate Among Pregnant Women During Continuous Monitor Cardiotocography

Authors

  • Jiranee Panyapin School of Nursing, Mae Fah Luang University, Thailand
  • Prangwalee Anupapvisedkul Mae Fah Luang University
  • Saranya Sophana Chaing Sean Hospital

Keywords:

Continuous monitor cardiotocography, Supine hypotension, pillow support, pregnancy

Abstract

During continuous monitor cardiotocography pregnant woman have risk for supine hypotension that effect for utero placenta blood flow and risk for abnormal fetal heart rate pattern. This quasi-experimental research with two groups and repeated measurement design, aimed to determine the effect of position and pillow support on blood pressure level and fetal heart rate among pregnant women during continuous monitor cardiotocography, Chiang Rai Province. In this study, purposive sampling technique was used, seventy pregnant women with gestational age more than 36 weeks without complications during continuous monitor cardiotocography in two community hospitals, Chiang Rai Province were recruited. The samples were equally divided into an experimental group and control group, with 35 subjects in each group. The experimental group participated in the new intervention, semi-fowler’s position and pillow support, while the control group received routine care by adopting the normal position without pillow support during continuous monitor cardiotocography. Data were collected using a questionnaire to assess blood pressure level, pulse rate, fetal heart rate, and perception of comfort during continuous monitor cardiotocography. Data analysis was performed using descriptive statistics, independent t-test and one-way ANOVA. The results showed that after the intervention, the experimental group had higher mean blood pressure, and fetal heart rate than the pre-test and a higher value than the control group (p < .01). According to the continuous monitor cardiotocography, the experimental group had greater perceived comfortable than that of the control group (p < .05). The results of this study suggest that the change of new position and the pillow support during continuous monitor cardiotocography may prevent supine hypotension reduce the risk of abnormal fetal heart rate and increase perceived comfortable. Therefore, this intervention could promote during prenatal care.

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Published

2021-12-03