The Effect of Nonstress Device Noise Level on Stress Parameters in Primigravid Women: A Randomized Controlled Trial

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dc.contributor.authorAyşenur, T.
dc.contributor.authorNuran, G.
dc.contributor.authorCihan, K.
dc.contributor.authorHuri, B.
dc.date.accessioned2024-05-19T14:33:16Z
dc.date.available2024-05-19T14:33:16Z
dc.date.issued2024
dc.departmentİstinye Üniversitesien_US
dc.description.abstractIntroduction: This study evaluated the effect of the noise level of the nonstress test (NST) device on stress parameters in primigravid women. Methods: A total of 44 pregnant women participated in a randomized clinical trial between February and October, 2021. The participants were divided randomly into 4 equal groups using an automated web-based randomization system and ensuring allocation concealment: the control group (NST device volume turned off), intervention group I (1-35 dB(A)), intervention group II (36-60 dB(A)), and intervention group III (61 dB(A) and above). A data collection form was used to record personal information and stress parameters. Stress parameters (blood pressure, heart rate, oxygen saturation [SpO2], blood glucose, salivary cortisol, and salivary adrenocorticotropic hormone [ACTH]) levels were measured pretest (0-2 minutes before NST starts), midtest (at 10 minutes of the NST), and posttest (within 0-2 minutes after NST was finished). The study was registered at ClinicalTrials.gov (identifier: NCT05488704). Results: NST sound levels above 35 dB(A) increased the average cortisol and ACTH levels in the posttest. NST sound levels were positively correlated with posttest cortisol (r =.448) and posttest glucose (r =.302). There was interaction effect on heart rate, glucose, and cortisol level by time, indicating that the intervention groups experienced a significant acceleration in heart rate, glucose, and cortisol level after a noise intervention compared with the control group. Discussion: Midwives should continue applying NST below 36 dB(A), considering the factors that may induce stress during the NST process. © 2024 by the American College of Nurse-Midwives.en_US
dc.description.sponsorshipIstanbul Üniversitesi-Cerrahpasa, IÜC: 35620; Istanbul Üniversitesi-Cerrahpasa, IÜCen_US
dc.description.sponsorshipThis study was funded by Scientific Research Projects Coordination Unit of Istanbul University?Cerrahpasa, project number: 35620.en_US
dc.identifier.doi10.1111/jmwh.13581
dc.identifier.endpage286en_US
dc.identifier.issn1526-9523
dc.identifier.issue2en_US
dc.identifier.pmid38178318en_US
dc.identifier.scopus2-s2.0-85181460983en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage279en_US
dc.identifier.urihttps://doi.org/10.1111/jmwh.13581
dc.identifier.urihttps://hdl.handle.net/20.500.12713/4168
dc.identifier.volume69en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherJohn Wiley and Sons Incen_US
dc.relation.ispartofJournal of Midwifery and Women's Healthen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz20240519_kaen_US
dc.subjectAdrenocorticotropic Hormoneen_US
dc.subjectCortisolen_US
dc.subjectNoiseen_US
dc.subjectPregnancyen_US
dc.subjectPrenatal Careen_US
dc.titleThe Effect of Nonstress Device Noise Level on Stress Parameters in Primigravid Women: A Randomized Controlled Trialen_US
dc.typeArticleen_US

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