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

December 2, 2025 updated by: Melike Nur SÖNMEZ

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

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.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

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

Study Type

Interventional

Enrollment (Actual)

70

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Turkey (Türkiye)
      • Adana, Turkey (Türkiye)
        • Adana City Training and Research Hospital

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

No

Description

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

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Supportive Care
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Intervention Group (Fetal images were shown.)
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
High-risk pregnant women in the intervention group were shown fetal images three times a day for two days.
No Intervention: Control Group
The researcher will not intervene with the pregnant women in the control group.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
The effect of showing fetal images to high-risk pregnant women on pregnancy stress
Time Frame: Three times a day for two days
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
Time Frame: Three times a day for two days
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

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Melike Nur SÖNMEZ

Investigators

  • Study Director: EVŞEN NAZİK, Professor, Çukurova University Faculty of Health Sciences

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

December 2, 2024

Primary Completion (Actual)

May 17, 2025

Study Completion (Actual)

May 19, 2025

Study Registration Dates

First Submitted

November 16, 2025

First Submitted That Met QC Criteria

December 2, 2025

First Posted (Estimated)

December 3, 2025

Study Record Updates

Last Update Posted (Estimated)

December 3, 2025

Last Update Submitted That Met QC Criteria

December 2, 2025

Last Verified

November 1, 2025

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 147-67/06.09.2024

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

To protect participant confidentiality and ensure ethical compliance, individual participant data will not be shared.

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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