Antenatal care is essential for a successful delivery, a healthy baby and a happy mother. The main aim of antenatal care is to take appropriate interventions to assess, protect and improve maternal and fetal health during pregnancy. There are many methods to assess fetal health during pregnancy, such as ultrasonography (USG) and non stress test (NST). Along with these methods, maternal perception and counting of fetal movements is the only method that can be easily used by the mother without the need for clinicians or equipment. When a pregnant woman begins to feel fetal movements, it is one of the first signs of fetal life and is considered an indicator of fetal well-being. Decrease or absence of fetal movements has been stated to be an important parameter in the assessment of fetal health and may be associated with the risk of intrauterine fetal death. Therefore, feeling and counting of fetal movements is the basis for the assessment of fetal health.
Volunteering to participate in the research
Over 18 years of age
Single pregnancy
Being between 28-32 weeks of gestation
Not having any disabilities that may prevent communication (speech, hearing, mental)
No chronic or psychiatric illness
Conception with assisted reproductive techniques
Parallel
Mindfetalness
BehavioralThey will be instructed to lie on their left side and focus on the fetal movements for 15 minutes every day while the foetus is awake. They will also be instructed to monitor the character, strength and frequency of fetal movements (not to count them) and to seek medical advice if they feel any change in this pattern. After two weeks, the pregnant women will be invited back to the organisation for a follow-up interview to check whether they have performed the practice and recorded correctly. An interview will be conducted again after four weeks.
Sadovsky
BehavioralThey will be asked to continue this procedure every morning, noon or evening for one month (depending on the movements of the pregnant woman and her baby, the time will be left to the pregnant woman, but it should be at the same time every day). Since the aim of the study is to increase maternal awareness rather than to determine fetal well-being, mothers will be asked to count at least 10 movements based on the "count to ten" and "Sadovsky" method, and will be asked to record the start and completion time of the movements each time. A follow-up will be made after two weeks and a final follow-up will be made after one month
Attachment
Prenatal Maternal Attachment Scale: Each item of the scale, which has a total of 19 items, focuses on the feelings, attitudes and behaviors of the pregnant woman towards the fetus. The scale is Likert-type and each item is scored between 1-5. Before the total score is calculated, 11 items in the scale are scored in the reverse direction. The total score for the scale is obtained by adding the scores given to all items. A high score indicates a high degree of attachment.
Stress
Perceived Stress Scale-10: The ASÖ-10 is a two-factor, with each item being rated on a 5-point Likert-type scale with response options ranging from 0 (never) to 4 (very often). The responses are reversed and the scores of the four positive items are summed over the 10 items to obtain a total score. This score ranges from 0 to 40, with higher scores indicating higher perceived stress.
Anxiety
State-Trait Anxiety Inventory: It consists of a total of forty items, including a State Anxiety Scale consisting of twenty items and a Trait Anxiety Scale consisting of twenty items. There are two types of expressions in the scales: direct and reversed. The total score obtained from each scale is between a minimum of 20 and a maximum of 80. A high score indicates a high level of anxiety, while a low score indicates a low level of anxiety.
Risk perception
Risk Perception in Pregnancy Scale: It consists of nine items and 2 factors. There is a 0-100 mm linear line immediately below each item on the scale, indicating "no risk" and "extremely high risk". The total score of the scale is found by adding the scores for each of the nine items and dividing the resulting score by 9. The scale has no cut-off point. As the score obtained from the scale increases, it is accepted that the perception of risk related to the pregnant woman and her baby increases.
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