Effect of Left Lateral Position combined with Zhiyin Point Acupressure on Maternofetal Physiological Parameters during Non-Stress Test

Mansour Lamadah, Sahar; Mohamed Hassan, Noha; Hassan Mohamed Alam, Tahany

doi:10.21608/ejhc.2022.215187

Effect of Left Lateral Position combined with Zhiyin Point Acupressure on Maternofetal Physiological Parameters during Non-Stress Test

Document Type : Original Article

Authors

¹ Assistant professor of Obstetrics and Gynecologic Nursing, Faculty of Nursing, Alexandria University, Egypt

² lecturer of Obstetrics and Gynecologic Nursing, Faculty of Nursing, Damanhour University, Egypt

10.21608/ejhc.2022.215187

Abstract

A non-stress test (NST) is a graphical recording of changes in fetal cardiac activity, uterine
contractions, and fetal movement. The present study aimed to assess the effect of left lateral
position combined with Zhiyin Point acupressure on maternofetal physiological parameters during
non-stress test. Materials and Method: Design: A comparative quasi experimental research design
was used. Setting: the current study was conducted at the fetal monitoring room in antenatal
maternal child health clinic at Naser medical center, in Damanhour city. Subjects: A convenient
sample of 80 women was recruited according to inclusion criteria. Tools: Four tools were used for
data collection: structure interview schedule, non-stress test recording strip (CTG graph), fetal
physiological parameters and maternal physiological parameters assessment sheets. Results: higher
basal fetal heart rate (FHR), increased mean of FHR accelerations, and fetal movement among
combined group than left lateral group with highly statistically significant differences between
them. Reactive non-stress test was significantly increased in combined group than left lateral group
P= (0.047). In addition, there were statistically significant differences (P<0.05) between the two
groups regarding maternal pulse, systolic and diastolic blood pressure. Conclusion: left lateral
position combined with Zhiyin point acupressure were associated with significant increase in
baseline FHR, acceleration, fetal movement and non-stress test reactivity. The combined
intervention also associated with significant difference in maternal physiological parameters related
to heart rate, systolic and diastolic blood pressure. Recommendation Application of Zhiyin Point
acupressure with left lateral position during non-stress test is recommended in prenatal clinics.

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