Bitter Chocolate or Orange Juice for Non-reactive Non-stress Test (NST) Patterns
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Purpose
There are multiple factors affecting the variability and acceleration pattern of fetal heart rate (FHR) pattern. However, fetal activity is considered as the main determinant. Any factor decreasing fetal activity causes a decrease in FHR variability. Fetal activity may be stimulated by manual manipulation, sound, light, change in maternal position and maternal ingestion of glucose. Among those, ingestion of any kind of food or juice is most frequently practiced in outpatient settings. This is not only medical but also a social routine. In this study the investigators have chosen the two most popular so-called 'fetal accelerators', chocolate and orange juice against no intervention and tried to find any usefulness of these on non-reactive NST patterns.
| Condition | Intervention |
|---|---|
|
Nonreassuring Fetal Status |
Dietary Supplement: Bitter chocolate Dietary Supplement: Orange juice |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Investigator) |
| Official Title: | Bitter Chocolate Versus Orange Juice for Non-reactive Non-stress Test (NST) Patterns: A Randomized Prospective Controlled Study |
- Increase in reactivity of NST [ Time Frame: 30 minutes ] [ Designated as safety issue: No ]
- Increase in the maternal fetal movement perception [ Time Frame: 30 minutes ] [ Designated as safety issue: No ]
| Enrollment: | 180 |
| Study Start Date: | February 2011 |
| Study Completion Date: | January 2012 |
| Primary Completion Date: | December 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Bitter chocolate
50 grams Ülker Golden %70 bitter chocolate, İstanbul, Turkey
|
Dietary Supplement: Bitter chocolate |
|
Active Comparator: Orange juice
Ülker İçim Orange Juice 250 cc, İstanbul, Turkey
|
Dietary Supplement: Orange juice |
|
No Intervention: Control
Sit and rest
|
Eligibility| Ages Eligible for Study: | 18 Years to 45 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- singleton pregnancies at 36 to 41 completed gestational weeks that have a non-reactive NST pattern without decelerations.
Exclusion Criteria:
- multiple pregnancies, fetal anomaly, hypertension, intrauterine growth restriction, active labor, contractions or decelerations on NST, absence of a first or second trimester ultrasonography for accurate gestational dating, pre-gestational or gestational diabetes and known allergy to chocolate or orange
Contacts and Locations| Turkey | |
| Dr. Sami Ulus Maternity and Children's Training and Research Hospital | |
| Ankara, Turkey, 06080 | |
| Principal Investigator: | Sertac Esin, MD | Dr. Sami Ulus Maternity and Children's Training and Research Hospital |
More Information
No publications provided
| Responsible Party: | Sertac ESIN, Principal Investigator, Dr. Sami Ulus Children's Hospital |
| ClinicalTrials.gov Identifier: | NCT01680484 History of Changes |
| Other Study ID Numbers: | HEK 10/117-13 |
| Study First Received: | September 4, 2012 |
| Last Updated: | September 6, 2012 |
| Health Authority: | Turkey: Ministry of Health |
Keywords provided by Dr. Sami Ulus Children's Hospital:
|
non-stress test |
Additional relevant MeSH terms:
|
Fetal Distress Signs and Symptoms |
ClinicalTrials.gov processed this record on May 19, 2013