The Relationship between Nausea-Vomiting Severity and Activity Balance in Pregnancy

özşahin, zeliha; Cengiz, Deniz

doi:10.37990/medr.1020903

The Relationship between Nausea-Vomiting Severity and Activity Balance in Pregnancy

Deniz Uğur CENGİZ, (İnönü Üniversitesi, Sağlık Bilimleri Fakültesi, Odyoloji Bölümü, Malatya, Türkiye)

Zeliha ÖZŞAHİN (İnönü Üniversitesi, Sağlık Bilimleri Fakültesi, Ebelik Bölümü, Malatya, Türkiye)

Medical records-international medical journal (Online)

3 2

Yıl: 2022 Cilt: 4 Sayı: 2 Sayfa Aralığı: 148 - 154 Metin Dili: İngilizce DOI: 10.37990/medr.1020903 İndeks Tarihi: 27-09-2022

The Relationship between Nausea-Vomiting Severity and Activity Balance in Pregnancy

Öz:

Aim: Nausea and vomiting seen in early pregnancy are among the most common reasons for hospitalization of pregnant women in the first trimester. The aim of this study is to determine the relationship between the severity of nausea-vomiting during pregnancy and activity-specific balance-confidence.Material and method: The study was conducted cross-sectionally in a pregnant education class of a public university between June and September 2021. The sample size was calculated as 208 pregnant women according to the effect size calculation and the study was completed with 216 pregnant women. In the collection of data; “Personal Presentation Form”, “PUQE Test (Pregnancy- Unique Quantification of Emesis and nausea) “Activity-Specific Balance Confidence Scale” was used. In statistical evaluation; Arithmetic mean, percentile distribution, standard deviation, pearson correlation, linear regression analysis, Cronbach Alpha (α) for reliability analysis, CR (Composite Reliability) and AVE (Average Variance Extracted) were used for validity analysis.Results: It was determined that the mean PUQE test total score was 6.28±2.60, 62.04% of the pregnant women experienced mild nausea-vomiting, 37.96% of them had moderate nausea-vomiting, and none of the pregnant women had severe nausea-vomiting. The mean ASBCS score was found to be 53.56±26.37. It was determined that the mean ASBCS total score differed statistically according to the PUQE test classification, and the pregnants with moderate nausea and vomiting severity had more activity-specific balance confidence than mild pregnant women (p<0.05). It was determined that there was a highly significant negative correlation (r=-0.760; p<0.05) between the PUQE test mean score and activity-specific balance confidence, and the severity of nausea and vomiting affected activity-specific balance confidence as a result of linear regression analysis.Conclusion: As a result, it can be said that the severity of nausea and vomiting affects activity-specific balance confidence and as the severity of nausea and vomiting increases, activity-specific balance confidence decreases. Health workers should create a care plan by considering the negative consequences of physical activity insufficiency.

Anahtar Kelime: Nausea vomiting pregnancy activity-specific balance confidence

Gebelikte Bulantı-Kusma Şiddeti ile Aktivite Denge Arasındaki İlişki

Öz:

Amaç: Erken gebelik döneminde görülen bulantı kusma ilk trimesterdeki gebe kadınların hastanede yatmalarının en yaygın nedenleri arasındadır. Bu araştırmanın amacı, gebelikte bulantı-kusma şiddetinin aktiviteye özgü denge güven arasındaki ilişkiyi belirlemektir.Materyal ve Metot: Araştırma kesitsel olarak bir kamu üniversitesine bağlı gebe eğitim sınıfında yürütülmüştür. Örneklem büyüklüğü etki büyüklüğü hesaplamasına göre 208 gebe olarak hesaplanmış olup 216 gebe ile çalışma tamamlanmıştır. Verilerin toplanmasında; “Kişisel Tanıtım Formu”, “PUQE Testi (Pregnancy- Unique Quantification of Emesis and nausea) “Aktiviteye Özgü Denge Güven Ölçeği” kullanılmıştır. İstatistiksel değerlendirmede; aritmetik ortalama, yüzdelik dağılım, standart sapma, pearson korelasyon, linear regresyon analizi, güvenirlik analizi için Cronbach Alfa (α), Geçerlilik analizinde CR (Composite Reliability) ve AVE (Average Variance Extracted) kullanılmıştır.Bulgular: APUQE testi toplam puan ortalamasının 6.28 ±2.60 olduğu, gebelerin %62.04’ünün hafif, %37.96’sının orta düzeyde bulantı-kusma yaşadığı, ağır düzeyde ise gebelerin hiçbirinin bulantı-kusma yaşamadığı belirlendi. ASBCS puan ortalamasının ise 53.56 ± 26.37 olduğu belirlendi. PUQE testi sınıflandırılmasına göre ASBCS toplam puan ortalamasının istatiksel açıdan farklılık gösterdiği ve bulantı kusma şiddeti orta düzeyde olan gebelerin hafif düzeyde olan gebelere göre daha fazla aktiviteye özgü denge güvenlerinin daha az olduğu belirlendi (p<0.05). PUQE testi puan ortalaması ile aktiviteye özgü denge güven arasında negatif yönde yüksek düzeyde önemli ilişki (r=-0.760; p<0.05) ve linear regresyon analizi sonucunda bulantı kusma şiddetinin aktiviteye özgü denge güveni etkilediği saptandı. Sonuç: Sonuç olarak bulantı kusma şiddetinin aktiviteye özgü denge güveni etkilediği ve bulantı kusma şiddeti arttıkça aktiviteye özgü denge güvenin azaldığı söylenebilir. Sağlık çalışanları fiziksel aktivite yetersizliğinin olumsuz sonuçlarını göz önünde bulundurarak bakım planını oluşturmalıdır.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. DiPietro L, Evenson KR, Bloodgood B, et al. Benefits of physical activity during pregnancy and postpartum: an umbrella review. Med Sci Sports Exerc. 2019;51:1292.
2. Aksoy Derya Y, Özşahin Z, Uçar T, et al. The relationship between impact of pregnancy complaints on the life quality of the pregnant women and their psychosocial health level. TJFMPC. 2018;12:171-7.
3. Chan RL, Olshan AF, Savitz DA, et al. Maternal influences on nausea and vomiting in early pregnancy. Maternal Child Health J. 2011;15:122-7.
4. Heitmann K, Nordeng H, Havnen GC, et al. The burden of nausea and vomiting during pregnancy: severe impacts on quality of life, daily life functioning and willingness to become pregnant again–results from a cross-sectional study. BMC Pregnancy Childbirth. 2017;17:1-12.
5. Kramer J, Bowen A, Stewart N, Muhajarine N. Nausea and vomiting of pregnancy: prevalence, severity and relation to psychosocial health. MCN: Am J Matern Child Nurs. 2013;38:21-7.
6. Lacasse A, Rey E, Ferreira E, et al. Epidemiology of nausea and vomiting of pregnancy: prevalence, severity, determinants, and the importance of race/ethnicity. BMC Pregnancy Childbirth. 2009;9:1-9.
7. Zhang H, Wu S, Feng J, Liu Z. Risk Factors of Prolonged Nausea and Vomiting During Pregnancy. Risk Management and Healthcare Policy. 2020;13:2645.
8. Chortatos A, Haugen M, Iversen PO, et al. Pregnancy complications and birth outcomes among women experiencing nausea only or nausea and vomiting during pregnancy in the Norwegian Mother and Child Cohort Study. BMC Pregnancy Childbirth. 2015;15:1-11.
9. Ay ÇK, Derya YA. The relationship between birth fear and psychosocial health level of nausea-vomiting severity in pregnancy: An example from Turkey. Curr Psychol. 2021:1- 11.
10. Locock L, Alexander J, Rozmovits L. Women’s responses to nausea and vomiting in pregnancy. Midwifery. 2008;24:143- 52.
11. O’Brien B, Naber S. Nausea and vomiting during pregnancy: effects on the quality of women’s lives. Birth. 1992;19:138- 43.
12. Mazzotta P, Maltepe C, Navioz Y, et al. Attitudes, management and consequences of nausea and vomiting of pregnancy in the United States and Canada. Int J Gynaecol Obstet. 2000;70:359-65.
13. Kıratlı D, Yavan T. Evaluation of nausea and vomiting during pregnancy, affecting factors and coping methods. İKÇÜSBFD. 6:21-9.
14. Çırak Y, Yılmaz GD, Demir YP, et al. Pregnancy physical activity questionnaire (PPAQ): reliability and validity of Turkish version. J Phys Ther Sci. 2015;27:3703-9.
15. Tosun Öç, Okyay Re. Investigation of physical activity changes during pregnancy. HSP. 2018;5:333-41.
16. Khan T, Macaulay S, Norris SA, et al. Physical activity and the risk for gestational diabetes mellitus amongst pregnant women living in Soweto: a study protocol. BMC Womens Health. 2016;1:1-6.
17. Özdemir ÖÇ, Sürmeli M, Özel A, et al. The relation between physical activity and quality of life in pregnancy. Anatol Clin. 2017;22:95-102.
18. Wang H, Rolls ET, Du X, et al. Severe nausea and vomiting in pregnancy: psychiatric and cognitive problems and brain structure in children. BMC Medicine. 2020;18:1-14.
19. Black FO. Maternal susceptibility to nausea and vomiting of pregnancy: is the vestibular system involved? Am J Obstetrics Gynecol. 2002;186:204-9.
20. Jebali F, Lejri S, Salem A, Grati L. A rare complication of vomiting in pregnancy: Wernicke encephalopathy. Rev Neurol. 2017;17:663-6.
21. Koren G, Boskovic R, Hard M, et al. Motherisk—PUQE (pregnancy-unique quantification of emesis and nausea) scoring system for nausea and vomiting of pregnancy. Am J Obstetrics Gynecol. 2002;186:228-31.
22. Mete S, Büyükkurt S, Evrüke İc, et al. The role of PUQE (Pregnancy-Unique Quantification of Emesis and Nausea) in evaluation of the ındications for ınpatient therapy in pregnants with nausea and vomiting.Turkiye Klinikleri J Gynecol Obst. 2009;19:317-21.
23. Ayhan Ç, Büyükturan Ö, Kırdı N, Yakut Y, Güler Ç. The turkısh versıon of the actıvıtıes specıfıc balance confıdence (ABC) scale: ıts cultural adaptatıon, valıdatıon and relıabılıty ın older adults. Turkish Journal of Geriatrics 2014;17:157-63.
24. Alpar, R. Applied statistics and validity reliability, with examples from sports health and educational sciences. Ankara: Detay Publishing, 2010, p. 350.
25. Amezcua-Prieto C, Olmedo-Requena R, Jímenez-Mejías E, et al. Changes in leisure time physical activity during pregnancy compared to the prior year. J Mother Child. 2013;17:632-8.
26. Gaston A, Cramp A. Exercise during pregnancy: a review of patterns and determinants. J Science Med Sport. 2011;14:299-305.
27. Pearce EE, Evenson KR, Downs DS, Steckler A. Strategies to promote physical activity during pregnancy. Am J Lifestyle Med. 2013;7:38-50.
28. Silva Schmidt PM, da Trindade Flores F, Rossi AG, da Silveira AF. Hearing and vestibular complaints during pregnancy. Brazilian J Otorhinolaryngol. 2010;76:29-33.
29. Kumar R, Hayhurst KL, Robson AK. Ear, nose, and throat manifestations during pregnancy. Otolaryngol Head Neck Surg. 2011;145:188-98.
30. Bai G, Korfage IJ, Groen EH-d, Jet al. Associations between nausea, vomiting, fatigue and health-related quality of life of women in early pregnancy: the generation R study. PloS one. 2016;11:e0166133.
31. Bhavana G, Kumar K, Anupriya E. Assessment of otolith function using vestibular evoked myogenic potential in women during pregnancy. Brazilian J Otorhinolaryngol. 2020.
32. Laitinen L, Nurmi M, Ellilä P, et al. Nausea and vomiting of pregnancy: associations with personal history of nausea and affected relatives. Arch Gynecol Obstetrics. 2020;302:947- 55.
33. Jafari-Dehkordi E, Hashem-Dabaghian F, Aliasl F, et al. Comparison of quince with vitamin B6 for treatment of nausea and vomiting in pregnancy: a randomised clinical trial. J Obstetrics Gynaecol. 2017;37:1048-52.
34. Kızılırmak A, Timur S. The pregnant women methods in order to cope with nausea-vomiting. FFlorence Nightingale J Nurs. 2011;19:129-34.
35. Kaplan T, Bayramlar K, Maden Ç, et al. Investigation of the effect of footwear suitability on fear of falling in elderly. JETR. 2018;5:167-72.
36. Einarson TR, Piwko C, Koren G. Quantifying the global rates of nausea and vomiting of pregnancy: a meta-analysis. J Popul Ther Clin Pharmacol. 2013;20.
37. Clark S, Hughes B, McDonald SS. The impact of nausea and vomiting of pregnancy on quality of life: report of a national consumer survey and recommendations for improving care. Obstet Gynecol Surv. 2013;68:1-10.
38. Lacasse A, Bérard A. Validation of the nausea and vomiting of pregnancy specific health related quality of life questionnaire. Health Qual Life Outcomes. 2008;6:1-6.

APA	Cengiz D, özşahin z (2022). The Relationship between Nausea-Vomiting Severity and Activity Balance in Pregnancy. , 148 - 154. 10.37990/medr.1020903
Chicago	Cengiz Deniz,özşahin zeliha The Relationship between Nausea-Vomiting Severity and Activity Balance in Pregnancy. (2022): 148 - 154. 10.37990/medr.1020903
MLA	Cengiz Deniz,özşahin zeliha The Relationship between Nausea-Vomiting Severity and Activity Balance in Pregnancy. , 2022, ss.148 - 154. 10.37990/medr.1020903
AMA	Cengiz D,özşahin z The Relationship between Nausea-Vomiting Severity and Activity Balance in Pregnancy. . 2022; 148 - 154. 10.37990/medr.1020903
Vancouver	Cengiz D,özşahin z The Relationship between Nausea-Vomiting Severity and Activity Balance in Pregnancy. . 2022; 148 - 154. 10.37990/medr.1020903
IEEE	Cengiz D,özşahin z "The Relationship between Nausea-Vomiting Severity and Activity Balance in Pregnancy." , ss.148 - 154, 2022. 10.37990/medr.1020903
ISNAD	Cengiz, Deniz - özşahin, zeliha. "The Relationship between Nausea-Vomiting Severity and Activity Balance in Pregnancy". (2022), 148-154. https://doi.org/10.37990/medr.1020903

APA	Cengiz D, özşahin z (2022). The Relationship between Nausea-Vomiting Severity and Activity Balance in Pregnancy. Medical records-international medical journal (Online), 4(2), 148 - 154. 10.37990/medr.1020903
Chicago	Cengiz Deniz,özşahin zeliha The Relationship between Nausea-Vomiting Severity and Activity Balance in Pregnancy. Medical records-international medical journal (Online) 4, no.2 (2022): 148 - 154. 10.37990/medr.1020903
MLA	Cengiz Deniz,özşahin zeliha The Relationship between Nausea-Vomiting Severity and Activity Balance in Pregnancy. Medical records-international medical journal (Online), vol.4, no.2, 2022, ss.148 - 154. 10.37990/medr.1020903
AMA	Cengiz D,özşahin z The Relationship between Nausea-Vomiting Severity and Activity Balance in Pregnancy. Medical records-international medical journal (Online). 2022; 4(2): 148 - 154. 10.37990/medr.1020903
Vancouver	Cengiz D,özşahin z The Relationship between Nausea-Vomiting Severity and Activity Balance in Pregnancy. Medical records-international medical journal (Online). 2022; 4(2): 148 - 154. 10.37990/medr.1020903
IEEE	Cengiz D,özşahin z "The Relationship between Nausea-Vomiting Severity and Activity Balance in Pregnancy." Medical records-international medical journal (Online), 4, ss.148 - 154, 2022. 10.37990/medr.1020903
ISNAD	Cengiz, Deniz - özşahin, zeliha. "The Relationship between Nausea-Vomiting Severity and Activity Balance in Pregnancy". Medical records-international medical journal (Online) 4/2 (2022), 148-154. https://doi.org/10.37990/medr.1020903