Impact of face mask use during the non-stress test in pregnancy

• Authors: Ali Gursoy , Ezgi Dogan Tekbas

Abstracts

EN

Introduction and aim. Face masks used to protect against the COVID 19 pandemic have become a daily routine. The aim of this study was to examine the possible effects of mask use on non-stress test (NST) results during pregnancy. Material and methods. A total of 951 pregnant women were included in the study. They were divided into two groups as those who wear masks and those who do not. These pregnant women were also divided into subgroups as preterm and term periods. Results. The mean age of the pregnant women was 31.2±4.9 and their gestational weeks were between 34+0 and 40+6. There was no significant difference between 34 and 37 gestational weeks pregnants in terms of FHR, reactivity, non-reactivity, deceleration, FHR category distribution and number of fetal movements (p>0.05). The variability was significantly higher in those who did not wear a mask (p37 gestational weeks there was no significant difference in terms of FHR, reactivity, non-reactivity, variability, deceleration and FHR category distribution (p>0.05). The number of fetal movements was significantly (p<0.05) lower in the mask-wearing group. Conclusion. Mask use should be considered in NSTs where variability is reduced or fetal movements are low. Thus, misinterpretation of the NST can be avoided.

Keywords

EN

COVID-19; face mask; fetal heart rate; non-stress test

• Publisher: Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
• Journal: European Journal of Clinical and Experimental Medicine
• Year: 2023
• Issue: 1
• Pages: 114-119

Dates

published

2023

Contributors

author

Ali Gursoy

• Department of Obstetrics and Gynecology, Faculty of Medicine, Maltepe University, Turkey

• https://orcid.org/0000000172753800

author

Ezgi Dogan Tekbas

• The Gynecological Clinic of Hospital-Holweide, Cologne, Germany

• https://orcid.org/0000000176589198

References

• American College of Obstetricians and Gynecologists’ Committee on Practice Bulletins-Obstetrics. Antepartum Fetal Surveillance: ACOG Practice Bulletin, Number 229. Obstet Gynecol. 2021;137(6):e116-e127. doi: 10.1097/ AOG.0000000000004410.
• Hoh JK, Park MI, Park YS, Koh SK. The significance of amplitude and duration of fetal heart rate acceleration in non-stress test analysis. Taiwan J Obstet Gynecol. 2012;51(3):397-401. doi: 10.1016/j.tjog.2012.07.014.
• World Health Organization. WHO Director-General’s opening remarks at the media briefing on COVID-19 - 11. 2020. Available at: https://www.who.int/dg/speeches/ detail/who-director-general-s-opening-remarks-at-themedia-briefing-on-covid-19-11-march-2020. Accessed April 5, 2020.
• Toprak E, Bulut AN. The effect of mask use on maternal oxygen saturation in term pregnancies during the COVID-19 process. J Perinat Med. 2020;49(2):148-152. doi: 10.1515/jpm-2020-0422.
• Electronic fetal heart rate monitoring: research guidelines for interpretation. National Institute of Child Health and Human Development Research Planning Workshop. Am J Obstet Gynecol. 1997;177(6):1385-1390.
• Macones GA, Hankins GD, Spong CY, Hauth J, Moore T. The 2008 National Institute of Child Health and Human Development workshop report on electronic fetal monitoring: update on definitions, interpretation, and research guidelines. Obstet Gynecol. 2008;112(3):661-666. doi: 10.1097/AOG.0b013e3181841395.
• ACOG Practice Bulletin No. 106: Intrapartum fetal heart rate monitoring: nomenclature, interpretation, and general 119Impact of face mask use during the non-stress test in pregnancy management principles. Obstet Gynecol. 2009;114(1):192202. doi: 10.1097/AOG.0b013e3181aef106.
• Ayres-de-Campos D, Spong CY, Chandraharan E; FIGO Intrapartum Fetal Monitoring Expert Consensus Panel. FIGO consensus guidelines on intrapartum fetal monitoring: Cardiotocography. Int J Gynaecol Obstet. 2015;131(1):13-24. doi: 10.1016/j.ijgo.2015.06.020.
• Ball RH, Parer JT. The physiologic mechanisms of variable decelerations. Am J Obstet Gynecol. 1992;166(6 Pt 1):16831689. doi: 10.1016/0002-9378(92)91557-q.
• Uptodate. Intrapartum fetal heart rate monitoring: Overview. Available at: http://https://www.uptodate.com/contents/intrapartum-fetal-heart-rate-monitoring-overview Accessed March 30, 2022.
• Hegewald MJ, Crapo RO. Respiratory physiology in pregnancy. Clin Chest Med. 2011;32(1):1-13. doi: 10.1016/j. ccm.2010.11.001.
• Mikulicz J. Das Operieren in sterilisierten Zwirn-handschuhen undmit Mundbinde. Centralblatt für Chirurgie. 1897;26:714-717.
• Zhang G, Li M, Zheng M, et al. Effect of Surgical Masks on Cardiopulmonary Function in Healthy Young Subjects: A Crossover Study. Front Physiol. 2021;12:710573. doi: 10.3389/fphys.2021.710573.
• Shaw K, Butcher S, Ko J, Zello GA, Chilibeck PD. Wearing of Cloth or Disposable Surgical Face Masks has no Effect on Vigorous Exercise Performance in Healthy Individuals. Int J Environ Res Public Health. 2020;17(21):8110. doi: 10.3390/ijerph17218110.
• Beder A, Büyükkoçak U, Sabuncuoğlu H, Keskil ZA, Keskil S. Preliminary report on surgical mask induced deoxygenation during major surgery. Neurocirugia (Astur). 2008;19(2):121-126. doi: 10.1016/s1130-1473(08)70235-5.
• Tornero-Aguilera JF, Clemente-Suárez VJ. Cognitive and psychophysiological impact of surgical mask use during university lessons. Physiol Behav. 2021;234:113342. doi: 10.1016/j.physbeh.2021.113342.
• Lässing J, Falz R, Pökel C, et al. Effects of surgical face masks on cardiopulmonary parameters during steady state exercise. Sci Rep. 2020;10(1):22363. doi: 10.1038/s41598020-78643-1.
• Tong PS, Kale AS, Ng K, et al. Respiratory consequences of N95-type Mask usage in pregnant healthcare workers-a controlled clinical study [published correction appears in Antimicrob Resist Infect Control. 2016;5:26. Antimicrob Resist Infect Control. 2015;4:48. doi: 10.1186/s13756-0150086-z.
• Roberge RJ, Kim JH, Powell JB. N95 respirator use during advanced pregnancy. Am J Infect Control. 2014;42(10):1097-1100. doi: 10.1016/j.ajic.2014.06.025.
• Roeckner JT, Krstić N, Sipe BH, Običan SG. N95 Filtering Facepiece Respirator Use during Pregnancy: A Systematic Review. Am J Perinatol. 2020;37(10):995-1001. doi: 10.1055/s-0040-1712475.
• Roberge RJ, Kim JH, Palmiero A, Powell JB. Effect of Pregnancy Upon Facial Anthropometrics and Respirator Fit Testing. J Occup Environ Hyg. 2015;12(11):761-766. doi: 10.1080/15459624.2015.1049269.
• Umana OD, Siccardi MA. Prenatal Non-stress Test. [Updated 2021 Aug 11]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK537123/
• Kinas MG, Sezer SD, Yuksel H, Odabasi AR. The Role Of Fetal Movement Amount On Predıctıng The Non-Stress Test Results. Turk J Obstet Gynecol. 2011;8(4):238. doi: 10.5505/tjod.2011.45822.
• Sheikh M, Hantoushzadeh S, Shariat M. Maternal perception of decreased fetal movements from maternal and fetal perspectives, a cohort study. BMC Pregnancy Childbirth. 2014;14:286. doi: 10.1186/1471-2393-14-286.
• Zizzo AR, Kirkegaard I, Hansen J, Uldbjerg N, Mølgaard H. Fetal Heart Rate Variability Is Affected by Fetal Movements: A Systematic Review. Front Physiol. 2020;11:578898. doi:10.3389/fphys.2020.578898.
• Epstein D, Korytny A, Isenberg Y, et al. Return to training in the COVID-19 era: The physiological effects of face masks during exercise. Scand J Med Sci Sports. 2021;31(1):7075. doi: 10.1111/sms.13832.
• Shekaraiah S, Suresh K. Effect of Face Mask on Voice Production During COVID-19 Pandemic: A Systematic Review. J Voice. 2021;S0892-1997(21)00327-1. doi: 10.1016/j. jvoice.2021.09.027.
• Rosner E. Adverse Effects of Prolonged Mask Use among Healthcare Professionals during COVID-19. J Infect Dis Epidemiol. 2020:6:130. doi: 10.23937/2474-3658/1510130.

Identifiers

DOI

10.15584/ejcem.2023.1.14

Biblioteka Nauki

2211807