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High-risk PregnancyNCT07774936

Fetal Health Locus of Control, Maternal Anxiety, and Cardiotocography in High-Risk Pregnancies

An observational study of High-risk Pregnancy, run by Istanbul Training and Research Hospital at 1 site in Turkey (Türkiye).

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Trial summary

This prospective observational cross-sectional study aims to evaluate the relationships among fetal health locus of control (FHLC) perceptions, maternal anxiety levels, and fetal cardiotocography parameters in high-risk pregnant women. Read more about this study

Who is it for?
Ages 18 to 45 years, women only
Conditions the study is for
High-risk Pregnancy
How many people
150 participants
Where
1 siteTurkey (Türkiye)
Study dates
14 Apr 2026to Dec 2028
How long will I take part?
1 Day
Phase
Observational

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 45 years
  • Women only
  • No healthy volunteers
  • Adult

Study population: Pregnant women at 32 weeks of gestation or later who are being followed for a high-risk pregnancy and undergo routine non-stress testing. Participants will complete the Fetal Health Locus of Control Scale and the Beck Anxiety Inventory on the same day as their routine NST.

Who may be able to join

  • Singleton pregnancy at 32 weeks of gestation or later
  • Being followed for a high-risk pregnancy
  • No known diagnosed psychiatric disorder and no current psychiatric medication use
  • Absence of a fetal condition considered likely to affect the NST tracing
  • Maternal age between 18 and 45 years

Who cannot join

  • Gestational age below 32 weeks and/or multiple pregnancy
  • Presence of a fetal condition considered likely to affect the NST tracing
  • Acute maternal infection or an obstetric emergency
  • Known diagnosed psychiatric disorder and/or current psychiatric medication use
  • Maternal age below 18 years or above 45 years

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Turkey (Türkiye)1 site, 1 recruiting
  • Istanbul Training and Research Hospital

    Istanbul

    Doruk C Katlan, +905353475411, dcek2000@yahoo.com

    Nebahat Uzunay, +905052609436, nebahatuzunay@gmail.com

    Recruiting

Other trials in Turkey (Türkiye)

About this study

Official title: The Relationship Between Fetal Health Locus of Control Perceptions, Anxiety Levels, and Fetal Cardiotocography Parameters in High-Risk Pregnant Women

This prospective observational cross-sectional study aims to evaluate the relationships among fetal health locus of control (FHLC) perceptions, maternal anxiety levels, and fetal cardiotocography parameters in high-risk pregnant women. Pregnant women at 32 weeks of gestation or later who undergo routine non-stress testing (NST) at the Perinatology Outpatient Clinic will be invited to participate. On the same day as the routine NST, participants will complete the Fetal Health Locus of Control Scale and the Beck Anxiety Inventory. Associations between FHLC dimensions, maternal anxiety levels, and NST parameters, including baseline fetal heart rate, number of accelerations, reactivity, and presence of decelerations, will be evaluated.

Read the detailed description

Fetal health locus of control reflects pregnant women's beliefs regarding the factors that determine the health of their unborn child. These beliefs may influence health-related behaviors during pregnancy. Maternal anxiety may also affect fetal heart rate regulation through autonomic and neuroendocrine mechanisms.

This study will prospectively evaluate high-risk pregnant women at 32 weeks of gestation or later who are undergoing routine non-stress testing at the Perinatology Outpatient Clinic. After written informed consent is obtained, participants will complete the Fetal Health Locus of Control Scale and the Beck Anxiety Inventory on the same day as their routine 20-minute NST.

The Fetal Health Locus of Control Scale consists of three dimensions: Internal Health Locus of Control, Chance Health Locus of Control, and Powerful Others Health Locus of Control. NST recordings will be evaluated according to FIGO-based criteria by an experienced investigator. Baseline fetal heart rate, accelerations, reactivity, decelerations, and other relevant cardiotocographic parameters will be recorded.

This study aims prospective cross-sectional evaluation of high-risk pregnant women undergoing routine non-stress testing. The primary objective is to investigate the relationships among fetal health locus of control perceptions, maternal anxiety levels, and fetal cardiotocography parameters. Secondary analyses will examine the relationships of these variables with maternal sociodemographic and obstetric characteristics.

Keywords
Fetal Health Locus of Control, Maternal Anxiety, High-Risk Pregnancy, Cardiotocography

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT07774936
Study groupRoleWhat they receive
High-Risk Pregnant WomenPregnant women at 32 weeks of gestation or later who are being followed for a high-risk pregnancy and undergo routine non-stress testing. Participants will complete the Fetal Health Locus of Control Scale and the Beck Anxiety Inventory on the same day as their routine NST.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Association Between Fetal Health Locus of Control and Maternal Anxiety

    The relationship between scores obtained from the Fetal Health Locus of Control Scale and maternal anxiety measured using the Beck Anxiety Inventory will be evaluated. The Internal Health Locus of Control, Chance Health Locus of Control, and Powerful Others Health Locus of Control dimensions will be analyzed separately.

    Measured: At the single study visit, on the same day as the routine NST

  2. Association Between Fetal Health Locus of Control and Cardiotocography Parameters

    Associations between fetal health locus of control dimensions and NST parameters, including baseline fetal heart rate, number of accelerations, reactivity, and presence of decelerations, will be evaluated.

    Measured: During the 20-minute routine NST performed at the single study visit

  3. Association Between Maternal Anxiety and Cardiotocography Parameters

    The relationship between maternal anxiety measured using the Beck Anxiety Inventory and NST parameters, including baseline fetal heart rate, number of accelerations, reactivity, and presence of decelerations, will be evaluated.

    Measured: During the 20-minute routine NST performed at the single study visit

Secondary outcomes (1)
  1. Associations With Sociodemographic and Obstetric Characteristics

    Associations of fetal health locus of control, maternal anxiety levels, and cardiotocography parameters with maternal sociodemographic and obstetric characteristics, including age, gravidity, education level, income level, consanguinity, smoking status, and pre-pregnancy preparation, will be evaluated.

    Measured: At the single study visit

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Aug 2026
  2. Study start14 Apr 2026
  3. Primary completionMay 2028 (estimated)
  4. Study completionDec 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Other
Time perspective
Prospective
Enrolment
150 participants (estimated)
Target duration
1 Day
IDs, dates and publications
ClinicalTrials.gov ID
NCT07774936
Sponsor's protocol ID
ISTANBUL TRH - 14.04.2026-121
Status last verified
Aug 2026
First submitted
15 Aug 2026
Last updated
19 Aug 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

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