Study of Left-Lateral Positioning in Pregnant Women With Fetal Growth Restriction to Improve Babys Growth and Health Outcomes

What this Trial Is About

This research aims to evaluate if resting in the maternal left-lateral position can improve fetal growth in pregnancies affected by fetal growth restriction. The study also investigates how this position affects maternal metabolomics, mental health, fetal heart function, and delivery outcomes by comparing women who use the left-lateral position to those receiving standard care without this positioning. Participants will be randomly assigned to one of two groups. One group will practice the left-lateral recumbent position daily for a total of 4 hours with a 10-minute stretching break after each hour, alongside recommendations for mild to moderate exercise 2-3 times per week and a healthy diet for 4 weeks. The other group will continue standard care with similar exercise and diet advice. Both groups will wear a smartwatch to monitor physical activity at home. A follow-up visit will occur 4 weeks after enrollment and again at delivery. Throughout the study, participants will be monitored for fetal growth using fetal biometry scans at 4 weeks, fetal cardiac function, and blood flow measurements. Maternal mental health and metabolomics will be assessed at 4 weeks and delivery. Delivery outcomes will also be recorded. The use of smartwatches will help track adherence to the intervention and physical activity levels. The total study duration for each participant includes 4 weeks of intervention followed by delivery observation.

Maternal Left Lateral Position in Fetal Growth Restriction