Parturients in labor.
Conditions
Interventions
In the intervention group with 15 parturients the physiotherapy team will accompany the parturient throughout the labor. Physical therapy techniques such as massage during contractions, use of a hot t
Other
E03.091
G08.686.784.769.490.249
Sponsors
Centro Universitário São Camilo
Hospital Ipiranga
Eligibility
Sex/Gender
Female
Age
13 Years to 43 Years
Inclusion criteria
Inclusion criteria: Only those parturients who agree to participate in the study and with the disclosure of the data for academic purposes and with the consent, to be signed in the Informed Consent Term (TCLE - Appendix 1) will be included in the study. The study will include adolescents and women between 13 and 43 years of age, primiparous of normal full term delivery, with gestation from 37 to 42 weeks admitted to labor at Ipiranga Hospital with dilation of up to 7cm; not submitted to previous abdominal or urogenital surgery; not having diseases or physical conditions that could interfere with childbirth (pelvic or spinal injury, diabetes, pelvic organ prolapse, neurological diseases); not have difficulty in communication due to decreased hearing acuity or speech limitation.
Exclusion criteria
Exclusion criteria: Multiparous women will not be included; parturients with preterm birth or delivery with pelvic presentation, who progress to cesarean by maternal and / or fetal indication, who have metabolic diseases, pregnancy-specific hypertension (DHEG), oncology patients and with twin pregnancy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1) Characteristics of the sample; The sociodemographic and clinical characteristics of the participants were collected, as well as cervical dilatation; the time of onset of physiotherapy in labor and the final time (after delivery) for the verification of labor time and comparison with the control group; the presence of intercurrences and the type of presentation of the fetus (pelvic and / or cephalic) were also observed. All these items were noted and filed in a data collection form produced especially for the study.;1) The mean initial dilation in the study group was 6.1 (± 1.4); five (83.3%) parturients in the active phase and one (16.7%) in the latent phase; and in the control group it was 6.8 (± 1.4), six (85.7%) in the active phase and one (14.2%) in the latent phase. On average, the duration of labor in minutes in the study group was 518.5 (± 230.2) and in the control it was 445.7 (± 281.3). The mean duration of physiotherapeutic care for the study group was 181.8 (± 55.4) minutes. In the control group, it was 151.7 hours (± 98.5) minutes. All fetuses in cephalic presentation. | — |
Secondary
| Measure | Time frame |
|---|---|
| 2) Assessment of pain; assessed according to the Visual Analogue Scale (EVA), which measures pain intensity on a scale of 0-10. This evaluation was performed at the moment of parturient admission in the delivery room, during the latent phase (up to 5 cm of dilatation) and active (between 5 and 6 cm and between 7 and 10 cm of dilatation) of labor.;2) The intervention group / study gave a mean score of 9.3 (± 1.2) and in the control group 8.8 (± 1.8).;3) Satisfaction with the intervention and / or orientation performed and provided by physiotherapy; after parturients were questioned in relation to the intervention and / or orientation performed. The parturient was questioned whether she was satisfied, dissatisfied or declared indifferent to the care and / or intervention received.;3) All sessions attended with physical therapy patient care;4) Evaluation of the presence of episiotomy and/or perineal laceration; the evaluation of the presence of episiotomy and / or laceration was made by questioning the medical professional who accompanied the woman at the end of delivery. It was evaluated as presence and / or absence of episiotomy and / or perineal laceration. This evaluation will be presented in percentage (%) and degree of impairment.;4) Only two (33.3%) of the six parturients included in the study group performed episiotomy; and two (28.5%) of seven parturients in the control group underwent episiotomy. All performed in the right mid-lateral direction, with an average of 1.5 cm. Regarding perineal laceration, three (42.8%) of the control group presented laceration grade 1 and two (28.5%) grade 2. In the intervention group none of the participants presented laceration. | — |
Countries
Brazil
Contacts
Public ContactAriane ;Julia Tamires Trigueiro;Ferreira
Centro Universitário São Camilo;CENTRO UNIVERSITÁRIO SÃO CAMILO
Outcome results
None listed