Puerperium
Conditions
Interventions
Twenty-four postpartum women aged 18-40 years participated in this study. The puerperae were divided into two groups: normal delivery (GPN n = 13) and cesarean delivery (CPG n = 11). The puerperas wer
Procedure/surgery
Sponsors
Centro Universitário de Barra Mansa
Centro Universitário de Barra Mansa
Eligibility
Sex/Gender
Female
Age
18 Years to 40 Years
Inclusion criteria
Inclusion criteria: The study included women with 8 hours normal postpartum and 14 hours postpartum cesarean section, primiparous and multiparous, with medical authorization to perform physiotherapy, without any complications, such as hemorrhages and who accepted to be part of the study after the signature of the free and informed consent term
Exclusion criteria
Exclusion criteria: Were excluded from the study postpartum women less than 8 hours normal postpartum and 14 hours post-partum cesarean section, complications during delivery and postpartum, with anesthesia headache, bleeding, exacerbated pain in another body part, carriers of morbidities such as diabetes and hypertension who underwent curettage and tinnitus without medical authorization to receive physical therapy and who did not accept to be part of the study after reading the informed consent form
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To verify the profile of the puerperas through the evaluation card elaborated by the authors with clinical data such as gestational age, prenatal follow-up, gestational history, diaphragmatic kinesis, urinary incontinence, voluntary contraction of the pelvic floor and accessory musculature, abdominal diastasis, edema, symmetry of the breasts and general well-being, using for the data analysis the program Microsoft Excel by means of simple statistics with values in percentage;To verify the degree of perception of effort and dyspnea during exercise through the modified Borg scale. It is a vertical visual categorical scale, numbered from 0 to 10. Each number is associated with a textual description of the degree of dyspnea, and its score increases as this sensation also increases, according to the numerical description referred by the individual . In the present study, the puerperae were asked to indicate the scale score during the performance of the therapeutic exercises on the 1st and 2nd day postpartum, obtaining a numerical classification analyzed by the parametric statistical tests ANOVA post hoc of bonferroni and non-parametric of Wilcoxon and Mann Whitney (Wilcoxon Rank-Sum Test) by means of paired and unpaired (independent) observations respectively, with significance level of p less than or equal to 0.05;Check the agility. The widely used TUG (timed up and go) test was used to evaluate functional mobility. The test is done using a standard 45 cm high chair, tape measure and Polar® stopwatch. Patients are advised to sit in a chair with 46 cm in height and 65 cm in height of arm support, raise by supporting the arms, walk safely at a distance of three meters, demarcated by a straight line on the floor, measure by tape measure, turn around and return to the chair. At the start of the test, patients are instructed to stand with their backs resting on the back of the chair and, at the end, to touch them again. Patients are given the "go" order to perform the test a | — |
Secondary
| Measure | Time frame |
|---|---|
| It was observed that the majority of women had gestational age between 39-40 weeks. All of them underwent prenatal follow-up. Most were multiparous with normokinetic diaphragmatic kinesis, no urinary incontinence, and pelvic floor contraction visually identified with the use of accessory musculature. Most women were unable to perform the test to check for abdominal diastasis, had no edema in the lower limbs and had symmetrical breasts. All reported overall well-being;It was possible to verify that the early mobilization could promote the reduction of the degree of effort;It was possible to verify that the early mobilization could promote greater agility in the puerperae studied | — |
Countries
Brazil
Contacts
Public ContactPriscila Januário
Centro Universitário de Barra Mansa
Outcome results
None listed