Pregnancy, childbirth and the puerperium, labor, obstetric, labor stage, second, natural childbirth
Conditions
Interventions
Experimental Group: 31 women in labor will receive stimulus to perform a comfortable respiratory pattern in tidal volume, without the excessive use of the accessory inspiratory musculature, orientatio
Behavioural
Sponsors
Universidade Federal de Pernambuco
Universidade Federal de Pernambuco
Eligibility
Sex/Gender
Female
Age
19 Years to 45 Years
Inclusion criteria
Inclusion criteria: Women in the second period of labor; Low- and high-risk gestation; Gestational age between 37 and 42 weeks, between 19 and 45 years.
Exclusion criteria
Exclusion criteria: Twin pregnancy; Gestation with a dead fetus; Induced birth; Use of Oxytocin; Use of psychoactive drugs; Use of pharmacological analgesia.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1 - Presence of episiotomy. evaluated and recorded according to medical record in medical record after fetal birth in numbers. | — |
Secondary
| Measure | Time frame |
|---|---|
| 2 - Perineal trauma. Evaluated and recorded according to medical definition in medical records, expressing the level of perineal trauma: Laceration grade 1, Laceration grade 2, Laceration grade 3, Laceration grade 4.;3 - Duration of the second period of labor. Timed in seconds from 10 cm of complete dilation until fetal birth.;4 - Duration of pushing. Timed in seconds at the time of parturition as reported by the parturient.;5 - Vaginal birth. Recorded according to fetal birth. According to medical records.;6 - Instrumentalized Delivery. Recorded according to information contained in medical records in numbers. ;7 - Cesarean. Recorded according to fetal birth according to information contained in medical records in numbers. ;8 - Postpartum haemorrhage. The evaluation in the first 24 hours postpartum, with the highest chance equal to 500 mL during the period of hospitalization, as recorded in the medical record. ;9 - Maternal blood pressure. Evaluated through the measurement of systolic and diastolic blood pressures in mmHg, during Labor. ;10 - Use of oxytocin. verified through the information contained in medical records.;11 - Maternal pain level. Measured up to one hour postpartum according to parturient information, describing the level of pain referred by the patient at each evaluation, ranging from zero to ten, zero being the total absence of pain and ten the most extreme, unbearable pain, never felt in the course of life. Evaluated by Visual Analogue Scale (VAS). ;12 - Maternal fatigue level. Measured up to one hour postpartum according to parturient information, evaluated through the scale instrument, which is an integral part of the questionnaire validated and known as the Maternal Fatigue Questionnaire in Labor (QFM-TP) within 10 minutes after delivery. It consists of 20 affirmations whose intensities are verified through a score of five points (0 to 4), ranging from 0 to 80 points, where higher values indicate a higher level of maternal fatigue. ;13 - | — |
Countries
Brazil
Contacts
Public ContactAna de Araújo
Universidade Federal de Pernambuco
Outcome results
None listed