Labor Obstetric
Conditions
Interventions
This is a randomized, two-arm clinical trial, carried out in two stages: Stage 1. Assistance during labor and delivery
Stage 2. Follow-up in the late postpartum period (6 months after birth). The expected total sample is 70 primiparous women at high obstetric risk in labor induced by misoprostol. After recruitment and
In the ac
E02.779
Sponsors
Departamento de Fisioterapia - Universidade Federal de Pernambuco
Centro de Parto Normal e Alojamento Conjunto - Hospital da Mulher do Recife
Clínica Medere
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: Primiparous women; labor induction with misoprostol 25mcg, vaginally; gestational age between 37 and 42 weeks, confirmed by the date of the last menses and/or by the most recent obstetric ultrasound; presence of a single, live fetus with cephalic presentation
Exclusion criteria
Exclusion criteria: Women with difficulty understanding verbal commands; identification of obstetric factors during hospitalization that suggest failure of induction or indication for cesarean section: fetal cardiotocography not tranquilizer/acute fetal distress, severe pre-eclampsia with blood pressure spikes
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| It is expected to find a greater number of vaginal deliveries with participants who received physiotherapeutic assistance, when compared to the control group, according to information obtained from the parturient's medical records;It is expected to find lower intensity of pain during labor in participants who received physical therapy assistance, when compared to the control group, through the application of the Visual Analog Scale (VAS) of pain | — |
Secondary
| Measure | Time frame |
|---|---|
| It is expected to find a shorter duration of the active phase and the second stage of labor in participants who received physiotherapeutic assistance, when compared to the control group, according to information obtained from the parturient's medical records;It is expected to find a shorter time of induction of labor in participants who received physiotherapeutic assistance, when compared to the control group, according to information obtained from the parturient's medical records;It is expected to find a lower incidence and/or severity of perineal laceration in participants who received physiotherapeutic assistance, when compared to the control group, according to information obtained from the parturient's medical records;A lower incidence and/or severity of maternal fatigue during labor is expected in participants who received physiotherapeutic assistance, when compared to the control group, through the application of the Maternal Fatigue Questionnaire during childbirth;A more positive and satisfactory maternal experience with labor and delivery is expected from participants who received physical therapy assistance, when compared to the control group, through the application of the Questionnaire of Experience and Satisfaction with Childbirth;A lower incidence and/or severity of fear of labor and childbirth is expected in participants who received physiotherapeutic assistance, when compared to the control group, through the application of the Questionnaire on Perceived Fear of Childbirth;It is expected to find a higher Apgar score for the newborn in the 5th minute with participants who received physiotherapeutic assistance, when compared to the control group, according to information obtained from the parturient's medical records;A lower incidence of cardiopulmonary resuscitation of newborns in participants who received physiotherapeutic assistance is expected, when compared to the control group, according to information obtained from the parturient's medical recor | — |
Countries
Brazil
Contacts
Public ContactCaroline Souto Ferreira
Universidade Federal de Pernambuco
Outcome results
None listed