Repercussões, maternas e perinatais, da assistência fisioterapêutica à gestante durante o trabalho de parto.

Abstract

Introduction: Pregnancy and childbirth are considered complex and important for the woman and her family phenomena, since they involve psychological, physical, social, economic and cultural aspects. In childbirth, currently, there is a lack of attitudes, behaviors and decision making that benefit the maternal-fetal dynamics, regardless of the medical and nursing interventions that may occur. Thus, observing the complexity of events and changes that the pregnant woman experiences during pregnancy and especially during labor, it is believed that a greater emphasis should be given to multidisciplinary and multi-professional perspective on this tour, aimed at greater possibility of range of comprehensive care. In this sense, it highlights the importance of integrating physical therapist in obstetrics team may contribute significantly to pain relief, advising on the different positions that can be adopted, suggesting exercises and most suitable among other aspects breathing patterns. Objectives: To evaluate the influence of physiotherapy intervention in the progression of active phase of labor, in pain perception during labor in fetal and use of Transcutaneous Electrical stimulation during labor. Methods: Participants were 80 pregnant women divided into three groups, control (n=40), with experimental use of Transcutaneous electrostimulation (TENS, n=20) and without the use of experimental TENS (n=20). The two experimental groups received physical therapy during labor and delivery, but in one of them the use of TENS occurred in conjunction with other physiotherapy techniques. While the CG received routine care from inpatient obstetric unit. All participants were given general guidelines on labor and delivery provided by the physiotherapist. Results: It was observed that there was a decrease of approximately two hours at the time of the active phase in the GE group, with and without TENS, with respect to the GC, as well as decreased pain perception during labor, but not a significant difference was observed regarding the vitality of newborns in the three groups. Conclusion: The results suggest that physical therapy contributed to shorter labor without influencing conceptual vitality at birth, which occurred a decrease in pain perception of physiotherapy intervention in pregnant women during the active phase of labor (TP), that the mothers of GE, with and without TENS were more peaceful, confident and participatory during the TP, although this was an empirical observation, that the use of the TENS did not influence the time of PD as well as in fetal birth.