Trial Outcomes & Findings for The Maternal and Perinatal Outcomes Associated With the Use of Non-pharmacological in Labor (NCT NCT01601860)

NCT ID: NCT01601860

Last Updated: 2021-06-09

Results Overview

Average uterine cervical dilation of the patient who requested analgesia for pain relief. Data captured from the medical record by the partograph.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

80 participants

Primary outcome timeframe

10 hours

Results posted on

2021-06-09

Participant Flow

Participant milestones

Participant milestones
Measure
Intervention Group
Experimental: Intervention Group Pregnant women who receive the application the combination of non-pharmacological resources according to cervical dilation: Walking (with cervical dilation between 4 and 5 cm) Alternating stance associated with ENT (cervical dilatation from 6 to 7 cm) Shower (with dilation\> 7 cm); Use of non-pharmacological: Other: Non-pharmacological resources A sequence of non-pharmacological resources were applied to the patient by the researcher according to uterine cervical dilation, as follows: * Walking (with cervical dilation between 4 and 5 cm) * Alternating stance associated with ENT (cervical dilatation from 6 to 7 cm) * Shower (with dilation\> 7 cm);
Control
Active Comparator: Control Group Pregnant women who receive assistance from the routine CRSM MATER care, not being assisted by the physiotherapist, but that will be evaluated at the same time in the intervention group. Other: Routine care: Other: Routine care Routine care of the institution performed by the staff, without the presence of the researcher that included offering a balanced meal, continuous support with the presence of a partner or family throughout labor, use of oxytocin when prescribed by the staff, use of drug analgesia when requested by the patient.
Overall Study
STARTED
40
40
Overall Study
COMPLETED
19
31
Overall Study
NOT COMPLETED
21
9

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Low-risk primigravidae women admitted to the maternity ward in the active phase of labor.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Control
n=40 Participants
Active Comparator: Control Group Pregnant women who receive assistance from the routine CRSM MATER care, not being assisted by the physiotherapist, but that will be evaluated at the same time in the intervention group. Other: Routine care: Other: Routine care Routine care of the institution performed by the staff, without the presence of the researcher that included offering a balanced meal, continuous support with the presence of a partner or family throughout labor, use of oxytocin when prescribed by the staff, use of drug analgesia when requested by the patient.
Intervention Group
n=40 Participants
Experimental: Intervention Group Pregnant women who receive the application the combination of non-pharmacological resources according to cervical dilation: Walking (with cervical dilation between 4 and 5 cm) Alternating stance associated with ENT (cervical dilatation from 6 to 7 cm) Shower (with dilation\> 7 cm); Use of non-pharmacological: Other: Non-pharmacological resources A sequence of non-pharmacological resources were applied to the patient by the researcher according to uterine cervical dilation, as follows: * Walking (with cervical dilation between 4 and 5 cm) * Alternating stance associated with ENT (cervical dilatation from 6 to 7 cm) * Shower (with dilation\> 7 cm);
Total
n=80 Participants
Total of all reporting groups
Age, Continuous
Age
21.8 Years
STANDARD_DEVIATION 4.22 • n=5 Participants
22 Years
STANDARD_DEVIATION 4.49 • n=7 Participants
21.9 Years
STANDARD_DEVIATION 4.35 • n=5 Participants
Sex: Female, Male
Female
40 Participants
n=5 Participants • Low-risk primigravidae women admitted to the maternity ward in the active phase of labor.
40 Participants
n=7 Participants • Low-risk primigravidae women admitted to the maternity ward in the active phase of labor.
80 Participants
n=5 Participants • Low-risk primigravidae women admitted to the maternity ward in the active phase of labor.
Sex: Female, Male
Male
0 Participants
n=5 Participants • Low-risk primigravidae women admitted to the maternity ward in the active phase of labor.
0 Participants
n=7 Participants • Low-risk primigravidae women admitted to the maternity ward in the active phase of labor.
0 Participants
n=5 Participants • Low-risk primigravidae women admitted to the maternity ward in the active phase of labor.
BMI
28.4 Kilograms per square meter
STANDARD_DEVIATION 5.36 • n=5 Participants
28.6 Kilograms per square meter
STANDARD_DEVIATION 4.94 • n=7 Participants
28.5 Kilograms per square meter
STANDARD_DEVIATION 5.15 • n=5 Participants
School degree
Elementary school
13 Participants
n=5 Participants
9 Participants
n=7 Participants
22 Participants
n=5 Participants
School degree
Middle school
24 Participants
n=5 Participants
27 Participants
n=7 Participants
51 Participants
n=5 Participants
School degree
High school
3 Participants
n=5 Participants
4 Participants
n=7 Participants
7 Participants
n=5 Participants
Marital status
Single
6 Participants
n=5 Participants
13 Participants
n=7 Participants
19 Participants
n=5 Participants
Marital status
Married
11 Participants
n=5 Participants
8 Participants
n=7 Participants
19 Participants
n=5 Participants
Marital status
with partner
23 Participants
n=5 Participants
19 Participants
n=7 Participants
42 Participants
n=5 Participants
Paid employment,
17 Participants
n=5 Participants
12 Participants
n=7 Participants
29 Participants
n=5 Participants
PPW (pre-pregnancy weight)
60.5 Kilograms per square meter
STANDARD_DEVIATION 13 • n=5 Participants
61.1 Kilograms per square meter
STANDARD_DEVIATION 14.4 • n=7 Participants
60.8 Kilograms per square meter
STANDARD_DEVIATION 13.7 • n=5 Participants
PDW (pre-delivery weight)
72.6 Kilograms per square meter
STANDARD_DEVIATION 14.7 • n=5 Participants
73.6 Kilograms per square meter
STANDARD_DEVIATION 14.4 • n=7 Participants
73.1 Kilograms per square meter
STANDARD_DEVIATION 14.5 • n=5 Participants
Height
1.6 centimeters
STANDARD_DEVIATION 0.07 • n=5 Participants
1.6 centimeters
STANDARD_DEVIATION 0.05 • n=7 Participants
1.6 centimeters
STANDARD_DEVIATION 0.06 • n=5 Participants

PRIMARY outcome

Timeframe: 10 hours

Population: \[Not Specified\]

Average uterine cervical dilation of the patient who requested analgesia for pain relief. Data captured from the medical record by the partograph.

Outcome measures

Outcome measures
Measure
Control Group
n=40 Participants
Active Comparator: Control Group Pregnant women who receive assistance from the routine CRSM MATER care, not being assisted by the physiotherapist, but that will be evaluated at the same time in the intervention group. Other: Routine care: Other: Routine care Routine care of the institution performed by the staff, without the presence of the researcher that included offering a balanced meal, continuous support with the presence of a partner or family throughout labor, use of oxytocin when prescribed by the staff, use of drug analgesia when requested by the patient.
Intervention Group
n=40 Participants
Experimental: Intervention Group Pregnant women who receive the application the combination of non-pharmacological resources according to cervical dilation: Walking (with cervical dilation between 4 and 5 cm) Alternating stance associated with ENT (cervical dilatation from 6 to 7 cm) Shower (with dilation\> 7 cm); Use of non-pharmacological: Other: Non-pharmacological resources A sequence of non-pharmacological resources were applied to the patient by the researcher according to uterine cervical dilation, as follows: * Walking (with cervical dilation between 4 and 5 cm) * Alternating stance associated with ENT (cervical dilatation from 6 to 7 cm) * Shower (with dilation\> 7 cm).
Number of Participants Who Requested Analgesia During the Active Phase of Childbirth
37 Participants
35 Participants

PRIMARY outcome

Timeframe: 10 hours

Population: \[Not Specified\]

Moment when a patient requested analgesia for pain relief. Data captured from the medical record by the partograph. A partogram was used, which is a printed document and allows the registration of all procedures and complications that occurred during labor, showing the conditions of the parturient and the fetus during this phase. This information is noted on a graph that makes it possible to assess all labor and duration. The doctor filled out the partograph and assessed the patient during labor, and she did not know which group belonged to the patient

Outcome measures

Outcome measures
Measure
Control Group
n=40 Participants
Active Comparator: Control Group Pregnant women who receive assistance from the routine CRSM MATER care, not being assisted by the physiotherapist, but that will be evaluated at the same time in the intervention group. Other: Routine care: Other: Routine care Routine care of the institution performed by the staff, without the presence of the researcher that included offering a balanced meal, continuous support with the presence of a partner or family throughout labor, use of oxytocin when prescribed by the staff, use of drug analgesia when requested by the patient.
Intervention Group
n=40 Participants
Experimental: Intervention Group Pregnant women who receive the application the combination of non-pharmacological resources according to cervical dilation: Walking (with cervical dilation between 4 and 5 cm) Alternating stance associated with ENT (cervical dilatation from 6 to 7 cm) Shower (with dilation\> 7 cm); Use of non-pharmacological: Other: Non-pharmacological resources A sequence of non-pharmacological resources were applied to the patient by the researcher according to uterine cervical dilation, as follows: * Walking (with cervical dilation between 4 and 5 cm) * Alternating stance associated with ENT (cervical dilatation from 6 to 7 cm) * Shower (with dilation\> 7 cm).
The Moment in Centimeters That Women Requested Analgesia During the Active Phase of Childbirth, Analyzed by Cevical Dilation.
4- 5 cm
19 Participants
1 Participants
The Moment in Centimeters That Women Requested Analgesia During the Active Phase of Childbirth, Analyzed by Cevical Dilation.
6 - 7 cm
16 Participants
8 Participants
The Moment in Centimeters That Women Requested Analgesia During the Active Phase of Childbirth, Analyzed by Cevical Dilation.
> 7 cm
2 Participants
26 Participants
The Moment in Centimeters That Women Requested Analgesia During the Active Phase of Childbirth, Analyzed by Cevical Dilation.
Did not receive analgesia
3 Participants
5 Participants

PRIMARY outcome

Timeframe: Starts with 10 centimeters of dilation until delivery

Population: \[Not Specified\]

Assess the duration of the expulsion period and compare between groups

Outcome measures

Outcome measures
Measure
Control Group
n=40 Participants
Active Comparator: Control Group Pregnant women who receive assistance from the routine CRSM MATER care, not being assisted by the physiotherapist, but that will be evaluated at the same time in the intervention group. Other: Routine care: Other: Routine care Routine care of the institution performed by the staff, without the presence of the researcher that included offering a balanced meal, continuous support with the presence of a partner or family throughout labor, use of oxytocin when prescribed by the staff, use of drug analgesia when requested by the patient.
Intervention Group
n=40 Participants
Experimental: Intervention Group Pregnant women who receive the application the combination of non-pharmacological resources according to cervical dilation: Walking (with cervical dilation between 4 and 5 cm) Alternating stance associated with ENT (cervical dilatation from 6 to 7 cm) Shower (with dilation\> 7 cm); Use of non-pharmacological: Other: Non-pharmacological resources A sequence of non-pharmacological resources were applied to the patient by the researcher according to uterine cervical dilation, as follows: * Walking (with cervical dilation between 4 and 5 cm) * Alternating stance associated with ENT (cervical dilatation from 6 to 7 cm) * Shower (with dilation\> 7 cm).
Average Duration of the Expulsive Period When Compared to Groups
26 minutes
Interval 7.0 to 135.0
18.5 minutes
Interval 5.0 to 140.0

PRIMARY outcome

Timeframe: 10 hours

Population: \[Not Specified\]

Analyze and compare between the groups the types of dystocia. Dystocia: b.1) Functional dystocia was considered when cervical dilation increased progressively, but with a speed less than 1 centimeter per hour; b.2) Secondary stop of the dilation was considered when there were 2 vaginal touches with the same cervical dilation in an interval of at least two hours, without being total. b.3) Secondary descent stop was considered when, with complete dilation of the uterine cervix, the same height of fetal descent was found in two successive touches with an interval of one hour (Protocol Royal College of Obstetricians and Gynecologists, 2012).

Outcome measures

Outcome measures
Measure
Control Group
n=40 Participants
Active Comparator: Control Group Pregnant women who receive assistance from the routine CRSM MATER care, not being assisted by the physiotherapist, but that will be evaluated at the same time in the intervention group. Other: Routine care: Other: Routine care Routine care of the institution performed by the staff, without the presence of the researcher that included offering a balanced meal, continuous support with the presence of a partner or family throughout labor, use of oxytocin when prescribed by the staff, use of drug analgesia when requested by the patient.
Intervention Group
n=40 Participants
Experimental: Intervention Group Pregnant women who receive the application the combination of non-pharmacological resources according to cervical dilation: Walking (with cervical dilation between 4 and 5 cm) Alternating stance associated with ENT (cervical dilatation from 6 to 7 cm) Shower (with dilation\> 7 cm); Use of non-pharmacological: Other: Non-pharmacological resources A sequence of non-pharmacological resources were applied to the patient by the researcher according to uterine cervical dilation, as follows: * Walking (with cervical dilation between 4 and 5 cm) * Alternating stance associated with ENT (cervical dilatation from 6 to 7 cm) * Shower (with dilation\> 7 cm).
Types of Dystocia (Functional, Secondary Stop of Dilation and Fetal Offspring) Between Groups
functional
24 Participants
17 Participants
Types of Dystocia (Functional, Secondary Stop of Dilation and Fetal Offspring) Between Groups
secondary stop of dilation
6 Participants
3 Participants
Types of Dystocia (Functional, Secondary Stop of Dilation and Fetal Offspring) Between Groups
Secondary descent stop
4 Participants
6 Participants
Types of Dystocia (Functional, Secondary Stop of Dilation and Fetal Offspring) Between Groups
without dystocia
6 Participants
14 Participants

PRIMARY outcome

Timeframe: 10 hours

Population: \[Not Specified\]

Consider and compare neonatal admission to an intensive care unit between groups, attracted by the partogram

Outcome measures

Outcome measures
Measure
Control Group
n=40 Participants
Active Comparator: Control Group Pregnant women who receive assistance from the routine CRSM MATER care, not being assisted by the physiotherapist, but that will be evaluated at the same time in the intervention group. Other: Routine care: Other: Routine care Routine care of the institution performed by the staff, without the presence of the researcher that included offering a balanced meal, continuous support with the presence of a partner or family throughout labor, use of oxytocin when prescribed by the staff, use of drug analgesia when requested by the patient.
Intervention Group
n=40 Participants
Experimental: Intervention Group Pregnant women who receive the application the combination of non-pharmacological resources according to cervical dilation: Walking (with cervical dilation between 4 and 5 cm) Alternating stance associated with ENT (cervical dilatation from 6 to 7 cm) Shower (with dilation\> 7 cm); Use of non-pharmacological: Other: Non-pharmacological resources A sequence of non-pharmacological resources were applied to the patient by the researcher according to uterine cervical dilation, as follows: * Walking (with cervical dilation between 4 and 5 cm) * Alternating stance associated with ENT (cervical dilatation from 6 to 7 cm) * Shower (with dilation\> 7 cm).
Admission Numbers to a Neonatal Intensive Care Unit Between Groups.
34 Participants
26 Participants

PRIMARY outcome

Timeframe: 10 hours

Population: \[Not Specified\]

Analyze and compare Apgar scores of the 1-min \>7 and 5-min \>7, between groups. The APGAR score reflects the degree of fetal maturity and predicts healthy child development. It is a scale that can vary from 0 to 10, which 0 is a bad vitality and 10 is an excellent score. When the APGAR score is below 7, especially in the fifth minute, it is a warning sign to give special attention to the newborn. Newborns who have an Apgar in the first minute greater than 7, demonstrate good birth conditions.

Outcome measures

Outcome measures
Measure
Control Group
n=40 Participants
Active Comparator: Control Group Pregnant women who receive assistance from the routine CRSM MATER care, not being assisted by the physiotherapist, but that will be evaluated at the same time in the intervention group. Other: Routine care: Other: Routine care Routine care of the institution performed by the staff, without the presence of the researcher that included offering a balanced meal, continuous support with the presence of a partner or family throughout labor, use of oxytocin when prescribed by the staff, use of drug analgesia when requested by the patient.
Intervention Group
n=40 Participants
Experimental: Intervention Group Pregnant women who receive the application the combination of non-pharmacological resources according to cervical dilation: Walking (with cervical dilation between 4 and 5 cm) Alternating stance associated with ENT (cervical dilatation from 6 to 7 cm) Shower (with dilation\> 7 cm); Use of non-pharmacological: Other: Non-pharmacological resources A sequence of non-pharmacological resources were applied to the patient by the researcher according to uterine cervical dilation, as follows: * Walking (with cervical dilation between 4 and 5 cm) * Alternating stance associated with ENT (cervical dilatation from 6 to 7 cm) * Shower (with dilation\> 7 cm).
Number of Newborns With Apgar Scores of 1 and 5 Minutes, Less Than or Greater Than 7.
1-min >7
31 Participants
30 Participants
Number of Newborns With Apgar Scores of 1 and 5 Minutes, Less Than or Greater Than 7.
5-min >7
40 Participants
40 Participants

PRIMARY outcome

Timeframe: 10 hours

Population: \[Not Specified\]

Evaluate the frequency of suspected fetal distress with the presence of meconium release.

Outcome measures

Outcome measures
Measure
Control Group
n=40 Participants
Active Comparator: Control Group Pregnant women who receive assistance from the routine CRSM MATER care, not being assisted by the physiotherapist, but that will be evaluated at the same time in the intervention group. Other: Routine care: Other: Routine care Routine care of the institution performed by the staff, without the presence of the researcher that included offering a balanced meal, continuous support with the presence of a partner or family throughout labor, use of oxytocin when prescribed by the staff, use of drug analgesia when requested by the patient.
Intervention Group
n=40 Participants
Experimental: Intervention Group Pregnant women who receive the application the combination of non-pharmacological resources according to cervical dilation: Walking (with cervical dilation between 4 and 5 cm) Alternating stance associated with ENT (cervical dilatation from 6 to 7 cm) Shower (with dilation\> 7 cm); Use of non-pharmacological: Other: Non-pharmacological resources A sequence of non-pharmacological resources were applied to the patient by the researcher according to uterine cervical dilation, as follows: * Walking (with cervical dilation between 4 and 5 cm) * Alternating stance associated with ENT (cervical dilatation from 6 to 7 cm) * Shower (with dilation\> 7 cm).
Frequency of Suspected Fetal Distress, Between Groups
2 Participants
1 Participants

SECONDARY outcome

Timeframe: 10 hours

Population: \[Not Specified\]

Observe if the groups had different types of cervical obstetric dilatation when a chorioamniorexis occurred.

Outcome measures

Outcome measures
Measure
Control Group
n=40 Participants
Active Comparator: Control Group Pregnant women who receive assistance from the routine CRSM MATER care, not being assisted by the physiotherapist, but that will be evaluated at the same time in the intervention group. Other: Routine care: Other: Routine care Routine care of the institution performed by the staff, without the presence of the researcher that included offering a balanced meal, continuous support with the presence of a partner or family throughout labor, use of oxytocin when prescribed by the staff, use of drug analgesia when requested by the patient.
Intervention Group
n=40 Participants
Experimental: Intervention Group Pregnant women who receive the application the combination of non-pharmacological resources according to cervical dilation: Walking (with cervical dilation between 4 and 5 cm) Alternating stance associated with ENT (cervical dilatation from 6 to 7 cm) Shower (with dilation\> 7 cm); Use of non-pharmacological: Other: Non-pharmacological resources A sequence of non-pharmacological resources were applied to the patient by the researcher according to uterine cervical dilation, as follows: * Walking (with cervical dilation between 4 and 5 cm) * Alternating stance associated with ENT (cervical dilatation from 6 to 7 cm) * Shower (with dilation\> 7 cm).
Moment of Rupture of the Chorioamniorex Between the Groups.
7 centimeters
Interval 5.0 to 10.0
8 centimeters
Interval 6.0 to 10.0

SECONDARY outcome

Timeframe: 10 hours

Population: \[Not Specified\]

Type of delivery (cesarean section, normal delivery with laceration, episiotomy, forceps and normal delivery), collected by the partograph found in the medical record.

Outcome measures

Outcome measures
Measure
Control Group
n=40 Participants
Active Comparator: Control Group Pregnant women who receive assistance from the routine CRSM MATER care, not being assisted by the physiotherapist, but that will be evaluated at the same time in the intervention group. Other: Routine care: Other: Routine care Routine care of the institution performed by the staff, without the presence of the researcher that included offering a balanced meal, continuous support with the presence of a partner or family throughout labor, use of oxytocin when prescribed by the staff, use of drug analgesia when requested by the patient.
Intervention Group
n=40 Participants
Experimental: Intervention Group Pregnant women who receive the application the combination of non-pharmacological resources according to cervical dilation: Walking (with cervical dilation between 4 and 5 cm) Alternating stance associated with ENT (cervical dilatation from 6 to 7 cm) Shower (with dilation\> 7 cm); Use of non-pharmacological: Other: Non-pharmacological resources A sequence of non-pharmacological resources were applied to the patient by the researcher according to uterine cervical dilation, as follows: * Walking (with cervical dilation between 4 and 5 cm) * Alternating stance associated with ENT (cervical dilatation from 6 to 7 cm) * Shower (with dilation\> 7 cm).
Incidence in the Type of Delivery (Cesarean Section, Normal Delivery With Laceration, Episiotomy, Forceps and Normal Delivery).
Cesarean section
10 Participants
6 Participants
Incidence in the Type of Delivery (Cesarean Section, Normal Delivery With Laceration, Episiotomy, Forceps and Normal Delivery).
normal birth
3 Participants
8 Participants
Incidence in the Type of Delivery (Cesarean Section, Normal Delivery With Laceration, Episiotomy, Forceps and Normal Delivery).
childbirth forcep
4 Participants
1 Participants
Incidence in the Type of Delivery (Cesarean Section, Normal Delivery With Laceration, Episiotomy, Forceps and Normal Delivery).
delivery with episiotomy
17 Participants
14 Participants
Incidence in the Type of Delivery (Cesarean Section, Normal Delivery With Laceration, Episiotomy, Forceps and Normal Delivery).
delivery with laceration
6 Participants
11 Participants

SECONDARY outcome

Timeframe: immediately postpartum up to 2 days after childbirth

Population: \[Not Specified\]

Evaluate and compare the presence of hemorrhage with hemodynamic repercussions between groups (requiring surgical approach and / or blood transfusion)

Outcome measures

Outcome measures
Measure
Control Group
n=40 Participants
Active Comparator: Control Group Pregnant women who receive assistance from the routine CRSM MATER care, not being assisted by the physiotherapist, but that will be evaluated at the same time in the intervention group. Other: Routine care: Other: Routine care Routine care of the institution performed by the staff, without the presence of the researcher that included offering a balanced meal, continuous support with the presence of a partner or family throughout labor, use of oxytocin when prescribed by the staff, use of drug analgesia when requested by the patient.
Intervention Group
n=40 Participants
Experimental: Intervention Group Pregnant women who receive the application the combination of non-pharmacological resources according to cervical dilation: Walking (with cervical dilation between 4 and 5 cm) Alternating stance associated with ENT (cervical dilatation from 6 to 7 cm) Shower (with dilation\> 7 cm); Use of non-pharmacological: Other: Non-pharmacological resources A sequence of non-pharmacological resources were applied to the patient by the researcher according to uterine cervical dilation, as follows: * Walking (with cervical dilation between 4 and 5 cm) * Alternating stance associated with ENT (cervical dilatation from 6 to 7 cm) * Shower (with dilation\> 7 cm).
Number of Puerperal Women Who Present Hemorrhage in the Immediate Puerperium With Hemodynamic Repercussions Between Groups.
2 Participants
0 Participants

SECONDARY outcome

Timeframe: immediately postpartum up to 2 days after childbirth

Population: \[Not Specified\]

Analyze and compare between the groups the number of puerperal infection

Outcome measures

Outcome measures
Measure
Control Group
n=40 Participants
Active Comparator: Control Group Pregnant women who receive assistance from the routine CRSM MATER care, not being assisted by the physiotherapist, but that will be evaluated at the same time in the intervention group. Other: Routine care: Other: Routine care Routine care of the institution performed by the staff, without the presence of the researcher that included offering a balanced meal, continuous support with the presence of a partner or family throughout labor, use of oxytocin when prescribed by the staff, use of drug analgesia when requested by the patient.
Intervention Group
n=40 Participants
Experimental: Intervention Group Pregnant women who receive the application the combination of non-pharmacological resources according to cervical dilation: Walking (with cervical dilation between 4 and 5 cm) Alternating stance associated with ENT (cervical dilatation from 6 to 7 cm) Shower (with dilation\> 7 cm); Use of non-pharmacological: Other: Non-pharmacological resources A sequence of non-pharmacological resources were applied to the patient by the researcher according to uterine cervical dilation, as follows: * Walking (with cervical dilation between 4 and 5 cm) * Alternating stance associated with ENT (cervical dilatation from 6 to 7 cm) * Shower (with dilation\> 7 cm).
The Number of Puerperal Infections Between Groups.
0 Participants
0 Participants

Adverse Events

Intervention Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Intervention Group
n=40 participants at risk
Experimental: Intervention Group Pregnant women who receive the application the combination of non-pharmacological resources according to cervical dilation: Walking (with cervical dilation between 4 and 5 cm) Alternating stance associated with ENT (cervical dilatation from 6 to 7 cm) Shower (with dilation\> 7 cm); Use of non-pharmacological: Other: Non-pharmacological resources A sequence of non-pharmacological resources were applied to the patient by the researcher according to uterine cervical dilation, as follows: * Walking (with cervical dilation between 4 and 5 cm) * Alternating stance associated with ENT (cervical dilatation from 6 to 7 cm) * Shower (with dilation\> 7 cm);
Control
n=40 participants at risk
Active Comparator: Control Group Pregnant women who receive assistance from the routine CRSM MATER care, not being assisted by the physiotherapist, but that will be evaluated at the same time in the intervention group. Other: Routine care: Other: Routine care Routine care of the institution performed by the staff, without the presence of the researcher that included offering a balanced meal, continuous support with the presence of a partner or family throughout labor, use of oxytocin when prescribed by the staff, use of drug analgesia when requested by the patient.
Pregnancy, puerperium and perinatal conditions
Postpartum complication (Hemorrhage) * [1]
0.00%
0/40 • [Not specified]
Postpartum complication (Hemorrhage)
5.0%
2/40 • [Not specified]
Postpartum complication (Hemorrhage)

Additional Information

Dra. Alessandra Cristina Marcolin

University of São Paulo

Phone: +55(16)36022813

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place