Avaliação da dor e ansiedade no trabalho de parto com o uso de intervenções não farmacológicas: ensaio clínico randomizado e controlado

• Autor(a) principal: Cavalcanti, Ana Carolina Varandas [UNIFESP]
• Data de Publicação: 2016
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=4012740; http://repositorio.unifesp.br/handle/11600/47444
• topic: Obstetric nursing; Hydrotherapy; Labor pain; Anxiety; Exercise therapy; Enfermagem obstétrica; Hidroterapia; Dor do parto; Ansiedade; Terapia por exercício

Pregnancy, and specially labor, bring to the women a mix of sensations as anxiety, joy and fear. The way this moment is lived can be favorable or not for the development of labor and childbirth. This study aimed to evaluate the perception of women pain and anxiety during labor under the effect of non-pharmacological interventions as warm dipping bath and Swiss ball, together or separately. It is a clinic, randomized, controlled study, in which was used a pre and post intervention draw with repetitive measures. The study locals were two public institutions linked to the National Health Service - Sistema Único de Saúde (SUS), located at the East zone of São Paulo, one of them state institution, the other one municipal. The population was composed by low risk parturient, admitted on the hospital Labor Unit, for labor assistance and labor. The sample was composed by 128 parturients submitted to non-pharmacological interventions aiming the relief of pain by means of aspersion bath or perineal exercises with Swiss ball or both. The perception of pain and anxiety was evaluated before and one hour after the intervention by means of Visual Analog Scale (VAS). The parturients receiving the aspersion bath intervention on isolated form declared an increase on pain level and a reduction on 0,95 points on anxiety (p=0,032). Related to the progression of cervical dilatation, we observed that each one centimeter of progression there was an increase of pain level, on average, 0,49 points (p=0,016). It was possible to conclude that, among the interventions used, the aspersion bath did not interfere on a positive way concerning the reduction of pain during labor, nevertheless it diminished the level of anxiety, which can collaborate to a better adaptation of the mother to the labor process pain, and so the parturient acts more actively during labor. It is a technique having easy application, as it demands few material resources and its use must be stimulated on labor units.