Comparação de massagem, estimulação elétrica transcutânea e placebo para alívio da dor durante o trabalho de parto: ensaio clínico randomizado
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFU |
Texto Completo: | https://repositorio.ufu.br/handle/123456789/34758 http://doi.org/10.14393/ufu.te.2022.104 |
Resumo: | Introduction: The intensity of pain during labor can impair a woman's experience and satisfaction with childbirth. In view of this, investigations regarding the effects of non-pharmacological pain relief methods during labor gain importance. Objectives: To verify the effects of massage, transcutaneous electrical stimulation (TENS) and placebo, in addition to usual care, on pain, satisfaction with childbirth, childbirth outcomes and birth conditions of the newborn. Material and methods: This are a randomized controlled clinical trial with a non-probabilistic convenience sample, composed of women in the first active stage of childbirth, hospitalized in a public institution. The participants were divided into three groups that received continuous support from professionals, encouragement to walk and to adopt vertical postures. In addition, the parturients in the Massage group (n=36) received massage in the lumbosacral region for 30 min, the participants in the TENS Group (n=36) received the application of TENS for 30 min and the participants in the Placebo Group (n=36 ) received the application of placebo TENS for 30 min. The primary endpoint assessed was the change in the Visual Analogue Scale (VAS) from baseline to immediately after the intervention. Secondary outcomes include change in VAS from baseline to 30 minutes and 1 hour after the intervention, and in the immediate postpartum period (12-24 hours after labor). Participants' satisfaction with childbirth were also evaluated through the Questionnaire of Experience and Satisfaction with Childbirth (QESP) and variables related to childbirth and the newborn's birth conditions collected from the medical record. Results: Immediately after the intervention, the TENS group showed a reduction in reported pain, while the Placebo group showed an increase in pain (p<0.001). No significant differences were observed between groups 30 minutes and 1 hour after the intervention or after delivery. The QESP results showed differences only in the support subscale, being higher in the Massage group. Data regarding delivery and newborn outcomes were similar between groups. Conclusion: Therefore, the use of TENS associated with other non-pharmacological methods of pain relief in the first stage of labor leads to a reduction in pain, does not interfere with delivery outcomes and is safe for the neonate, proving to be superior to the other methods evaluated. |
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Comparação de massagem, estimulação elétrica transcutânea e placebo para alívio da dor durante o trabalho de parto: ensaio clínico randomizadoComparison of massage, transcutaneous eletrical stimulation and placebo for pain relief during labor: randomized clinical trialdorpaintrabalho de partoEstimulação elétrica transcutânealabor obstetricmassagemtranscutaneous electrical stimulationmassageCNPQ::CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONALCNPQ::CIENCIAS DA SAUDECiências da saúdeIntroduction: The intensity of pain during labor can impair a woman's experience and satisfaction with childbirth. In view of this, investigations regarding the effects of non-pharmacological pain relief methods during labor gain importance. Objectives: To verify the effects of massage, transcutaneous electrical stimulation (TENS) and placebo, in addition to usual care, on pain, satisfaction with childbirth, childbirth outcomes and birth conditions of the newborn. Material and methods: This are a randomized controlled clinical trial with a non-probabilistic convenience sample, composed of women in the first active stage of childbirth, hospitalized in a public institution. The participants were divided into three groups that received continuous support from professionals, encouragement to walk and to adopt vertical postures. In addition, the parturients in the Massage group (n=36) received massage in the lumbosacral region for 30 min, the participants in the TENS Group (n=36) received the application of TENS for 30 min and the participants in the Placebo Group (n=36 ) received the application of placebo TENS for 30 min. The primary endpoint assessed was the change in the Visual Analogue Scale (VAS) from baseline to immediately after the intervention. Secondary outcomes include change in VAS from baseline to 30 minutes and 1 hour after the intervention, and in the immediate postpartum period (12-24 hours after labor). Participants' satisfaction with childbirth were also evaluated through the Questionnaire of Experience and Satisfaction with Childbirth (QESP) and variables related to childbirth and the newborn's birth conditions collected from the medical record. Results: Immediately after the intervention, the TENS group showed a reduction in reported pain, while the Placebo group showed an increase in pain (p<0.001). No significant differences were observed between groups 30 minutes and 1 hour after the intervention or after delivery. The QESP results showed differences only in the support subscale, being higher in the Massage group. Data regarding delivery and newborn outcomes were similar between groups. Conclusion: Therefore, the use of TENS associated with other non-pharmacological methods of pain relief in the first stage of labor leads to a reduction in pain, does not interfere with delivery outcomes and is safe for the neonate, proving to be superior to the other methods evaluated.Pesquisa sem auxílio de agências de fomentoTese (Doutorado)Introdução: A intensidade da dor durante o trabalho de parto pode prejudicar a experiência e a satisfação da mulher com o parto. Diante disso, investigações a respeito dos efeitos de métodos não farmacológicos de alívio da dor durante o trabalho de parto ganham importância. Objetivos: Verificar os efeitos da massagem, da estimulação elétrica transcutânea (TENS) e do placebo, somados aos cuidados usuais, sobre a dor, satisfação com o parto, desfechos de parto e condições de nascimento do recém-nascido. Material e métodos: Trata-se de estudo do tipo ensaio clínico randomizado controlado com amostra não probabilística por conveniência, composta por mulheres em primeira fase ativa do parto, internadas em uma instituição pública. As participantes foram divididas em três grupos que receberam suporte contínuo dos profissionais, incentivo à deambulação e à adoção de posturas verticais. Além disso, as parturientes do grupo Massagem (n=36) receberam massagem em região lombossacra por 30 min, as participantes do Grupo TENS (n=36) receberam a aplicação da TENS por 30 min e as participantes do Grupo Placebo (n=36) receberam a aplicação da TENS placebo por 30 min. O desfecho primário avaliado foi a mudança na Escala Visual Analógica (EVA) desde a linha de base até imediatamente após a intervenção. Os desfechos secundários incluem mudança na EVA desde o início até 30 minutos e 1 hora após a intervenção, e no período pós-parto imediato (12-24 horas após o trabalho de parto). Foram avaliados também a satisfação da participante com o parto por meio do Questionário de Experiência e Satisfação com o Parto (QESP) e variáveis relacionadas ao parto e condições de nascimento do neonato coletados no prontuário médico. Resultados: Imediatamente após a intervenção, o grupo TENS apresentou redução da dor relatada, enquanto o grupo Placebo apresentou aumento da dor (p<0,001). Não foram observadas diferenças significativas entre os grupos 30 minutos e 1 hora após a intervenção ou após o parto. Os resultados do QESP demonstraram diferenças apenas na subescala de suporte, sendo superior no grupo Massagem. Os dados referentes aos desfechos de parto e neonato foram semelhantes entre os grupos. Conclusão: Portanto, a utilização do TENS associado a outros métodos não farmacológicos de alívio da dor na primeira fase de trabalho de parto leva uma redução da dor, não interfere nos desfechos do parto e se mostra segura ao neonato, mostrando se superior aos outros métodos avaliados.2024-03-212024-03-21Universidade Federal de UberlândiaBrasilPrograma de Pós-graduação em Ciências da SaúdeBaldon, Vanessa Santos Pereirahttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4284616E6&tokenCaptchar=03AGdBq27Li7IwI8R4MUqH-dOb7n2EjYwkeASlzIXApTtv11c4ruO8Har5YIQ2noaJ5BowsnB95XuuXbeiNh6v4McSjUEm-hkRb6ZFcNEzDdlNyvIjqTrG9URe4CWxu4ls9BOnWQl4Cj5gU3MGWpw_z7fgJLJHi16OXLN0BizCGLn6NSrMKI-ij51jLKxxBF4aIs0Co_RbmwPtYMza4HaCKNXml6VUS619ndwHtlhrU427irrnqRhGdcnlOWLntQv6yKk11L56Ay2ecIUxtJq-j7uxXeQTrADWu7v5-CkPy_Crk_D_wsdZeREIqAgzLeHduY9lCIIHL_iWCcZzTA5zhe4S0xz5dKLrkefFChMjUzaJL9_1HVdnwJ7bqqOVcL2Oq40tIG5eH8FlzDueTM7CQqu7sSe4J5N7RjFVoNKv-nNcal4eAte0VUZ-FpvpSL5-m6RJ1x-RgtfMJRFRHSU8zxBE3YJQ7ohnsQBeleza, Ana Carolina Sartoratohttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4779362H9&tokenCaptchar=03AGdBq27tbHrGfv2KNhVjZgsFcyO4M90_zv64kRGY4wVAh2ZkZqnQ0XlmWC_qQsAQtP_VeGT1ohCdVsnwlVU4AyYvjsHwZYl54hPa_rv3BEQOITIGZaTTauRAA0luTWaOun-_USe_MVSxFCzAmo4GyQoNISGQmlKAXJnWTGZG_asPiHe_dioxE_BSMOjyVGsHXk5e-N0QK0bBXUqrzu3VEchoIkg6jITGAXRKqDhxm_Ahmd8t3-nnRWjKcvX9kiK2_VCMmKkNUExKf1Hiwo3VySGuE_VRZep7OzYAMTPjUnGngJvdvD39ja8xq_YvWoYK0CTChIZS-PJaSc9xGUf88LFqfyQ7oNdpAA3SWMLJZ3JiepHdaZKm2V2dUmamGn9Mk_ZYPneRiZ3QFh6y58UE7SkJQv_KtgN_AM_3UaUPYrWZvTBwodU18AGDdMWCVoJRlPUqfnecU8ix59L8Jm7o4jZuqyp7uYnejgDriusso, Patriciahttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4760548Z6&tokenCaptchar=03AGdBq251IQWlAfp3OeBveNlG2ZjSS1IoCDIzN27UiyXqKMFGBbm8Sj2y83yS8k7Rvkj4eEj5PPQvzwYC9F-aIjJr9DbqrcAKP93rsdyXgUaaq7bX7lpRxiHoRnBWJaXITQRbHviepQkjm3Bp18zezzPIfRXyFT_6c4bE5m0ngf6oSYfkjhdNTmqxmpvy6XUqowtxII3POv1KFrmz2XC60_1-bdC_X9GV9-Q0wRVfCu5sMGjI9COeV4mICWNMMx-vJhBYDyP2JSKqXwfZV4Hhihq72opH-OnsXwoT6QUbLy_7_wjdYTrN0ak2OXpa49qAQB9ql-Ub5VVu4nUVoqM3uAhHhDZaS4smvWIC2ViXzzoDe29GUvOYOD0SmyFYmUT648OVmQ2qu7pKLWgcfKWJpNu-wHnOyqCz19Cl0zb74fW_TCR7pE9WjuZeV7BBrRBg5hDMPMaY8vyhs-MP2TOIHpfVwRu6VEnCNgAzevedo, Vivian Mara Gonçalves de Oliveirahttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4221926U8&tokenCaptchar=03AGdBq25b8FkZeQ7K55rgHZwIPp9M-8DmM4g5ngbKnMOFITz_6OLtMRNTcQex2YLrufa2FJw2yGtPuCtZp_FJupIGETWinNs6nAtv4lWIAzCBg_NgctQI4ghRRwQ_R5rOlPGX61gK7e8HPJcWfRP9c7jdWg9uHF2a5gR2jr6UvqOF-R6ZBPfuUVXldCpiU2O-q_E_4Rs6hydmKBMZVvy3nQo6JUKuGieTAPzk_yu_eIm1ZsJX2x3GhPss3k-YOigc337Q6Hv1PrcADk-Mv0LmCgNfzRnvCkxZKmdDNv04UcGh7RuoWSlSklVoylEwEP3-DkiTtkZGkEvFNoXGedSNbuMwL0-5o4oZV572UFlmcpczs6ToU13lzpyJgxYHTbqoWK9TBn-lrvc11k0DOJ7lgiAoD3EZavqDBEoyS_LKBvdZST_ppxWf16mkrkncG36yJOEK0JNyI6739BIlBpSZ_10Hyj3sEhmZTwGontijo, Bárbara Dias Rezendehttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4413113J3&tokenCaptchar=03AGdBq264qGME4K5NxvsP7lfWUQ3gTfnkJsNJVXpxIeHGAVpX9gHKsOsWE2gG3U2sAo16gEdwfei5dcHAGOZu_zhbOqDgvgjR9PAoAPpCxNwg7yfPGRuWTOk-knZwMP2qpCLL5TgJieLEytPisEAffu76RarQOGbRI3g5H5I99sOnpK91d-CXfbAM4rfaA6WHwB_pC9oxMrDRQRvY2OXvxFX7Pe8OHIuSnepRqyLIY2Il5gjK18FIFq17Swnc3liz8FdRgncITpKn1ydYGn-RMuxzulCtAYAeOSxTpPx3c__ufTK9nAoV3DC6WzjgVvzERmuK4UGWTW7Cf_nZ9MvUELWBJN5PT80pBauiKuB0f-1S669mq8KLABpHJ5Oyt1tLFy5ecGW-gjYyhsoM1gQ4xCYv34DIxwSnUGyCSLRBMjBfPjkVI251GUfrCzmMLSzOphMQOOHdfRggAwJoncFYSYoQKMQI1kTeMQDias, Naiara Toledo2022-04-18T13:43:16Z2022-04-18T13:43:16Z2022-02-16info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesisapplication/pdfapplication/pdfapplication/pdfDIAS, Naiara Toledo. Comparação de massagem, estimulação elétrica transcutânea e placebo para alívio da dor durante o trabalho de parto: ensaio clínico randomizado.2022.83 f. Tese (Doutorado em Ciências da Saúde) - Universidade Federal de Uberlândia, Uberlândia, 2022. DOI http://doi.org/10.14393/ufu.te.2022.104https://repositorio.ufu.br/handle/123456789/34758http://doi.org/10.14393/ufu.te.2022.104porhttp://creativecommons.org/licenses/by-nd/3.0/us/info:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFUinstname:Universidade Federal de Uberlândia (UFU)instacron:UFU2024-04-09T15:38:58Zoai:repositorio.ufu.br:123456789/34758Repositório InstitucionalONGhttp://repositorio.ufu.br/oai/requestdiinf@dirbi.ufu.bropendoar:2024-04-09T15:38:58Repositório Institucional da UFU - Universidade Federal de Uberlândia (UFU)false |
dc.title.none.fl_str_mv |
Comparação de massagem, estimulação elétrica transcutânea e placebo para alívio da dor durante o trabalho de parto: ensaio clínico randomizado Comparison of massage, transcutaneous eletrical stimulation and placebo for pain relief during labor: randomized clinical trial |
title |
Comparação de massagem, estimulação elétrica transcutânea e placebo para alívio da dor durante o trabalho de parto: ensaio clínico randomizado |
spellingShingle |
Comparação de massagem, estimulação elétrica transcutânea e placebo para alívio da dor durante o trabalho de parto: ensaio clínico randomizado Dias, Naiara Toledo dor pain trabalho de parto Estimulação elétrica transcutânea labor obstetric massagem transcutaneous electrical stimulation massage CNPQ::CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL CNPQ::CIENCIAS DA SAUDE Ciências da saúde |
title_short |
Comparação de massagem, estimulação elétrica transcutânea e placebo para alívio da dor durante o trabalho de parto: ensaio clínico randomizado |
title_full |
Comparação de massagem, estimulação elétrica transcutânea e placebo para alívio da dor durante o trabalho de parto: ensaio clínico randomizado |
title_fullStr |
Comparação de massagem, estimulação elétrica transcutânea e placebo para alívio da dor durante o trabalho de parto: ensaio clínico randomizado |
title_full_unstemmed |
Comparação de massagem, estimulação elétrica transcutânea e placebo para alívio da dor durante o trabalho de parto: ensaio clínico randomizado |
title_sort |
Comparação de massagem, estimulação elétrica transcutânea e placebo para alívio da dor durante o trabalho de parto: ensaio clínico randomizado |
author |
Dias, Naiara Toledo |
author_facet |
Dias, Naiara Toledo |
author_role |
author |
dc.contributor.none.fl_str_mv |
Baldon, Vanessa Santos Pereira http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4284616E6&tokenCaptchar=03AGdBq27Li7IwI8R4MUqH-dOb7n2EjYwkeASlzIXApTtv11c4ruO8Har5YIQ2noaJ5BowsnB95XuuXbeiNh6v4McSjUEm-hkRb6ZFcNEzDdlNyvIjqTrG9URe4CWxu4ls9BOnWQl4Cj5gU3MGWpw_z7fgJLJHi16OXLN0BizCGLn6NSrMKI-ij51jLKxxBF4aIs0Co_RbmwPtYMza4HaCKNXml6VUS619ndwHtlhrU427irrnqRhGdcnlOWLntQv6yKk11L56Ay2ecIUxtJq-j7uxXeQTrADWu7v5-CkPy_Crk_D_wsdZeREIqAgzLeHduY9lCIIHL_iWCcZzTA5zhe4S0xz5dKLrkefFChMjUzaJL9_1HVdnwJ7bqqOVcL2Oq40tIG5eH8FlzDueTM7CQqu7sSe4J5N7RjFVoNKv-nNcal4eAte0VUZ-FpvpSL5-m6RJ1x-RgtfMJRFRHSU8zxBE3YJQ7ohnsQ Beleza, Ana Carolina Sartorato http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4779362H9&tokenCaptchar=03AGdBq27tbHrGfv2KNhVjZgsFcyO4M90_zv64kRGY4wVAh2ZkZqnQ0XlmWC_qQsAQtP_VeGT1ohCdVsnwlVU4AyYvjsHwZYl54hPa_rv3BEQOITIGZaTTauRAA0luTWaOun-_USe_MVSxFCzAmo4GyQoNISGQmlKAXJnWTGZG_asPiHe_dioxE_BSMOjyVGsHXk5e-N0QK0bBXUqrzu3VEchoIkg6jITGAXRKqDhxm_Ahmd8t3-nnRWjKcvX9kiK2_VCMmKkNUExKf1Hiwo3VySGuE_VRZep7OzYAMTPjUnGngJvdvD39ja8xq_YvWoYK0CTChIZS-PJaSc9xGUf88LFqfyQ7oNdpAA3SWMLJZ3JiepHdaZKm2V2dUmamGn9Mk_ZYPneRiZ3QFh6y58UE7SkJQv_KtgN_AM_3UaUPYrWZvTBwodU18AGDdMWCVoJRlPUqfnecU8ix59L8Jm7o4jZuqyp7uYnejg Driusso, Patricia http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4760548Z6&tokenCaptchar=03AGdBq251IQWlAfp3OeBveNlG2ZjSS1IoCDIzN27UiyXqKMFGBbm8Sj2y83yS8k7Rvkj4eEj5PPQvzwYC9F-aIjJr9DbqrcAKP93rsdyXgUaaq7bX7lpRxiHoRnBWJaXITQRbHviepQkjm3Bp18zezzPIfRXyFT_6c4bE5m0ngf6oSYfkjhdNTmqxmpvy6XUqowtxII3POv1KFrmz2XC60_1-bdC_X9GV9-Q0wRVfCu5sMGjI9COeV4mICWNMMx-vJhBYDyP2JSKqXwfZV4Hhihq72opH-OnsXwoT6QUbLy_7_wjdYTrN0ak2OXpa49qAQB9ql-Ub5VVu4nUVoqM3uAhHhDZaS4smvWIC2ViXzzoDe29GUvOYOD0SmyFYmUT648OVmQ2qu7pKLWgcfKWJpNu-wHnOyqCz19Cl0zb74fW_TCR7pE9WjuZeV7BBrRBg5hDMPMaY8vyhs-MP2TOIHpfVwRu6VEnCNg Azevedo, Vivian Mara Gonçalves de Oliveira http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4221926U8&tokenCaptchar=03AGdBq25b8FkZeQ7K55rgHZwIPp9M-8DmM4g5ngbKnMOFITz_6OLtMRNTcQex2YLrufa2FJw2yGtPuCtZp_FJupIGETWinNs6nAtv4lWIAzCBg_NgctQI4ghRRwQ_R5rOlPGX61gK7e8HPJcWfRP9c7jdWg9uHF2a5gR2jr6UvqOF-R6ZBPfuUVXldCpiU2O-q_E_4Rs6hydmKBMZVvy3nQo6JUKuGieTAPzk_yu_eIm1ZsJX2x3GhPss3k-YOigc337Q6Hv1PrcADk-Mv0LmCgNfzRnvCkxZKmdDNv04UcGh7RuoWSlSklVoylEwEP3-DkiTtkZGkEvFNoXGedSNbuMwL0-5o4oZV572UFlmcpczs6ToU13lzpyJgxYHTbqoWK9TBn-lrvc11k0DOJ7lgiAoD3EZavqDBEoyS_LKBvdZST_ppxWf16mkrkncG36yJOEK0JNyI6739BIlBpSZ_10Hyj3sEhmZTw Gontijo, Bárbara Dias Rezende http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4413113J3&tokenCaptchar=03AGdBq264qGME4K5NxvsP7lfWUQ3gTfnkJsNJVXpxIeHGAVpX9gHKsOsWE2gG3U2sAo16gEdwfei5dcHAGOZu_zhbOqDgvgjR9PAoAPpCxNwg7yfPGRuWTOk-knZwMP2qpCLL5TgJieLEytPisEAffu76RarQOGbRI3g5H5I99sOnpK91d-CXfbAM4rfaA6WHwB_pC9oxMrDRQRvY2OXvxFX7Pe8OHIuSnepRqyLIY2Il5gjK18FIFq17Swnc3liz8FdRgncITpKn1ydYGn-RMuxzulCtAYAeOSxTpPx3c__ufTK9nAoV3DC6WzjgVvzERmuK4UGWTW7Cf_nZ9MvUELWBJN5PT80pBauiKuB0f-1S669mq8KLABpHJ5Oyt1tLFy5ecGW-gjYyhsoM1gQ4xCYv34DIxwSnUGyCSLRBMjBfPjkVI251GUfrCzmMLSzOphMQOOHdfRggAwJoncFYSYoQKMQI1kTeMQ |
dc.contributor.author.fl_str_mv |
Dias, Naiara Toledo |
dc.subject.por.fl_str_mv |
dor pain trabalho de parto Estimulação elétrica transcutânea labor obstetric massagem transcutaneous electrical stimulation massage CNPQ::CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL CNPQ::CIENCIAS DA SAUDE Ciências da saúde |
topic |
dor pain trabalho de parto Estimulação elétrica transcutânea labor obstetric massagem transcutaneous electrical stimulation massage CNPQ::CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL CNPQ::CIENCIAS DA SAUDE Ciências da saúde |
description |
Introduction: The intensity of pain during labor can impair a woman's experience and satisfaction with childbirth. In view of this, investigations regarding the effects of non-pharmacological pain relief methods during labor gain importance. Objectives: To verify the effects of massage, transcutaneous electrical stimulation (TENS) and placebo, in addition to usual care, on pain, satisfaction with childbirth, childbirth outcomes and birth conditions of the newborn. Material and methods: This are a randomized controlled clinical trial with a non-probabilistic convenience sample, composed of women in the first active stage of childbirth, hospitalized in a public institution. The participants were divided into three groups that received continuous support from professionals, encouragement to walk and to adopt vertical postures. In addition, the parturients in the Massage group (n=36) received massage in the lumbosacral region for 30 min, the participants in the TENS Group (n=36) received the application of TENS for 30 min and the participants in the Placebo Group (n=36 ) received the application of placebo TENS for 30 min. The primary endpoint assessed was the change in the Visual Analogue Scale (VAS) from baseline to immediately after the intervention. Secondary outcomes include change in VAS from baseline to 30 minutes and 1 hour after the intervention, and in the immediate postpartum period (12-24 hours after labor). Participants' satisfaction with childbirth were also evaluated through the Questionnaire of Experience and Satisfaction with Childbirth (QESP) and variables related to childbirth and the newborn's birth conditions collected from the medical record. Results: Immediately after the intervention, the TENS group showed a reduction in reported pain, while the Placebo group showed an increase in pain (p<0.001). No significant differences were observed between groups 30 minutes and 1 hour after the intervention or after delivery. The QESP results showed differences only in the support subscale, being higher in the Massage group. Data regarding delivery and newborn outcomes were similar between groups. Conclusion: Therefore, the use of TENS associated with other non-pharmacological methods of pain relief in the first stage of labor leads to a reduction in pain, does not interfere with delivery outcomes and is safe for the neonate, proving to be superior to the other methods evaluated. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-04-18T13:43:16Z 2022-04-18T13:43:16Z 2022-02-16 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/doctoralThesis |
format |
doctoralThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
DIAS, Naiara Toledo. Comparação de massagem, estimulação elétrica transcutânea e placebo para alívio da dor durante o trabalho de parto: ensaio clínico randomizado.2022.83 f. Tese (Doutorado em Ciências da Saúde) - Universidade Federal de Uberlândia, Uberlândia, 2022. DOI http://doi.org/10.14393/ufu.te.2022.104 https://repositorio.ufu.br/handle/123456789/34758 http://doi.org/10.14393/ufu.te.2022.104 |
identifier_str_mv |
DIAS, Naiara Toledo. Comparação de massagem, estimulação elétrica transcutânea e placebo para alívio da dor durante o trabalho de parto: ensaio clínico randomizado.2022.83 f. Tese (Doutorado em Ciências da Saúde) - Universidade Federal de Uberlândia, Uberlândia, 2022. DOI http://doi.org/10.14393/ufu.te.2022.104 |
url |
https://repositorio.ufu.br/handle/123456789/34758 http://doi.org/10.14393/ufu.te.2022.104 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by-nd/3.0/us/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
http://creativecommons.org/licenses/by-nd/3.0/us/ |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Uberlândia Brasil Programa de Pós-graduação em Ciências da Saúde |
publisher.none.fl_str_mv |
Universidade Federal de Uberlândia Brasil Programa de Pós-graduação em Ciências da Saúde |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFU instname:Universidade Federal de Uberlândia (UFU) instacron:UFU |
instname_str |
Universidade Federal de Uberlândia (UFU) |
instacron_str |
UFU |
institution |
UFU |
reponame_str |
Repositório Institucional da UFU |
collection |
Repositório Institucional da UFU |
repository.name.fl_str_mv |
Repositório Institucional da UFU - Universidade Federal de Uberlândia (UFU) |
repository.mail.fl_str_mv |
diinf@dirbi.ufu.br |
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1805569711549710336 |