Banca de DEFESA: MILENE DE OLIVEIRA ALMEIDA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : MILENE DE OLIVEIRA ALMEIDA
DATE: 27/05/2022
TIME: 10:30
LOCAL: PLATAFORMA GOOGLE MEET
TITLE:

COMPARISON BETWEEN KINESIOTHERAPY AND USUAL CARE DURING THE FIRST PERIOD OF LABOR IN MISOPROSTOL-INDUCED PREGNANT WOMEN: A RANDOMIZED CLINICAL TRIAL

KEY WORDS:

Pregnant Woman; Misoprostol; Applied Kinesiology; Obstetric Labor.

PAGES: 54
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

INTRODUCTION: Misoprostol induction is one of the most used forms in clinical practice in maternity hospitals when the objective is to promote labor. However, induction does not always progress to vaginal delivery. Physiotherapeutic monitoring through kinesiotherapy is a strategy that can be used in this period and has several benefits, nevertheless, the study of the application of kinesiotherapy in induced women is not yet known. OBJECTIVE: To analyze the effectiveness of kinesiotherapy in the labor of pregnant women induced by misoprostol regarding the performance of vaginal deliveries when compared to the usual care group. METHODS: This is a clinical trial carried out at the Maternity Hospital of the Lauro Wanderley University Hospital of the Federal University of Paraíba HULW from January to December 2021 with pregnant women pharmacologically induced by misoprostol (25mcg, vaginally). The pregnant women were randomized into two groups: Intervention Group (IG): induced pregnant women who underwent kinesiotherapy during the active phase of labor; Control Group (CG): induced pregnant women who did not physical therapy during the active phase of labor. The variables studied were: vaginal delivery, induction time, duration of the active phase of labor, duration of the expulsive period of labor, number of misoprostol doses, pain level, grade 3 or 4 lacerations, and 5th-minute Apgar. Data were collected through pre-established collection forms and later analyzed by the Statistical Package for the Social Sciences (SPSS) program to perform statistical tests. RESULTS: The sample of pregnant women in the intervention group had a greater number of vaginal deliveries (p=0.016). The variables induction time, duration of the active phase and expulsive period, pain level, presence of laceration, Apgar, and fetal weight had no difference between groups. CONCLUSION: Kinesiotherapy during the active phase of labor in women induced by misoprostol was effective for performing more vaginal deliveries despite not showing any difference in the other outcomes studied.

BANKING MEMBERS:
Presidente - 2299794 - ANDREA LEMOS BEZERRA DE OLIVEIRA
Externa à Instituição - LEILA KATZ
Externa à Instituição - CRISTINA KATYA TORRES TEIXEIRA MENDES - UFPB