Avaliação da efetividade de um programa de preparo para o parto / Evaluating of an antenal education program

AUTOR(ES)

Maria Amélia Miquelutti Spilla

FONTE

IBICT - Instituto Brasileiro de Informação em Ciência e Tecnologia

DATA DE PUBLICAÇÃO

28/02/2012

RESUMO

Introduction: Antenatal preparation programs are recommended worldwide so you can promote a healthy pregnancy and greater autonomy during labor and delivery, preventing physical discomfort and high levels of anxiety. Objective: To evaluate the effectiveness of a Birth Peparation Program (BPP) in the prevention of pain, urinary incontinence and anxiety during pregnancy and perinatal outcomes of nulliparous compared with women who did not participate in the program. Methods: A randomized controlled trial was conducted with 197 participants, and a qualitative study based on semi-structured interviews with 21 participants. Participants was low risk nulliparas between 16 and 40 years, with ? 18 weeks gestational age.The intervention consisted of meetings held on the days of prenatal consultations, and involved physical exercises, educational activities and instructions on exercises to be performed at home. Were assessed: urinary incontinence, physical activity, lumbopelvic pain, anxiety, perinatal variables, labor control, pain relief techniques and satisfaction with childbirth. Results: The participants in the experimental group had a lower risk for urinary incontinence in intermediate (RR 0.69, 95% CI 0.51-0.93) and final assessments (RR 0.60, 95% CI 0.45-0.81), and reported greater physical activity (p = 0.009). There were no differences in the anxiety level, lumbopelvic pain, and perinatal data. Qualitative analysis of the experimental group reported greater control of labor, autonomy in the use of pain-relief techniques and vertical positions and reported greater satisfaction with the the experience of labor and delivery. Conclusion: The PPP was effective in controlling urinary incontinence and improvement in physical exercise, increased women s control of labor, promoted greater satisfaction with childbirth, and showed no adverse maternal and fetal effects.

ASSUNTO(S)

incontinência urinária dor lombar trabalho de parto parto humanizado exercise exercicio urinary incontinence lower back pain labor obstetric humanizing delivery

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