The Maternal and Perinatal Outcomes Associated With the Use of Non-pharmacological in Labor
Evaluation of Maternal and Perinatal Outcomes Associated With the Use of Non-pharmacological in Parturients in Active Phase of Labor
研究概览
详细说明
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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São Paulo
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Ribeirão Preto、São Paulo、巴西
- Professor, Department of Gynecology and Obstetrics, Faculty of Medicine of Ribeirão Preto, University of São Paulo.
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
Agreement of the patient to participate in the study after reading and signing the consent form;
- primigravida;
- Pregnancy unique;
- Gestational age> 37 weeks;
- fetal cephalic presentation;
- chorioamniotic intact membranes;
- spontaneous labor;
- Admission to the beginning of the active phase of dilatation (4 cm cervical dilatation);
- Dynamics between 2 and 4 uterine contractions in ten minutes;
- Lack of maternal and fetal pathologies;
- literate;
- Absence of cognitive problems.
Exclusion Criteria:
Intolerance to non-pharmacological application of resources;
- Increased pain by the woman that prevents the completion of the intervention;
- Want to stop the intervention;
- Suspected acute suffering;
- Indication of cesarean section.
学习计划
研究是如何设计的？
设计细节
- 主要用途：治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：单身的
武器和干预
参与者组/臂 |
干预/治疗 |
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有源比较器：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.
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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.
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实验性的：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);
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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:
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
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Number of Participants Who Requested Analgesia During the Active Phase of Childbirth
大体时间：10 hours
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Average uterine cervical dilation of the patient who requested analgesia for pain relief.
Data captured from the medical record by the partograph.
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10 hours
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The Moment in Centimeters That Women Requested Analgesia During the Active Phase of Childbirth, Analyzed by Cevical Dilation.
大体时间：10 hours
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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 |
10 hours
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Average Duration of the Expulsive Period When Compared to Groups
大体时间：Starts with 10 centimeters of dilation until delivery
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Assess the duration of the expulsion period and compare between groups
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Starts with 10 centimeters of dilation until delivery
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Types of Dystocia (Functional, Secondary Stop of Dilation and Fetal Offspring) Between Groups
大体时间：10 hours
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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). |
10 hours
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Admission Numbers to a Neonatal Intensive Care Unit Between Groups.
大体时间：10 hours
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Consider and compare neonatal admission to an intensive care unit between groups, attracted by the partogram
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10 hours
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Number of Newborns With Apgar Scores of 1 and 5 Minutes, Less Than or Greater Than 7.
大体时间：10 hours
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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. |
10 hours
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Frequency of Suspected Fetal Distress, Between Groups
大体时间：10 hours
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Evaluate the frequency of suspected fetal distress with the presence of meconium release.
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10 hours
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
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Moment of Rupture of the Chorioamniorex Between the Groups.
大体时间：10 hours
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Observe if the groups had different types of cervical obstetric dilatation when a chorioamniorexis occurred.
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10 hours
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Incidence in the Type of Delivery (Cesarean Section, Normal Delivery With Laceration, Episiotomy, Forceps and Normal Delivery).
大体时间：10 hours
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Type of delivery (cesarean section, normal delivery with laceration, episiotomy, forceps and normal delivery), collected by the partograph found in the medical record.
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10 hours
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Number of Puerperal Women Who Present Hemorrhage in the Immediate Puerperium With Hemodynamic Repercussions Between Groups.
大体时间：immediately postpartum up to 2 days after childbirth
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Evaluate and compare the presence of hemorrhage with hemodynamic repercussions between groups (requiring surgical approach and / or blood transfusion)
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immediately postpartum up to 2 days after childbirth
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The Number of Puerperal Infections Between Groups.
大体时间：immediately postpartum up to 2 days after childbirth
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Analyze and compare between the groups the number of puerperal infection
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immediately postpartum up to 2 days after childbirth
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合作者和调查者
调查人员
- 首席研究员：Alessandra C Marcolin, Professor、Faculty of Medicine of São Paulo University
出版物和有用的链接
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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