Cavalcanti Ana Carolina Varandas, Henrique Angelita José, Brasil Camila Moreira, Gabrielloni Maria Cristina, Barbieri Márcia
Universidade Federal de São Paulo (UNIFESP), Escola Paulista de Enfermagem. Programa de Pós-Graduação em Enfermagem. São Paulo, São Paulo, Brasil.
University of British Columbia Hospital. Vancouver, British Columbia, Canada.
Rev Gaucha Enferm. 2019 Sep 23;40:e20190026. doi: 10.1590/1983-1447.2019.20190026. eCollection 2019.
To evaluate the effect of isolated and combined warm shower bath and perineal exercise with Swiss ball, on perception of pain, anxiety and labor progression.
Randomized, controlled clinical trial with 128 patients allocated into three groups of therapies: isolated and combined bath and ball. Pain and anxiety perception was evaluated before and thirty minutes after therapeutic intervention through visual analogic scales (VAS).
Pain perception score increased, and anxiety decreased in all groups, mainly when using a shower bath. The cervical dilation increased in all groups (p<.001), as well as the number of uterine contractions increased, mainly in the group that used combined bath and ball and also showed shorter labor time.
The studied therapies contribute to maternal adaptation and well-being and favor labor's evolution.
评估单独及联合使用温水淋浴浴和瑞士球会阴运动对疼痛感知、焦虑及产程进展的影响。
对128例患者进行随机对照临床试验，将其分为三组治疗：单独及联合使用浴和球。在治疗干预前及干预后30分钟通过视觉模拟量表（VAS）评估疼痛和焦虑感知。
所有组的疼痛感知评分均升高，焦虑降低，主要是在使用淋浴浴时。所有组的宫颈扩张均增加（p<0.001），宫缩次数也增加，主要是在联合使用浴和球的组，且产程时间更短。
所研究的治疗方法有助于产妇适应并改善舒适度，促进产程进展。
