Avaliação de intervenções não farmacológicas no trabalho de parto sobre a percepção da dor, ansiedade, parâmetros clínicos, obstétricos e neuroendócrinos do estresse

• Ano de defesa: 2016
• Autor(a) principal: Henrique, Angelita Jose [UNIFESP]
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo (UNIFESP)
• Palavras-chave em Português: Labor pain; Cortisol; Beta-endorphin; Catecholamines; Hydrotherapy; Birth ball; Trabalho de parto; Beta-endorfina; Catecolaminas; Hidroterapia
• Link de acesso: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=4016520; http://repositorio.unifesp.br/handle/11600/47153

Introduction: The use of non­pharmacological methods during labor provides wellness and allows greater satisfaction for women during childbirth. Design: this was a randomized, controlled clinical trial, with pre­ and post­test measurements, that used a warm shower and perineal exercises with the birth ball as interventions, either singly or in combination, to determine the perception of pain and anxiety, and levels of stress hormones. Method: participants were 128 term pregnant women with the mean age of 25.9 years, who used a warm shower and perineal exercises with the birth ball, singly or in combination, for 30 minutes. Saliva samples and pain and anxiety scores were obtained before and 30 minutes after the intervention. Results: the isolated warm shower showed, although not significantly, low elevation of cortisol levels (p = 0.992), reduction in β­endorphin, and an increase in noradrenaline. The use of perineal exercises with the birth ball showed a small increase in pain scores (p = 0.99), reduced release of epinephrine (p = 0.612), and increased β­endorphin levels with statistically significant effectiveness in stimulating its release (p = 0.007). The combination of these interventions, although not statistically significant, were more effective in reducing anxiety (p = 0.99) and the concentrations of β­endorphin and epinephrine, and increasing the release of noradrenaline than the isolated interventions. Conclusions: The use warm shower bath and the birth ball during labor modify the perception of pain and anxiety, and neuroendocrine responses to stress.