Localização da dor no início da fase ativa do trabalho de parto

Abstract

BACKGROUND AND OBJECTIVES:Pain, which is an individual and multifactorial sensation associated or not to tissue injury, may be influenced by psychological, biological, socio-cultural and economic factors. There are scales and questionnaires which enable its location and measurement during labor. This study aimed at identifying the most frequent pain location during early active labor stage. METHODS: Clinical trial assessing 87 primiparous women with gestational age above 37 weeks, cervical dilatation between 4 and 5 cm, with adequate uterine dynamics for this labor stage. Participated in this study pregnant woman with spontaneous labor, not using drugs during this period and without associated risk factors; pain was evaluated with the body diagram for location and spatial distribution of pain during one labor stage. RESULTS: It was observed during early active labor stage that most patients have reported pain in the infra-pubic and lumbar region (78%), followed by infra-pubic (20%) or lumbar (2%) region alone. CONCLUSION: Pain during active labor stage with cervical dilatation from 4 to 5 cm was predominant in infrapubic and lumbar regions. Keywords: Pain evaluation, Pain location, Physical therapy.RESUMO JUSTIFICATIVA E OBJETIVOS: Dor, sensação individual e multifatorial associada ou não à lesão tecidual, pode se influenciar por fatores psicológicos, biológicos, socioculturais e econômicos. Existem escalas e questionários que tornam possível localizá-la e mensurá-la, durante o trabalho de

Doulas voluntárias em uma maternidade escola na Região dos Campos Gerais: a visão dos profissionais

“…O uso da bola suíça melhora a circulação sanguínea uterina, tornando as contrações mais eficazes, auxiliando na dilatação cervical e descida fetal, sendo considerado um método importante durante o TP [24,25]. Por fim, a ingestão de água e alimentos deve ocorrer durante o TP, bem como o incentivo a posições verticais [9].…”

Effectiveness of Auricular Therapy on Labor Pain: A Randomized Clinical Trial

“…Pain promotes increased catecholamine and cortisol secretion, resulting in physiological responses such as increased cardiac output, blood pressure, and peripheral vascular resistance. 1 Therefore, the relief of this should be a conduct to be performed, especially when it has an incidence on a maternal organism with associated complication or fetal-placental unit with low oxygen reserve.…”

Use of the shower aspersion combined with the swiss ball as a method of pain relief in the active labor stage

“…Pain during the labor process is the main phenomenon felt by women in labor, and it can be related the several factors, such as biological, financial, cultural and emotional. It is necessary to adopt humanizing measures to care for the parturient holistically, improving the evolution of childbirth and the reduction of adverse events allowing the childbirth process to be a unique event 1 . One of the most important tasks of the professionals who care for the woman during the pregnancy-puerperal process is to provide quality assistance, where the childbirth process is valued as physiological and performed with the adequate use of the technology, as the use of non-pharmacological methods to relieve the pain 2 .…”