Birth ball or heat therapy? A randomized controlled trial to compare the effectiveness of birth ball usage with sacrum-perineal heat therapy in labor pain management

Taavoni, S.; Sheikhan, Fatemeh; Abdolahian, Somayeh; Ghavi, Fatemeh

doi:10.1016/j.ctcp.2016.04.001

Cited by 49 publications

(50 citation statements)

References 19 publications

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“…(20) Swiss ball and perineal exercises When compared with other NPMs, the Swiss ball use alone showed similar pain reduction outcomes as did the hot aspersion bath (27) and thermotherapy. (20) Contrasting such findings in an RCT, (12) the Swiss ball showed a greater effect on the reduction of pain compared to the aspersion bath, associated to the increase in the release of β-endorphins and reduction of epinephrine secretion, which were superior to the neuroendocrine results of the hydrotherapy. The first study (27) did not have a CG, and the sample size was very small (n=15), which hampers deductions and generalizations.…”

Section: Thermal Therapiesmentioning

confidence: 89%

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Evidências científicas sobre métodos não farmacológicos para alívio a dor do parto

et al. 2019

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Resumo Objetivo Identificar na literatura nacional e internacional, estudos sobre a eficácia de métodos não farmacológicos na redução da dor do parto. Métodos Revisão integrativa realizada nas bases de dados MEDLINE/PUBMED, SCOPUS, CINAHL, LILACS e BDENF, com recorte temporal entre os anos de 2013 a 2018, em português, inglês e espanhol. Utilizado a metodologia PICo para construir a pergunta de pesquisa e selecionar descritores controlados e não controlados, que foram combinados com os operadores booleanos “AND”, “OR” e “NOT”. Resultados Foram selecionados 19 artigos. Dentre os métodos não farmacológicos encontrados, destacam-se: a acupuntura e suas principais variações (acupressão e auriculoterapia) (29,17%), hidroterapia (25%), exercícios perineais com a bola suíça (16,67%), terapias térmicas (8,33%) e os demais métodos (20,83%). Conclusão A acupuntura e a acupressão agem tanto sobre aspectos fisiológicos da dor como sobre sua subjetividade. O banho quente de aspersão, a musicoterapia, a aromaterapia e as técnicas de respiração promovem o relaxamento e a diminuição dos níveis de ansiedade. As terapias térmicas contribuem para a analgesia local de regiões afetadas pela dor. Os exercícios na bola suíça são importantes para reduzir a dor e adotar a posição vertical, importante na progressão do trabalho de parto.

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Section: Thermal Therapiesmentioning

confidence: 89%

“…The second study reviewed (20) demonstrated that results can be related to the distraction of parturient consciousness, an important factor for the decrease in the identification of pain. However, the use of the ball reduced labor time, closely linked to the adoption of the vertical position and to pelvic balance.…”

Section: Thermal Therapiesmentioning

confidence: 99%

Evidências científicas sobre métodos não farmacológicos para alívio a dor do parto

et al. 2019

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“…(7) The use of the Swiss ball to perform perineal exercises during labor is an auxiliary therapy in the obstetrical practice that promotes comfort and pain relief, labor progression, and favors the vertical position. (15) This intervention provides less need for medication and cesarean section. (2,9,10) However, to date, few clinical trials have been conducted on this topic to support the effects on the labor progress and childbirth, and most of the studies are focused on pain relief.…”

Section: Discussionmentioning

confidence: 99%

Hidroterapia e bola suíça no trabalho de parto: ensaio clínico randomizado

et al. 2016

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Objective: To understand the influence of a warm bath and perineal exercise with the Swiss ball, in an isolated and combined manner, on the progression of labor. Methods: Randomized and controlled clinical trial, conducted from 2013 to 2014 in two public hospitals, with 128 women hospitalized for labor and delivery. The randomization allocated 44 parturients into the warm bath group, 45 into the Swiss ball group, and 39 into the warm bath with Swiss ball group. Results: The study showed a statistically significant increase in the frequency of uterine contractions with the isolated technique (p = 0.025) and associated Swiss ball use (p <0.001), and a significant increase in fetal heart rate with isolated and associated warm bath use (p <0.001). Conclusion: The association of the warm bath and Swiss ball was more effective for the progression of labor and vaginal delivery outcome when compared to the isolated use. ResumoObjetivo: Conhecer a influência do banho quente e exercício perineal com bola suíça, de forma isolada e combinada, sobre a progressão do trabalho de parto. Métodos: Ensaio clínico randomizado e controlado, realizado em dois hospitais públicos, no período de 2013 a 2014 com 128 mulheres internadas para assistência ao parto. A randomização aleatória alocou 44 parturientes no Grupo Banho Quente, 45 no Grupo Bola Suíça e 39 no Grupo Banho Quente e Bola Suíça associados. Resultados: A pesquisa mostrou aumento estatisticamente significante na frequência da contração uterina com uso isolado (p=0,025) e associado da bola suíça (p<0,001), um aumento também significante na frequência cardíaca fetal com uso isolado e associado do banho quente (p< 0,001). Conclusão: Associação do banho quente e bola suíça foi mais efetiva para a progressão do trabalho de parto e desfecho para o parto normal quando comparado com o seu uso isolado.Brazilian Clinical Trials Registry -Registro Brasileiro de Ensaios Clínicos (REBEC): RBR-84xprt

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“…Patients who engage in these strategies aim to reduce the severity of their symptoms (e.g., pain, numbness, tingling, allodynia) and increase overall comfort and well-being [22][23][24][25]. Heat therapy, massage, and TENS are examples of self-initiated self-management measures that are used by patients who experience pain, including PN-related pain, because of their relatively low cost, ease of access, and perceived efficacy of such interventions [23][24][25][43][44][45][46][47].…”

Section: Introductionmentioning

confidence: 99%

Systematic review of the effectiveness of self-initiated interventions to decrease pain and sensory disturbances associated with peripheral neuropathy

et al. 2020

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Purpose A small number of studies report that patients with peripheral neuropathy (PN) who engage in activities that promote a sense of personal well-being and provide physical, emotional, or spiritual comfort have a better quality of life and higher levels of adjustment to the changes generated by their illness and accompanying symptoms. This systematic review sought to evaluate the effectiveness of self-management activities that patients with PN initiate themselves to relieve PN symptoms and improve quality of life. Methods Search terms were limited to include self-management activities initiated by patients (i.e., activities with no or minimal involvement from clinicians) that aim to provide relief of PN symptoms. Outcomes included in searches were pain, numbness, and tingling, associated with PN and quality of life. Results The database searches identified 2979 records, of which 1620 were duplicates. A total of 1322 papers were excluded on the basis of screening the abstract. An additional 21 full text articles were excluded because they did not meet the eligibility criteria. A total of 16 papers were included in the review. Conclusion This review identified that a number of self-management strategies that were initiated by patients, including heat, exercise, meditation, and transcutaneous electrical nerve stimulation (TENS) therapy, may reduce self-reported PN symptoms. As the available studies were of low quality, these strategies warrant further investigation with more homogeneous samples, using more rigorously designed trials and larger samples. Implications for Cancer Survivors Patients experiencing PN may find a range of self-initiated strategies beneficial in reducing PN symptoms and improving quality of life. However, because of the low quality of the available studies, clinicians need to monitor patients' responses to determine the effectiveness of these interventions as adjuncts to clinician-initiated interventions.

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Birth ball or heat therapy? A randomized controlled trial to compare the effectiveness of birth ball usage with sacrum-perineal heat therapy in labor pain management

Cited by 49 publications

References 19 publications

Evidências científicas sobre métodos não farmacológicos para alívio a dor do parto

Evidências científicas sobre métodos não farmacológicos para alívio a dor do parto

Hidroterapia e bola suíça no trabalho de parto: ensaio clínico randomizado

Systematic review of the effectiveness of self-initiated interventions to decrease pain and sensory disturbances associated with peripheral neuropathy

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