Abstract
Objective: To assess the effects of physical therapy intervention for women in immediately postpartum attended in a public hospital in the city of Barueri, Sao Paulo, Brazil. Methods: Women in the immediate postpartum period after vaginal delivery or cesarean section were included. They underwent a physical therapy evaluation, followed by a single intervention (45 minutes), including diaphragm and abdominal re-education exercises, pelvic floor muscle training, metabolic exercises, elimination of flatus maneuver and guidelines regarding posture, early walking and breastfeeding encouraging. Before and after intervention, the visual analogue scale (VAS) of pain and the subjective scale for the general welfare were applied. For statistical analysis, the significance level used was 5%. Results: Fifty women, 25 vaginal deliveries and 25 caesarean sections were evaluated and treated. After intervention, which achieved 100% compliance, there was a significant improvement in pain in the cesarean group (3.99±2.11 to 2.85±2.63) and in the vaginal delivery group (2.00±1.52 to 1.34±0.92) (p<0.05). And 82% of the sample related improvement in general well-being, regardless of the type of delivery. Conclusion: The exercise protocol positively contributed to the improvement of pain and general well-being, diminishing discomforts of immediately postpartum.
Highlights
assess the effects of physical therapy intervention for women in immediately postpartum attended in a public hospital in the city
there was a significant improvement in pain in the cesarean group
The exercise protocol positively contributed to the improvement of pain
Summary
Foram incluídas 50 mulheres — 25 de parto vaginal e 25 de cesárea — em período de puerpério imediato, pelo menos 8 horas após terem dado à luz para evitar complicações para a parturiente — como hemorragias —, que poderiam ser causadas pela realização de exercícios.[9] As parturientes eram atendidas até o momento da alta médica. Realizada antes da intervenção, eram verificados aspectos como característica das mamas e amamentação, com o objetivo de orientar as parturientes em relação às alterações nas mamas que pudessem dificultar a amamentação e às orientações posturais para melhor conforto durante o período em que a parturiente amamentava, de modo a estimular a adesão e a continuidade da amamentação exclusiva.[11] Verificava-se também a presença de dor na incisão cirúrgica e/ou na região lombar e sacroilíaca, a IU, a cinesia diafragmática, a percussão abdominal, a involução uterina, a contração do AP, o edema de membros inferiores, o uso de musculatura acessória para contração do AP e a diástase dos músculos reto abdominais.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: Revista da Faculdade de Ciências Médicas de Sorocaba
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
