PHYSIOTHERAPEUTIC PERFORMANCE IN PREPARTUM, CHILDBIRTH AND POSTPARTUM: AN INTEGRATIVE REVIEW

Authors

Keywords:

Physical therapy, Prenatal care, Prepartum, Labor, Postpartum

Abstract

Objective: to discuss physiotherapeutic approaches in the pre-labor, labor and postpartum periods, referring to the scientific productions published between the years 2015 and 2020. Methods: Data collection and analysis was carried out from April to June 2020 in the PEDro and BIREME (MEDLINE, LILACS, IBECS) databases and other sources. Among the 111 studies identified, 27 were included in the review along with 3 publications from other sources, totaling 30 included studies. Results: Most of the physical therapy interventions addressed in a specific way by the studies, were related to exercises for the pelvic floor muscles; acupuncture and birth ball. The main problems related to women's health were low back and/or pelvic pain, urinary incontinence and labor pain. Regarding the period of the pregnancy puerperal- cycle, most studies focused on the prenatal period. Conclusions: Many of the physical therapy interventions, especially in the prenatal/pre-delivery period, despite providing notorious positive feedback for pregnant women, still need evidence with rigorous methodologies, so that they can be recommended with more forceful justifications.

 

Downloads

Download data is not yet available.

Author Biographies

Jéssica Meira Mendes, Professora no Centro Universitário UniFTC.

Mestre em Enfermagem e Saúde da Universidade Estadual do Sudoeste da Bahia

Maria Aparecida Santos Oliveira, Graduanda em Fisioterapia pelo Centro Universitário UniFTC

Agente Comunitária de Saúde da Secretária Municipal de Saúde de Vitória da Conquista

References

COFITTO. resolução N°. 401/2011: Disciplina a Especialidade Profissional de Fisioterapia na Saúde da Mulher e dá outras providências. [resolução na internet]. [acesso em: 22 maio 2020]. Disponível em: https://www.coffito.gov.br/nsite/?p=3164.

Pregnancy to Parenting Australia. Pregnancy to Parenting Australia, [2019?]. [homepage da internet]. Pre-labor. [acesso em 21 maio 2020]. Disponível em: https://www.pregnancyparenting.org.au/birth/pre-labour.

Hutchison J, Mahdy H, Hutchison J. Stages of Labor. [atualizado em 27 mar. 2020]. In: StatPearls [internet]. Treasure Island (FL): StatPearls Publishing, 2020. [acesso em 22 maio 2020]. Disponível em: https://www.ncbi.nlm.nih.gov/books/NBK544290/.

Santana, LS., Gallo RBS, Marcolin AC, Ferreira CHJ, Quintana, SM. Utilização dos recursos fisioterapêuticos no puerpério: revisão da literatura. Use of physical therapeutical resources in the puerperium: a literature review. Femina [internet]. 2011;39:(5):245-250. [acesso em 23 maio 2020]. Disponível em: http://files.bvs.br/upload/S/0100-7254/2011/v39n5/a2506.pdf.

Moraes J, Assis L. Role of physical therapy during pregnancy for childbirth preparation. Pediatric Dimentions [internet]. 2018;3(3):1-4. [acesso em 22 maio 2020]. Disponível em: https://oatext.com/pdf/PD-3-172.pdf.

Van Kampen M, Devoogd N, Groef A, Gielen A, Geraerts I. The efficacy of physiotherapy for the prevention and treatment of prenatal symptoms: a systematic review. International Urogynecology Journal [internet]. 2015;26(11):1575-86. [acesso em 19 maio 2020]. Disponível em: https://link.springer.com/article/10.1007%2Fs00192-015-2684-y.

Matias-Pereira J. Anexos. In: Manual de metodologia da pesquisa científica.4 ed. São Paulo: Atlas, 2016. p. 83; 133. E-book.

Cronin, M. A., & George, E. (2020). The Why and How of the Integrative Review. Organizational Research Methods [internet]. [Acesso em: 21 agosto 2021]. Disponível em: https://journals.sagepub.com/doi/abs/10.1177/1094428120935507.

Galvão T, Pansani T, Harrad D. Principais itens para relatar Revisões sistemáticas e Meta-análises: A recomendação PRISMA. Tradução para o idioma português do documento: Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. Revista Epidemiologia e Serviços de Saúde [internet]. 2015;24(2):335-342. [acesso em 14 maio 2020].. Disponível em:

https://www.scielo.br/pdf/ress/v24n2/2237-9622-ress-24-02-00335.pdf.

Canadian Society for Exercise Physiology (CSEP). 2019 Canadian Guideline for Physical Activity throughout Pregnancy. CSEP guidelines [internet], Canadá, 2019. [acesso em 22 maio 2019]. Disponível em: https://csepguidelines.ca/guidelines-for-pregnancy/.

Bertagnolli TV, Machado M, Ferreira CJ, Machado J, Duarte G, Cavalli E. Safety of a physical therapy protocol for women with preeclampsia: a randomized controlled feasibility trial. Hypertension in Pregnancy [internet]. 2018;37(2):59-67. [acesso em 19 maio 2020]. Disponível em: https://www.tandfonline.com/doi/full/10.1080/10641955.2018.1439059.

Soave I, Mallozzi M, Nobili F, Marci R, Caserta D. Pelvic floor muscle training for prevention and treatment of urinary incontinence during pregnancy and after childbirth and its effect on urinary system and supportive structures assessed by objective measurement techniques. Archives of Gynecology and Obstetrics [internet]. 2019;299(2):609-623. [acesso em 20 maio 2020]. Disponivel em: https://link.springer.com/article/10.1007/s00404-018-5036-6.

Fritel X, Tayrac R, Bader G, Savary D, Gueye A, Deffieux X et al. Preventing Urinary Incontinence with Supervised Prenatal Pelvic Floor Exercises: A Randomized Controlled Trial. Obstetrics and Gynecology [internet]. 2015;126(2):370-377. [acesso em 20 maio 2020]. Disponível em: https://journals.lww.com/greenjournal/Fulltext/2015/08000/Preventing_Urinary_Incontinence_With_Supervised.22.aspx.

Sangsawang B, Sangsawang N. Is a 6-week supervised pelvic floor muscle exercise program effective in preventing stress urinary incontinence in late pregnancy in primigravid women? A randomised controlled trial. European Journal of Obstetrics and Gynecology and Reproductive Biology [internet]. 2016;197:103-110. [acesso em 19 maio 2020]. Disponível em: https://www.ejog.org/article/S0301-2115(15)00438-8/fulltext.

Reyhan A, Dereli E, Çolak T. Low back pain during pregnancy and Kinesio tape application. Journal of Back and Musculoskeletal Rehabilitation [internet]. 2017;30:309-313. [acesso em 19 maio 2020]. Disponível em: https://content.iospress.com/articles/journal-of-back-and-musculoskeletal-rehabilitation/bmr160584.

Bishop A, Holden MA, Ogollah RO, Foster NE, Current management of pregnancy-related low back pain: A national cross-sectional survey of UK physiotherapists. Physiotherapy [internet]. 2016:102:78-85. [acesso em 20 maio 2020]. Disponível em: https://www.physiotherapyjournal.com/article/S0031-9406(15)03771-2/fulltext.

Foster N, Bishop A, Bartlam B, Ogollah R, Barlas P, Holden M. et al. Evaluating Acupuncture and Standard carE for pregnant women with Back pain (EASE Back): A feasibility study and pilot randomised trial. Health Technol. Assess. [internet]. 2016;2(72):1-19. [acesso em 20 maio 2020]. Disponível em: https://www.journalslibrary.nihr.ac.uk/hta/hta20330/#/abstract.

Gutke A, Betten C, Degerskar K, Pousette C, Olsén MF. Treatments for pregnancy-related lumbopelvic pain: a systematic review of physiotherapy modalities. Nordic Federation of Societies of Obstetrics and Gynecology, Acta Obstetricia et Gynecologica Scandinavica [internet]. 2015;94(11):1156-67. [acesso em 19 maio 2020]. Disponível em: https://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/aogs.12681.

Waterfield J, Bartlam B, Bishop A, Holden MA, Barlas P, Foster NE. Physical Therapists' Views and Experiences of Pregnancy-Related Low Back Pain and the Role of Acupuncture: Qualitative Exploration. Physical Therapy [internet]. 2015;95(9):1234-43. [acesso em 21 maio 2020]. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4556954/.

Flack NA, Hay-Smith EG, Stringer MD, Gray AR, Woodley SJ. Adherence, tolerance and effectiveness of two different pelvic support belts as a treatment for pregnancy-related symphyseal pain: a pilot randomized trial. BMC Pregnancy and Childbirth [internet]. 2015;15(36):1-8. [acesso em 20 maio 2020]. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4339641/.

Melkersson C, Nasic S, Startzmann K, Bostrom k. Effect of Foot Manipulation on Pregnancy-Related Pelvic Girdle Pain: A Feasibility Study. Journal of Chiropractic Medicine [internet]. 2017;16(3):211-219. [acesso em 20 maio 2020]. Disponível em: https://www.sciencedirect.com/science/article/abs/pii/S1556370716301705.

Ceprnja D, Gupta A. Does muscle energy technique have an immediate benefit for women with pregnancy‐related pelvic girdle pain? Physiother. Res. Int. [internet]. 2018;24(1):1-7. [acesso em 19 maio 2020]. Disponível em: https://onlinelibrary.wiley.com/doi/abs/10.1002/pri.1746.

Clarkson CE, O'mahony D, Diana E. Adverse event reporting in studies of penetrating acupuncture during pregnancy: a systematic review. Acta Obstetricia et Gynecologica Scandinavica [internet]. 2015;94(5):453-454. [acesso em 20 maio 2020]. Disponível em: https://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/aogs.12587.

Mazzarino M, Kerr D, Wajswelner H, Morris ME. Pilates Method for Women's Health: Systematic Review of Randomized Controlled Trials. Archives of Physical Medicine and Rehabilitation [internet]. 2015;16(3):211-219. [acesso em 20 maio 2020]. Disponível em: https://www.archives-pmr.org/article/S0003-9993(15)00324-X/fulltext.

Fisseha B, Mishra P. The effect of group training on pregnancy-induced lumbopelvic pain: systematic review and meta-analysis of randomized control trials. Journal of Exercise Rehabilitation [internet]. 2016;12(1):15-20. [acesso em 20 maio 2020]. Disponível em: https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC4771147&blobtype=pdf

Ministério Da Saúde. Diretrizes Nacionais de Assistência ao Parto Normal [internet]. Biblioteca Virtual em Saúde, 2017. [acesso em 22 maio 2020] Disponível em: http://bvsms.saude.gov.br/bvs/publicacoes/diretrizes_nacionais_assistencia_parto_normal.pdf.

World Health Organization (WHO). WHO recommendations: intrapartum care for a positive childbirth experience [homepage da internet]. WHO, 2018. [acesso em 22 maio 2020]. Disponível em: https://www.who.int/publications-detail/9789241550215.

Delgado A, Maia T, Melo RS, Lemos A. Birth ball use for women in labor: A systematic review and meta-analysis. Complementary Therapies in Clinical Practice [internet]. 2019;35:92-101. [acesso em 21 maio 2020]. Disponível em: https://www.sciencedirect.com/science/article/abs/pii/S1744388118307941?via%3Dihub.

Makvandi S, Roudsari S, Sadeghi R, Karimi L. Effect of birth ball on labor pain relief: a systematic review and meta-analysis. J. Obstet. Gynaecol. Res. [internet]. 2015:41(11):1679-86 [acesso em 21 maio 2020]. Disponível em: https://pubmed.ncbi.nlm.nih.gov/26419499/.

Taavoni S, Sheikhan F, Abdolahian S, Ghavi F. 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. Complementary Therapies in Clinical Practice [internet]. 2016;24:99-102. Disponível em: https://www.sciencedirect.com/science/article/abs/pii/S1744388116300172?via%3Dihub.

Gürşen C, Inanoglu D, Kaya S, Akbayrak T, Baltaci G. Effects of exercise and Kinesio taping on abdominal recovery in women with cesarean section: a pilot randomized controlled trial. Arch. Gynecol. Obstet. [internet]. 2016;293(3):557-565. 293, 557–565 (2016). [acesso em 19 maio 2020]. Disponível em: https://link.springer.com/article/10.1007/s00404-015-3862-3#article-info.

Ptak M, Ciećwież S, Brodowska A, Starczewski A, Nawrocka-Rutkowska J et al. The Effect of Pelvic Floor Muscles Exercise on Quality of Life in Women with Stress Urinary Incontinence and Its Relationship with Vaginal Deliveries: a randomized Trial. BioMed Research International [internet]. 2019;1-7. [acesso em 19 maio 2018]. Disponível em: https://www.hindawi.com/journals/bmri/2019/5321864/.

Lawson S, Sacks A. Pelvic Floor Physical Therapy and Women's Health Promotion. Journal of Midwifery and Women's Health [internet]. 2018;63(4):410-417. [acesso em 21 maio 2020]. Disponível em: https://onlinelibrary.wiley.com/doi/abs/10.1111/jmwh.12736.

Alves EM., Rabêlo TN, Santos MG, Souza IG, Lima PA, Santana LS. Eletroestimulação nervosa transcutânea para analgesia pós-operatória em cesariana. Rev. Dor [internet]. 2015;16(4):263-266. [acesso em 21 maio 2020]. Disponível em: https://www.scielo.br/pdf/rdor/v16n4/pt_1806-0013-rdor-16-04-0263.pdf.

Brook, G. Obstetric fistula: The role of physiotherapy: A report from the Physiotherapy Committee of the International Continence Society. Neurourology and Urodynamics [internet]. 2018; 1-10. [acesso em 21 maio 2018]. Disponível em: https://onlinelibrary.wiley.com/doi/abs/10.1002/nau.23851.

Sun Z, Zhu L, Liang ML, Xu T, Lang GH. Comparison of outcomes between postpartum and non-postpartum women with stress urinary incontinence treated with conservative therapy: A prospective cohort study. Neurourology and Urodynamics [internet}. 2017;1-8. [acesso em 21 maio 2020]. Disponível em: https://onlinelibrary.wiley.com/doi/abs/10.1002/nau.23464.

Almousa S., Lamprianidou E. Kitsoulis, G. The effectiveness of stabilising exercises in pelvic girdle pain during pregnancy and after delivery: A systematic review. Physiother. Res. Int. [internet]. 2017;e1699. [acesso em: 21 maio 2020]. Disponível em: https://onlinelibrary.wiley.com/doi/abs/10.1002/pri.1699.

Saboia D, Vasconcelos CT, Oriá MO, Bezerra K, Neto JA, Lopes MH. Continence App: Construction and validation of a mobile application for postnatal urinary incontinence prevention. European Journal of Obstetrics and Gynecology and Reproductive Biology [internet]. 2019;240:330-335. [acesso em: 21 maio 2020]. Disponível em: https://pubmed.ncbi.nlm.nih.gov/31382145/.

Downloads

Published

2021-08-31

How to Cite

Oliveira, J. G. de, Mendes, J. M. ., Santana, Z. P. ., Oliveira, M. A. S. ., & Araujo, L. M. (2021). PHYSIOTHERAPEUTIC PERFORMANCE IN PREPARTUM, CHILDBIRTH AND POSTPARTUM: AN INTEGRATIVE REVIEW. Práticas E Cuidado: Revista De Saúde Coletiva, 2, e10875. Retrieved from https://revistas.uneb.br/index.php/saudecoletiva/article/view/10875

Issue

Vol. 2 (2021): CONTINUOUS PUBLICATION

Section

Literature review

License

Copyright

Submission of originals to Práticas e Cuidado: Revista de Saúde Coletiva (Practices and Care: Journal of Public Health - PC-RESC) implies the transfer of publication rights by the authors. The copyright for manuscripts published in this journal belongs to the authors, with PC-RESC retaining rights over the first publication. The authors may only use the same results in other publications if they explicitly indicate PC-RESC as the original publication medium.

Creative Commons License

Except where otherwise specified, the terms of a Creative Commons Attribution-ShareAlike 4.0 International License apply to the material published in this journal, which permits unrestricted use, distribution, and reproduction in any medium, provided the original publication is correctly cited.