Assistência ao puerpério imediato: o papel da fisioterapia

Juliana Schulze Burti; Juliana de Paula da Silva Cruz; Ana Claudia da Silva; Isabella de Leão Moreira

doi:10.5327/Z1984-4840201625440

Authors

Juliana Schulze Burti PUC-SP
Juliana de Paula da Silva Cruz PUC-SP
Ana Claudia da Silva PUC-SP
Isabella de Leão Moreira PUC-SP

DOI:

https://doi.org/10.5327/Z1984-4840201625440

Keywords:

postpartum period, physical therapy specialty, women’s health, parturition

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, São 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.

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Author Biographies

Juliana Schulze Burti, PUC-SP

Fisioterapeuta formada pela FMUSP, mestrado em Ciências da Saúde pela Unifesp, Especialização em Fisiologia do Exercício pela Unifesp e docente do curso de Fisioterapia da Faculdade de Ciências Humanas e da Saúde da PUC-SP.

Juliana de Paula da Silva Cruz, PUC-SP

Fisioterapeuta formada pela PUC-SP

Ana Claudia da Silva, PUC-SP

fisioterapeuta formada pela PUC-SP

Isabella de Leão Moreira, PUC-SP

Fisioterapeuta formada pela PUC-SP com especialização em Saúde da Mulher pelo HC-FMUSP.

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