Aplicación de termoterapia en el periné para reducir el dolor ensayo clínico a perineal durante el parto: eatorizado.
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| Title: | Aplicación de termoterapia en el periné para reducir el dolor ensayo clínico a perineal durante el parto: eatorizado. |
|---|---|
| Alternate Title: | Application of thermotherapy in the perineum to reduce perineal pain during childbirth: randomized clinical trial. |
| Authors: | Terré, Carmen1 cterre@ub.edu, Beneit, Juan Vicente2, Gol, Roser3, Garriga, Neus4, Salgado, Isabel5, Ferrer, Alicia6 |
| Source: | Matronas Profesion. 2014, Vol. 15 Issue 4, p122-129. 8p. |
| Subjects: | THERMOTHERAPY, CONFIDENCE intervals, LABOR (Obstetrics), MEDICAL cooperation, PERINEUM, RESEARCH, STATISTICS, DATA analysis, RANDOMIZED controlled trials, DATA analysis software, LABOR pain (Obstetrics), DESCRIPTIVE statistics |
| Geographic Terms: | SPAIN |
| Abstract (English): | Objective : The aim of this study was to evaluate the effectiveness of the application of heat to the perineum during the second stage of labor to reduce perineal pain. Method: Open multicenter clinical trial in which patients were randomized to three study groups: moist heat (MHG), dry heat (DHG) and control group (CG). The study was supervised by the School of Nursing at the University of Barcelona and was carried out at five hospitals in Catalonia between 2009 and 2010. The sample consisted of 198 pregnant women; all were assigned to a natural childbirth protocol and received standard care during labor. In both study groups, compresses were applied to the perineum: moist heat compresses in the MHG, and cold-hot compresses (Nexcare®) in the DHG. During delivery, pain in the perineal area was rated on a numerical scale from 0 to 10. Statistical tests were performed using a 95% confidence interval (CI) and statistical analyses were performed with the PASW 17. Results: After 10 minutes of heat therapy a statistically significant reduction in pain was observed using the Wilcoxon test: MHG, difference mean 2.14 (27%; CI 95%: 1.65-2.62; p <0.001), and DHG, difference mean 1.45 (16.7%; CI 95%: 8.56-24.91; p <0.001). Conclusions: The application of heat to the perineum is effective in reducing pain during labor. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Objetivo: El objetivo general de este estudio fue evaluar la eficacia de la aplicación de termoterapia en el periné durante el periodo expulsivo de un parto normal para disminuir el dolor perineal. Método: Ensayo clínico multicéntrico, abierto, con asignación aleatoria al grupo de estudio: aplicación de calor húmedo (GCH), calor seco (GCS) y grupo control (GC). Se dirigió desde la Escuela de Enfermería de la Universidad de Barcelona y se realizó en cinco hospitales de Cataluña durante los años 2009 y 2010. La muestra fue de 198 gestantes; a todas se les aplicó el protocolo de parto natural y se asistió el expulsivo mediante el cuidado habitual. Además, en el GCH se aplicó en el periné calor húmedo mediante compresas mojadas con agua caliente, y en el GCS mediante compresas colt-hot (Nexcare®) calientes, envueltas en una compresa seca. En el GC no se aplicó calor. Durante el expulsivo se valoró el dolor en la zona perineal, mediante la escala de valoración numérica (de 0 a 10). Se realizaron pruebas de contraste estadístico utilizando un intervalo de confianza (IC) del 95% y se realizó el análisis estadístico mediante el programa PASW 17. A los 10 minutos de aplicación de termoterapia se constató una reducción del dolor estadísticamente significativa según el test de Wilcoxon: GCH, diferencia de medias de 2,14 (27%; IC del 95%: 1,65-2,62; p <0,001), y GCS, diferencia de medias de 1,45 (16,7%; IC del 95%: 8,56-24,91; p <0,001). Conclusiones: La aplicación de termoterapia en el periné es eficaz para reducir el dolor durante el periodo expulsivo de parto normal. [ABSTRACT FROM AUTHOR] |
| Copyright of Matronas Profesion is the property of Ediciones Mayo and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: lth DbLabel: MedicLatina An: 100802865 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Aplicación de termoterapia en el periné para reducir el dolor ensayo clínico a perineal durante el parto: eatorizado. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Application of thermotherapy in the perineum to reduce perineal pain during childbirth: randomized clinical trial. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Terré%2C+Carmen%22">Terré, Carmen</searchLink><relatesTo>1</relatesTo><i> cterre@ub.edu</i><br /><searchLink fieldCode="AR" term="%22Beneit%2C+Juan+Vicente%22">Beneit, Juan Vicente</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Gol%2C+Roser%22">Gol, Roser</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Garriga%2C+Neus%22">Garriga, Neus</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Salgado%2C+Isabel%22">Salgado, Isabel</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22Ferrer%2C+Alicia%22">Ferrer, Alicia</searchLink><relatesTo>6</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Matronas+Profesion%22">Matronas Profesion</searchLink>. 2014, Vol. 15 Issue 4, p122-129. 8p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22THERMOTHERAPY%22">THERMOTHERAPY</searchLink><br /><searchLink fieldCode="DE" term="%22CONFIDENCE+intervals%22">CONFIDENCE intervals</searchLink><br /><searchLink fieldCode="DE" term="%22LABOR+%28Obstetrics%29%22">LABOR (Obstetrics)</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+cooperation%22">MEDICAL cooperation</searchLink><br /><searchLink fieldCode="DE" term="%22PERINEUM%22">PERINEUM</searchLink><br /><searchLink fieldCode="DE" term="%22RESEARCH%22">RESEARCH</searchLink><br /><searchLink fieldCode="DE" term="%22STATISTICS%22">STATISTICS</searchLink><br /><searchLink fieldCode="DE" term="%22DATA+analysis%22">DATA analysis</searchLink><br /><searchLink fieldCode="DE" term="%22RANDOMIZED+controlled+trials%22">RANDOMIZED controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22DATA+analysis+software%22">DATA analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22LABOR+pain+%28Obstetrics%29%22">LABOR pain (Obstetrics)</searchLink><br /><searchLink fieldCode="DE" term="%22DESCRIPTIVE+statistics%22">DESCRIPTIVE statistics</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22SPAIN%22">SPAIN</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: Objective : The aim of this study was to evaluate the effectiveness of the application of heat to the perineum during the second stage of labor to reduce perineal pain. Method: Open multicenter clinical trial in which patients were randomized to three study groups: moist heat (MHG), dry heat (DHG) and control group (CG). The study was supervised by the School of Nursing at the University of Barcelona and was carried out at five hospitals in Catalonia between 2009 and 2010. The sample consisted of 198 pregnant women; all were assigned to a natural childbirth protocol and received standard care during labor. In both study groups, compresses were applied to the perineum: moist heat compresses in the MHG, and cold-hot compresses (Nexcare®) in the DHG. During delivery, pain in the perineal area was rated on a numerical scale from 0 to 10. Statistical tests were performed using a 95% confidence interval (CI) and statistical analyses were performed with the PASW 17. Results: After 10 minutes of heat therapy a statistically significant reduction in pain was observed using the Wilcoxon test: MHG, difference mean 2.14 (27%; CI 95%: 1.65-2.62; p <0.001), and DHG, difference mean 1.45 (16.7%; CI 95%: 8.56-24.91; p <0.001). Conclusions: The application of heat to the perineum is effective in reducing pain during labor. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Objetivo: El objetivo general de este estudio fue evaluar la eficacia de la aplicación de termoterapia en el periné durante el periodo expulsivo de un parto normal para disminuir el dolor perineal. Método: Ensayo clínico multicéntrico, abierto, con asignación aleatoria al grupo de estudio: aplicación de calor húmedo (GCH), calor seco (GCS) y grupo control (GC). Se dirigió desde la Escuela de Enfermería de la Universidad de Barcelona y se realizó en cinco hospitales de Cataluña durante los años 2009 y 2010. La muestra fue de 198 gestantes; a todas se les aplicó el protocolo de parto natural y se asistió el expulsivo mediante el cuidado habitual. Además, en el GCH se aplicó en el periné calor húmedo mediante compresas mojadas con agua caliente, y en el GCS mediante compresas colt-hot (Nexcare®) calientes, envueltas en una compresa seca. En el GC no se aplicó calor. Durante el expulsivo se valoró el dolor en la zona perineal, mediante la escala de valoración numérica (de 0 a 10). Se realizaron pruebas de contraste estadístico utilizando un intervalo de confianza (IC) del 95% y se realizó el análisis estadístico mediante el programa PASW 17. A los 10 minutos de aplicación de termoterapia se constató una reducción del dolor estadísticamente significativa según el test de Wilcoxon: GCH, diferencia de medias de 2,14 (27%; IC del 95%: 1,65-2,62; p <0,001), y GCS, diferencia de medias de 1,45 (16,7%; IC del 95%: 8,56-24,91; p <0,001). Conclusiones: La aplicación de termoterapia en el periné es eficaz para reducir el dolor durante el periodo expulsivo de parto normal. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Matronas Profesion is the property of Ediciones Mayo and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 8 StartPage: 122 Subjects: – SubjectFull: THERMOTHERAPY Type: general – SubjectFull: CONFIDENCE intervals Type: general – SubjectFull: LABOR (Obstetrics) Type: general – SubjectFull: MEDICAL cooperation Type: general – SubjectFull: PERINEUM Type: general – SubjectFull: RESEARCH Type: general – SubjectFull: STATISTICS Type: general – SubjectFull: DATA analysis Type: general – SubjectFull: RANDOMIZED controlled trials Type: general – SubjectFull: DATA analysis software Type: general – SubjectFull: LABOR pain (Obstetrics) Type: general – SubjectFull: DESCRIPTIVE statistics Type: general – SubjectFull: SPAIN Type: general Titles: – TitleFull: Aplicación de termoterapia en el periné para reducir el dolor ensayo clínico a perineal durante el parto: eatorizado. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Terré, Carmen – PersonEntity: Name: NameFull: Beneit, Juan Vicente – PersonEntity: Name: NameFull: Gol, Roser – PersonEntity: Name: NameFull: Garriga, Neus – PersonEntity: Name: NameFull: Salgado, Isabel – PersonEntity: Name: NameFull: Ferrer, Alicia IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 12 Text: 2014 Type: published Y: 2014 Identifiers: – Type: issn-print Value: 15780740 Numbering: – Type: volume Value: 15 – Type: issue Value: 4 Titles: – TitleFull: Matronas Profesion Type: main |
| ResultId | 1 |