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|Type:||Artigo de periódico|
|Title:||Sensation Of Uterine Contraction Report During Labor And Delivery [sensacao Da Contracao Uterina Referida Durante O Trabalho De Parto E Parto]|
Fonseca Serpa J.
Zocchio Torresan R.
|Abstract:||A study was carried out of questionnaires answered by 129 nulliparous women who had risk free pregnancies in order to identify the regions of the female body which have the greatest perception of the uterine contractions during labor. The questionnaires were divided into 2 groups according to childbirth ended: natural childbirth with the mother in a squating position, whitout the use of analgesic or anesthesia designate squating positive, and another group that the childbirth resorting to caesarean, forceps or convencional delivery, using analgesics or anesthesia, designate squating negative. During the second stage both groups, squating positive and negative respectively, had the similar sensation of the uterine contaction distribution (an insignificant difference) in the following regions: lumbar 8.4% and 7.7%; abdominal 24.1% and 28.2%; lumbar and abdominal 55.4% and 59%; other regions 2.4% and 0.0%; lumbar, abdominal and other regions 9.6% and 2.8%. During the delivery both groups respectively squating positive and negative showed a significant difference (p < 0.001) in distribution: lumbar 3.5% and 10.9%; abdominal 18.6% and 41.3%; lumbar and abdominal 8.1% and 21.7%; perineal 20.9% and 8.7%; lumbar and perineal 11.6% and 6.5%; lumbar, abdominal and perineal 31.4% and 2.2%; other regions 5.8% and 8.7%. It was concluded that during the second stage, contractions were felt by both groups in the 'upper' regions: abdominal and lumbar, but during delivery there were differences in the distribution of the sensation of uterine contractions: in the group without anesthesia (squating positive) the contractions migraded to the 'lower' regions like the perineal and its combinations with another regions; in the group using anesthesia (squating negative) the contractions were felt in the 'upper' regions, this being most probably one of the indirect effects of anesthesia. The fact that the uterine contractions did not migrate from the 'upper' regions to the 'lower' regions could be used in-the future as an indirect indicator of difficulty during labor.|
|Appears in Collections:||Unicamp - Artigos e Outros Documentos|
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