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Assessment of the Effectiveness of a Program of Preparation to Pregnancy and Delivery

Phase 4
Conditions
Lumbago
Anxiety
Interventions
Behavioral: preparation of the delivery
Registration Number
NCT01155804
Lead Sponsor
Center for Research on Reproductive Health of Campinas
Brief Summary

Introduction: randomized studies on programs implemented during pre-natal care that offer information and physical activities preparing pregnant women for delivery are scarce in the scientific literature. Objective: to evaluate the effectively of the Program for Preparation of Pregnant Women for Delivery on the prevention of physical and psychological difficulties and problems during pregnancy and delivery in nulliparous women participating in the program. Subjects and methods: a randomized clinical single blind trial will be conducted with 192 pregnant nulliparous women allocated to participate or not of the program activities. The women allocated to the study group will participate of physical and educational activities at each pre-natal consultation and will receive orientation on the exercises they will perform at their home. Participants of the non-interventional group will follow the habitual routine care at the service. Participants will be selected among nulliparous low risk pregnant women aged between 16 and 40 years old after the 20th week of gestation. Data analysis: will be performing by intention to treat. For the continues variables the t-Student or Wilcoxon test will be performing; for the categorical variables the tests x² or Fisher, and the risk estimate will be estimated using a Relative Risk with 95% CI. ANOVA will be use for measures between the groups and along time, and correlation tests for anxiety and physical activity with gestational and perinatal variables.

Detailed Description

Participants, 192 nulliparous women that receive pre-natal care, allocated according to randomization into two groups: group one in which the women who participate in a program with physical and educational activities and the non-interventional group that will not receive the intervention and will follow a regular pre-natal care at routine of the service. The designation of participants will be performed, after informed consent will be sign, by opening sequentially envelopes previously sealed and numbered that will contain the information, previously generated by a computer system.

Recruitment & Eligibility

Status
UNKNOWN
Sex
Female
Target Recruitment
192
Inclusion Criteria
  1. Pregnant women aged between 16 and 40 years old
  2. gestational age >20 weeks
  3. nulliparous women
  4. single fetus
  5. Performing pre-natal care.
Exclusion Criteria
  1. Pathological heart condition
  2. diabetes
  3. hypertension
  4. asthma bronchial
  5. HIV+
  6. gestational hypertension
  7. gestational diabetes
  8. pre-eclampsia
  9. persistent bleeding
  10. premature labor
  11. cervical incompetence
  12. acute infection with fever
  13. restriction in fetal growth
  14. indication of elective caesarian-section
  15. in psychotherapy
  16. performing other physical activity more than once a week.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Exercicepreparation of the delivery-
non-exercicepreparation of the delivery-
Primary Outcome Measures
NameTimeMethod
To assess the well being of the women trought the proportion of women with back pain and stress urinary incontinenceThe outcome will be that the pregnant women will be interview at an average of up to 30 days after delivery

To evaluate a well being in women who were receive intense care during prenatal care by the proportion of women with back pain and those with stress urinary incontinence

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Centro de Atençao Integral a Saude da Mulher CAISM

🇧🇷

Campinas, SP, Brazil

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