Author(s): Consonni, Elenice B. [UNESP] ; Calderon, Iracema de Mattos Paranhos [UNESP] ; Consonni, Marcos [UNESP] ; De Conti, Marta H. S. ; Prevedel, Tania T. S. ; Rudge, Marilza Vieira Cunha [UNESP]
Date: 2014
Persistent ID: http://hdl.handle.net/11449/12253
Origin: Oasisbr
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
Background: To study maternal anxiety and perinatal outcomes in pregnant women submitted to a Multidisciplinary Program for Childbirth and Motherhood Preparation (MPCM).Methods: This is a not randomized controlled trial on 67 nulliparous pregnant women divided into two groups according to participation (MPCM Group; n = 38) or not (Control Group; n = 29) in MPCM. The program consisted of 10 meetings (between the 18th and the 38th gestational week) during which educational, physiotherapeutic and interaction activities were developed. Anxiety was quantified at the beginning and at the end of the gestational period by the Trace-State Anxiety Inventory (STAI).Results: Initial maternal anxiety was equivalent between the groups. At the end of the gestational period, it was observed that anxiety levels increased in the Control Group and were maintained in the MPCM Group. A higher occurrence of vaginal deliveries (83.8%) and hospital discharge of three-day-older newborns (81.6%) as a result of MPCM was also significant. Levels of state-anxiety at the end of pregnancy showed a negative correlation with vaginal delivery, gestational age, birth weight and Apgar index at the first minute and positive correlation with the hospital period remaining of the newborns.Conclusion: In the study conditions, MPCM was associated with lower levels of maternal anxiety, a larger number of vaginal deliveries and shorter hospitalization time of newborns. It was not related to adverse perinatal outcomes.
Univ Estadual Paulista, Botucatu Sch Med, Dept Neurol Psychol & Psychiat, Botucatu, SP, Brazil
Univ Estadual Paulista, Botucatu Sch Med, Dept Gynecol & Obstet, Botucatu, SP, Brazil
Univ Sagrado Coracao, Dept Hlth Sci, Physiotherapy Sch, Bauru, Brazil
São Paulo Fed Univ Unifesp, Dept Hlth Sci, Phys Therapy Program, Santos, Brazil
Univ Estadual Paulista, Botucatu Sch Med, Dept Neurol Psychol & Psychiat, Botucatu, SP, Brazil
Univ Estadual Paulista, Botucatu Sch Med, Dept Gynecol & Obstet, Botucatu, SP, Brazil
