Fisioterapia na saúde gestacional: uma avaliação das demandas identificadas na atenção primária

Abstract

The present work addresses physiotherapeutic obstetric assistance in primary care units in the city of barbacena / mg. OBJECTIVE: to identify changes related to the gestational period that may guide the physiotherapist's performance in the context of primary care, specifically to analyze the postural changes resulting from this demand, to discuss the patterns and the presence of pain in pregnant women and to analyze the factors that influence the quality of life. Of pregnant women. METHODS: the research has a descriptive, exploratory, transversal and quantitative character, it was carried out in a uaps in the city of barbacena mg, for the period from december 14, 2017 to january 11, 2018. Seven pregnant women participated in the study. Physiotherapeutic evaluation, biophotogrammetry, vas, the nordic musculoskeletal discomfort questionnaire and the sf-36 quality of life questionnaire were applied. The data were tabulated in excel 2007 and analyzed using descriptive statistics. RESULTS: the mean age was 25.28 ± 6.45 years, gestation between 20.14 ± 6.36 weeks. The impaired quality of life domains are based on limitation due to emotional aspects and pain, incidence in hands / wrists and lower back. In postural assessment, the main disorders occurred in the head segments; shoulders; lumbar spine; iliac crests; pelvis; knees and heel. CONCLUSION: pain was present mainly in the upper limbs, followed by the lumbar region. Being a limiting factor of activities of daily living, causing overload in the musculoskeletal structures. The main limitations of this study were in relation to the use of resources, which were not offered by phc, the small sample size and the low adherence of pregnant women to the pregnant group of the visited ubs.