Dor lombopélvica e incontinência urinária durante a gestação no contexto do pré-natal compartilhado entre fisioterapia e enfermagem na atenção primária: fisioterapia no pré-natal

Abstract

Introduction: Pain in the lumbopelvic region and urinary incontinence (UI) are frequent during pregnancy; however, they are often not properly approached; therefore, the proposal of shared care between physiotherapy and nursing in prenatal consultations could provide pregnant women with comprehensive care that values these complaints. Objectives: To describe the profile and frequency of lumbopelvic pain and urinary incontinence of pregnant women attended in prenatal care shared between physiotherapy and nursing in Primary Care. Methodology: Descriptive cross-sectional study carried out in a Basic Family Health Unit, between May 2015 and February 2017. 28 pregnant women participated in the research. For pain assessment, a pain map with graphical representation of the body and the Visual Analog Scale were used; the International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF) was used for UI. The data were analyzed according to the gestational age of the assessment in two groups: Group 1 first half of pregnancy (16 pregnant women), and Group 2 second half of pregnancy (15 pregnant women). Results: The pregnant women were, on average, 26.6 years old, with the majority being primigravida. The prevalence of complaints of low back pain was 31.2% and 60%, and UI 68.7% and 60% in group 1 and group 2, respectively. Conclusion: Due to the considerable prevalence of pain complaints and UI there is a need for the insertion of the physiotherapist in prenatal care, who can act in the promotion, prevention and treatment of these and other complaints, thus contributing to improve prenatal care .