Effects of floral therapy on labor and birth: a randomized clinical trial

Lara, Sonia Regina Godinho de; Gabrielloni, Maria Cristina; Cesar, Mônica Bimbatti Nogueira; Barbieri, Márcia

doi:10.1590/0034-7167-2021-0079

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ORIGINAL ARTICLE • Rev. Bras. Enferm. 74 (suppl 6) • 2021 • https://doi.org/10.1590/0034-7167-2021-0079 linkcopy

Effects of floral therapy on labor and birth: a randomized clinical trial

Efectos de la terapia floral en el trabajo de parto y el nacimiento: ensayo clínico aleatorizado

Authorship SCIMAGO INSTITUTIONS RANKINGS

Variables	Total (n=156)	Experimental Group (n=79)	Control Group (n=77)	p
Age (years)				0.192
Mean ± SD	25.0 ± 5.6	25.6 ± 6.0	24.4 ± 5.0
Median (min. - max.)	24 (18 - 42)	24 (18 - 42)	23 (18 - 38)
Color, n (%)				0.332^a
White	42/156 (26.9)	17/79 (21.5)	25/77 (32.5)
Black	15/156 (9.6)	7/79 (8.9)	8/77 (10.4)
Yellow	7/156 (4.5)	5/79 (6.3)	2/77 (2.6)
Brown	92/156 (59)	50/79 (63.3)	42/77 (54.5)
Education, n (%)				0.836^a
1 to 3 years	1/156 (0.6)	1/79 (1.3)	0/77 (0)
4 to 7 years	16/156 (10.3)	7/79 (8.9)	9/77 (11.7)
8 to 11 years	119/156 (76.3)	60/79 (75.9)	59/77 (76.6)
12 years or over	20/156 (12.8)	11/79 (13.9)	9/77 (11.7)
Marital status, n (%)				0.508^b
Single	52/151 (34.4)	28/76 (36.8)	24/75 (32.0)
Married	40/151 (26.5)	17/76 (22.4)	23/75 (30.7)
Common-law marriage	59/151 (39.1)	31/76 (40.8)	28/75 (37.3)
Occupation, n (%)				0.096^b
Working	63/156 (40.4)	37/79 (46.8)	26/77 (33.8)
Not working	93/156 (59.6)	42/79 (53.2)	51/77 (66.2)
Family income, n (%)				0.550^a
1 MW	49/113 (43.4)	26/63 (41.3)	23/50 (46)
Two MW	44/113 (38.9)	25/63 (39.7)	19/50 (38)
Three MW	14/113 (12.4)	7/63 (11.1)	7/50 (14)
Four MW	6/133(5.3)	5/63 (11.1)	1/50(14)
Gestational age (week)				0.086
Mean ± SD	39.3 ± 1	39.2 ± 1.0	39.4 ± 1.0
Median (min. - max.)	39 (37 - 41)	39 (37 - 41)	40 (37 - 41)
Number of pregnancies				0.680
Mean ± SD	2.0 ± 1.2	2.0 ± 1.1	1.9 ± 1.2
Median (min. - max.)	2 (0 - 6)	2 (1 - 6)	1 (0 - 5)
Number of deliveries				0.371
Mean ± SD	0.7 ± 0.9	0.8 ± 0.9	0.6 ± 1.0
Median (min. - max.)	0 (0 - 4)	1 (0 - 3)	0 (0 - 4)
Number of abortions				0.352
Mean ± SD	0.3 ± 0.6	0.2 ± 0.5	0.3 ± 0.6
Median (min - max.)	0 (0 - 3)	0 (0 - 2)	0 (0 - 3)

Variables	Assessment time		Post-Pre	p
Variables	Pre	Post	Post-Pre	Intervention	Time	Interaction Intervention x Time
Cervical dilation (cm)				0.346	<0.001	0.930
Experimental Group	4.9 ± 0.9	5.9 ± 1.4	1.0 ± 1.1
Control Group	5.1 ± 1.0	6.1 ± 1.4	1.0 ± 0.8
Uterine contraction- frequency				0.031	0.059	0.057
Experimental Group	2.7 ± 1.0	2.9 ± 1.1	0.2 ± 1.0
Control Group	2.3 ± 1.0	2.8 ± 1.1	0.5 ± 1.0
Uterine contraction-duration (seconds)				0.873	0.007	0.188
Experimental Group	31.7 ± 12.1	35.2 ± 15.1	3.5 ± 11.6
Control Group	31.4 ± 11.2	37.3 ± 11.3	5.8 ± 11.2

Group	Mean	Median	Standard Deviation	Minimum	Maximum	N	p
Groups							<0.001
Experimental Group	0.200^B	0.000	0.966	-1.000	4.000	79
Control Group - dilation = 4 cm	0.083^B	0.000	0.929	-2.000	2.000	24
Control Group - dilation ≥ 5 cm, amniorrhexis	1.000^A	1.000	0.617	0.000	2.000	22
Control Group - ≥ 5 cm dilation, intact membrane	0.582	0.000	1.028	-2.000	3.000	31

Characteristics	Coefficient	95%CI	p
Experimental Group (ref.=Control Group)	-85.51	-180.05 a 9.04	0.076
Cervical dilation before (cm)	-94.27	-142.04 a -46.5	0.000
Contraction frequencies - before	10.46	-38.44 a 59.36	0.673
Constant	947.40	662.97 a 1.231.83	<0.001

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[TFN1] Note: MW – minimum wage; p - descriptive level of Student's t-test, Fisher's exact (a) or chi-square (b); SD - standard deviation; Min. – minimum; Max. – maximum; N=5 and N=43 cases without information on marital status and income, respectively.