Evidence map›Paper›PMID 29642862›Full record

ArticleBMC pregnancy and childbirth2018

Effectiveness and safety of moderate-intensity aerobic water exercise during pregnancy for reducing use of epidural analgesia during labor: protocol for a randomized clinical trial.

Araceli Navas, Catalina Artigues, Alfonso Leiva, Elena Portells, Aina Soler, Antonia Cladera, Silvia Ortas, Margarita Alomar, Marina Gual, Concepción Manzanares and 6 more

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 4 pooled it
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 4 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 4 institutions in 1 country.

Araceli NavasBaleares Health Services-IbSalut, Hospital de Son Espases, 07005, Palma, Spain.
Catalina ArtiguesPont D'Inca- Marratxí Health Care Center. Baleares Health Services-IbSalut, 07005, Palma, Spain.
Alfonso LeivaPrimary Care Research Unit of Mallorca. Baleares Health Services-IbSalut, 07005, Palma, Spain. aleiva@ibsalut.caib.es.ORCID 0000-0001-5306-8533
Elena PortellsMuntanya- Marratxí Health Care Center. Baleares Health Services-IbSalut, 07005, Palma, Spain.
Aina SolerPrimary Care Research Unit of Mallorca. Baleares Health Services-IbSalut, 07005, Palma, Spain.
Antonia CladeraSanta María Health Care Center. Baleares Health Services-IbSalut, 07005, Palma, Spain.
Silvia OrtasS'Excorxador Health Care Center. Baleares Health Services-IbSalut, 07005, Palma, Spain.
Margarita AlomarCan Pastilla Health Care Center. Baleares Health Services-IbSalut, 07005, Palma, Spain.
Marina GualSoller Health Care Center. Baleares Health Services-IbSalut, 07005, Palma, Spain.
Concepción ManzanaresRafal Nou Health Care Center. Baleares Health Services-IbSalut, 07005, Palma, Spain.
Marina BrunetSanta Ponça Health Care Center. Baleares Health Services-IbSalut, 07005, Palma, Spain.
Magdalena JuliàAlcudia Health Care Center. Baleares Health Services-IbSalut, 07005, Palma, Spain.
Lidia LópezBaleares Health Services-IbSalut, Hospital Comarcal de Inca, 07005, Palma, Spain.
Lorena GrandaBaleares Health Services-IbSalut, Hospital de Manacor, 07005, Palma, Spain.
Miquel Bennasar-VenyDepartment of Nursing and Physiotherapy, Research Group on Evidence, Lifestyles & Health, University of the Balearic Islands, 07122, Palma, Spain.
Mari Carmen CarrascosaSon Ferriol Health Care Center. Baleares Health Services-IbSalut, 07005, Palma, Spain.
Servei de Salut de les Illes Balears · ESHospital Comarcal de Inca · ESHospital Universitario Son Espases · ESUniversitat de les Illes Balears · ES

Funding

Instituto de Salud Carlos III PI13/02440
6 · The paper itself

Abstract

backgroundEpidural analgesia during labor can provide effective pain relief, but can also lead to adverse effects. The practice of moderate exercise during pregnancy is associated with an increased level of endorphins in the blood, and this could also provide pain relief during labor. Aerobic water exercises, rather than other forms of exercise, do not negatively impact articulations, reduce edema, blood pressure, and back pain, and increase diuresis. We propose a randomized controlled trial (RCT) to evaluate the effectiveness and safety of a moderate water exercise program during pregnancy on the need for epidural analgesia during labor.

methodsA multi-center, parallel, randomized, evaluator blinded, controlled trial in a primary care setting. We will randomised 320 pregnant women (14 to 20 weeks gestation) who have low risk of complications to a moderate water exercise program or usual care. DISCUSSION: The findings of this research will contribute toward understanding of the effects of a physical exercise program on pain and the need for analgesia during labor.

trial registrationISRCTN Registry identifier: 14097513 register on 04 September 2017. Retrospectively registered.

Indexed as

Analgesia, EpiduralAnalgesia, ObstetricalExercise TherapyPrenatal CarePrimary Health CareExerciseFemaleHumansLabor PainMulticenter Studies as TopicPregnancyRandomized Controlled Trials as TopicSingle-Blind MethodSwimmingTreatment OutcomeCaesarianDeliveryEpidural anesthesiaExerciseNatural childbirthPostnatal depression

Identifiers

PMID29642862
PMCPMC5896064
OpenAlexW2800479822

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.