Physiotherapy during work reduces Caesarean section and birth injuries

Caesarean section and severe risks with perineal anchorage are significantly reduced by a recently presented study by the American College for Obstetrics and Gynecology of the American College for Obstetrics and Gynecology of Physiotherapy and scientifically in Minnesota.

New legislation supports the presence of physiotherapists

New laws have committed the presence of physiotherapists in maternity hospitals and underlines the role that these specialists play in the treatment of pain during labor. Working results can be improved by physiotherapists through kinesiotherapy, thermotherapy, electropotherapy and other specialized techniques.

In addition to these techniques, physiotherapists can not provide more important -pharmacological support during birth. Therefore, the researchers carried out a study in which the effects of physiotherapy were emphasized during labor.

Assessment of the effects of physiotherapy

Randomized and quasi randomized studies have been identified by searching several databases. These studies compared the results of the physical therapy support during workers with those of standard care. The investigators determined the evidence security with the Cochrane tool (Rob 2.0) and the size system and then carried out meta-analyzes.

There were 984 pregnant patients in 12 studies that were included in the final analysis. Among those who received physiotherapy, a relative risk (RR) of 1.10 was reported for vaginal deliveries compared to the standard supply with a 95% confidence interval (CI) of 1.04 to 1.17.

These patients also reported a reduced prevalence of caesarean cuts with an RR of 0.52 and 95% CI from 0.35 to 0.76. In perineal cuts, the RR 0.45 and the 95% CI was 0.25 to 1.07, which indicated a reduced risk.

Reduced work and pain

The first and second stages of work were also shortened in the physiotherapy group compared to the standard supply group with medium differences of -99.01 minutes or -11.29 minutes. A moderate certainty was reported for this evidence.

In total, a reduction of 1.46 points on the visual analog scale for pain in the physiotherapy group was reported. In maternal fear, this reduction of -7.65 points was. These declines were supported by low evidence, and no further significant differences were reported in other results of the mother and fetus.

These results showed an increased probability of vaginal childbirth and reduced risks of caesarean section and perineal cuts through physiotherapy support during labor. In addition, the support of physiotherapy was associated with a reduced working period, pain intensity, motherly fear and pharmacological analgesia.

Multimodal physiotherapy advantages

Physiotherapy was also associated with health advantages in women with chronic pelvic pain, based on data from 41 studies.² The studies, of which most randomized controlled studies were, showed reduced pain in women aged 35.1 ± 8.6 years.

In patients who receive multimodal physiotherapy, a standardized medium difference (SMD) of -1.69 for pain intensity has been reported compared to control persons, which emphasizes a decline. When re -shaping the SMD to a normal pain scale from 0 to 10, the average difference was -2.87, which emphasizes a significant effect with high evidence.

The effectiveness remained 12 to 36 weeks after treatment with an SMD of -1.82. On the pain scale from 0 to 10, the average difference was -3.09. Since the effectiveness of other conservative therapies has not been shown, this multimodal physiotherapy emphasized the only conservative method with proven effectiveness.

References:

1. Delgado Am, Marinho Ga, Lemos A, Amorim MMR. Physiotherapy support at work: a systematic review and meta -analysis. Presented at: 2025 ACOG annual clinical and scientific assembly. Minneapolis, Mn. 16.-18. May 2025.
2. KREWSON C. Multimodal physiotherapy proves to be chronic pelvic pain. Contemporary ob/gyn. January 6, 2025. Access on May 13, 2025.