Navas, AraceliArtigues, CatalinaLeiva Rus, AlfonsoPortells, ElenaSoler Mieras, AinaCladera-Serra, AntoniaOrtas, SilviaAlomar, MargaritaGual, MarinaManzanares, ConcepcionBrunet, MarinaJulia, MagdalenaLopez, LidiaGranda, LorenaBennasar-Veny, MiquelCarmen Carrascosa, Mari2024-09-062024-09-062018-04-11Navas A, Artigues C, Leiva A, Portells E, Soler Mieras A, Cladera Serra A, et al. 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. BMC Pregnancy Childbirth. 2018 Apr 11;18:94.http://hdl.handle.net/20.500.13003/9346https://hdl.handle.net/20.500.12105/22539Background: Epidural 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. Methods: A 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.enghttp://creativecommons.org/licenses/by/4.0/ExerciseDeliveryPostnatal depressionEpidural anesthesiaCaesarianNatural childbirthAnalgesia, ObstetricalRandomized Controlled Trials as TopicAnalgesia, EpiduralHumansLabor PainPregnancyExercise TherapyFemaleSwimmingTreatment OutcomePrenatal CarePrimary Health CareExerciseSingle-Blind Methodresearch articleAttribution 4.0 International29642862189410.1186/s12884-018-1715-31471-2393BMC Pregnancy and Childbirthopen accessDolor de PartoNataciónEjercicio FísicoResultado del TratamientoMétodo Simple CiegoTerapia por EjercicioFemeninoHumanosEmbarazoAtención Primaria de SaludAnalgesia ObstétricaEnsayos Clínicos Controlados Aleatorios como AsuntoAnalgesia EpiduralAtención Prenatal2-s2.0-85045261076429983400005L621602112