EPISIOTOMY RATE IN ACTIVE WOMEN DURING PREGNANCY

Aims: Study the influence of moderate aquatic physical exercise following the SWEP methodology (Study of Water Exercise Pregnant) on the episiotomy rate. Methods and Material: Randomized Clinical Trial, with 140 randomized subjects; 129 subjects (Group of Exercises n = 65, Control Group n = 64) completed the requirements of the study. The study began in the 20th week of gestation and ended in week 37. The perinatal results were obtained from the partogram registered in the Paritary Services of the University Hospital Complex of Granada and from the clinical history of each woman. Results: There were no statistically significant differences in the episiotomy rate, although a percentage difference of 10% lower was observed in active women (45.31% vs. 35.4%). The weight of the RN remained within the normal weight range in both groups (2,500 g - 4,000 g), for the GC of 3,460 g (Q1 = 3,207.5 - Q3 = 3,770.0) and for the GE of 3,250 g (Q1 = 2.955.0 - Q3 = 3.572.5) (p = 0.011). In relation to epidural and subdural anesthesia, there are no statistically significant differences between both groups, obtaining 85.9% for CG and 72.3% for EG (p = 0.092). Conclusions: The births of the women who have followed the SWEP methodology have presented a lower rate of episiotomy, although this has not been statistically significant, which is associated with the improvement of the abdominal muscles and better control of the musculature of the pelvic floor.