MIDWIFERY: A LOOK FROM PHYSIOTHERAPY. “THE BODY TERRITORY OF FREEDOM AND GRATITUDE”

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A.P. Villota Moya1
1Universidad Nacional de Colombia, Movimiento Corporal Humano, Bogotá, Colombia

Background: This research aims to connect obstetric physiotherapy with the various ways to approach the subject in the processes of conception, pregnancy, childbirth and the puerperium, from the knowledge of midwives.
This study is viable since Colombia has a variety of midwifery, for example, traditional, urban and peasant.

Purpose: The main objective is to establish the relationship between the actions of Colombian midwives and the theoretical revision of obstetric physiotherapy.

Methods: This is a qualitative investigation, which discovers and produces knowledge from the subjectivity of midwives. As such, this approach allows knowledge to be revealed (Mitjáns, 2008). From a hermeneutical approach, it seeks the understanding of actions, stories and discourses generated in the niches of one's life (Canales, 2006).
For this reason, the subjects’ life stories were documented in semi-structured interviews. The investigated population were midwives in Colombia who were practicing between the years 2018 and 2019.

Results: They were presented in three contents: the information obtained through the theoretical review of obstetric physical therapy, the experiences described in the life stories of each midwife and the descriptive parallel, where the stories are analyzed from obstetric physical therapy and which category a physical therapist can read.

Conclusion(s): The processes of conception, pregnancy, childbirth and the puerperium were identified through physiotherapy. It was concluded that it is of significant importance that the physiotherapist, who practices in the gynaecological and obstetric area, has theoretical and practical knowledge in both physiology and biomechanics along with appropriate techniques for each process and intervention.
Practices and processes carried out by midwives were discovered and collected through their life stories. The midwives tell and discover their place of enunciation in midwifery and the health system, presenting diverse knowledge and practices.
A descriptive parallel between the study of obstetric physiotherapy and the practices of midwives in Colombia was drawn up. The approach from physiotherapy was described and analysed, through different forms of interaction with women and the description provided by each midwife from their respective experiences.
The convergence between obstetric physiotherapy and midwifery was evident. In this research, the coercion and relationship of different areas, professions and fields of action were found from an interdisciplinary occupation that benefits the health and well-being of the maternal-perinatal triad.

Implications: From experience and practice of attending planned home births, it is suggested to students and physical therapists interested in the area to investigate and analyse the various forms and practices of conceiving, gestating, giving birth and mothering.
This research contributes to the study of human body movement and specifically to the field of obstetric physiotherapy, as it raises an important area of study in the sexual and reproductive processes, by thinking the line of women's health, converging the ancestral knowledge and physiotherapy, in the different undergraduate training programs in Physiotherapy and Kinesiology in Latin America and worldwide.

Funding, acknowledgements: The research was financed from own resources, corresponding to travel expenses.

Keywords: Midwifery, Physical therapy, obstetric

Topic: Pelvic, sexual and reproductive health

Did this work require ethics approval? Yes
Institution: Universidad Nacional de Colombia
Committee: Committee of Ethics of the Faculty of Medicine
Ethics number: Act 09 of 20-03-2019


All authors, affiliations and abstracts have been published as submitted.

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