Scientific evidence on non-pharmacological methods for relief of labor pain
DOI:
https://doi.org/10.33448/rsd-v12i11.43819Keywords:
Pregnant; Labor; Labor pain; Analgesia; Non-pharmacological.Abstract
Introduction: Normal childbirth is a birth process in which it has several advantages for both mother and baby. However, the associated pain often discourages pregnant women from opting for this mode of delivery. In addition, the fear of complications and the individual preferences of mothers contribute to the increase in elective cesarean section rates. However, in order to promote natural childbirth, reduce anxiety and, especially, pain, non-pharmacological methods have gained increasing acceptance, they offer comprehensive care, aiming to humanize the process and allow a delivery with as few interventions as possible. Objective: To analyze the efficacy of non-pharmacological methods in reducing pain during normal childbirth. Methods: This research is an integrative literature review that focuses on the evaluation of articles, theses and studies already published in scientific journals in the last 10 years, with the purpose of examining the efficacy of non-pharmacological methods for pain relief during vaginal delivery. Results: A total of 10 articles were selected, in which the majority (70%) adopted the design of randomized clinical trials, and to measure pain intensity, the Visual Analogue Scale was widely used. Among the nonpharmacological methods, acupuncture and its variations stand out among the most frequent. Conclusion: It is concluded that all the non-pharmacological methods analyzed demonstrated important efficacy in reducing pain during labor, however, it is not possible to classify which one is the best, since there was no significant difference between them.
References
Angelo P. H., Ribeiro K. C., Lins L. G., Rosendo A. M., Sousa V. P., & Micussi M. T. (2016) Recursos não farmacológicos: atuação da fisioterapia no trabalho de parto, uma revisão sistemática. Fisioterapia Brasileira. 17(3):285-292. https://docs.bvsalud.org/biblioref/2018/04/882482/recursos-nao-farmacologicos-atuacao-da-fisioterapia-no-trabalho_zEQq7gA.pdf
Anima. (2014). Manual revisão bibliográfica sistemática integrativa: a pesquisa baseada em evidências. Grupo Anima. https://biblioteca.cofen.gov.br/wp-content/uploads/2019/06/manual_revisao_bibliografica-sistematica-integrativa.pdf
Brasil. Ministério da Saúde. (2011). Institui no âmbito do Sistema Único de Saúde - SUS - a Rede Cegonha. Diário Oficial da União, Poder Executivo, Brasília, DF, n. 121, 27 jun. 2011. Seção 1, p. 109.
Dehcheshmeh, S. F., & Rafiei, Hossein. (2015, Novembro). Complementary and alternative therapies to relieve labor pain: A comparative study between music therapy and Hoku point ice massage. Complementary, Therapies in Clinicl Practivce, 21, 229-323. https://doi.org/10.1016/j.ctcp.2015.09.002
Diniz, C. S. G. (2005). Humanização da assistência ao parto no Brasil: os muitos sentidos de um movimento. Ciência & Saúde Coletiva, 10(3), 627-637. 10. 1590/S1413-81232005000300019. https://www.scielo.br/j/csc/a/JQVbGPcVFfy8PdNkYgJ6ssQ/?format=pdf&lang=pt
Fagundes, A., Pádua, K. S., Osis, M. J. D., Cecatti, J. G., & Souza, M. H. (2004). Opinião de mulheres e médicos brasileiros sobre a preferência pela via de parto. Revista de Saúde Pública, 38(4), 488-494. 10. 1590/S0034-89102004000400002.
Grenvik, M. J., Ronsenthal, E., Wey, S., Saccone, G., Vivo, V., Prisco, A., García, D. E. B., & Berghella, V. (2021). Birthing ball for reducing labor pain: a systematic review and meta-analysis of randomized controlled trials. The Journal of Maternal-Fetal & Neonatal Medicine, 35, 5184-5193. https://doi.org/10.1080/14767058.2021.1875439
Hotimsky, S. N., & Schraiber, L. B. (2005). Humanização no contexto da formação em obstetrícia. Ciência & Saúde Coletiva, 10(3), 639-649.
Kaviani, M., Azima, S., Alavi, N., & Tabaei, H. M. (2014). The effect of lavender aromatherapy on pain perception and intrapartum outcome in primiparous women. British Journal of Midwifery, 22. https://doi.org/10.12968/bjom.2014.22.2.125
Karaduman, S., & Çevik, A. S. (2019). The effect of sacral massage on labor pain and anxiety: A randomized controlled trial. Japan Journal of Nursing Science, 17(1), e12272. https://doi.org/10.1111/jjns.12272
Lopes, F., Tereso, A., Curado, A. M., Bértolo, H., Carvalhal, L., & Guterres, R. (2019). Hydrotherapy in the 1st stage of labor and its pain relief effects: a scoping review. Annals of Medicine, 51(1), 207. https://doi.org/10.1080/07853890.2018.1560167
Mafetoni, R. R., Rodrigues, H. M., Silva, B. M. F., Jacob, S. M. L., & Shimo, K. K. A. (2019). Effectiveness of auricular therapy on labor pain: A randomized clinical trial. Texto & Contexto- Enfermagem, 28, e20180110. https://doi.org/10.1590/1980-265X-TCE-2018-0110
Mafetoni, R. R., & Shimo, K. K. A. (2016). The effects of acupressure on labor pains during child birth: randomized clinical trial. Revista Latino-Americana de Enfermagem, 24, e2738. https://doi.org/10.1590/1518-8345.0739.2738
Miranda, M. M. (2002). O parto como eu vejo... ou o parto como eu desejo? Expectativas de gestantes, usuárias do SUS, acerca do parto e da assistência obstétrica. Cadernos de Saúde Pública, 18(5), 1303-1311. https://www.scielo.br/j/csp/a/hsgDPkmH7n3d4BHQB69Tk3H/?format=pdf&lang=pt
Nascimento, N. M., Progianti, J. M., Novoa, R. L., Oliveira, T. R., & Vargens, O. M. C. (2010). Tecnologias não invasivas de cuidado no parto realizadas por enfermeiras: a percepção de mulheres. Esc. Anna Nery, 14(3), 456-461.
Patah, L. E. M., & Malik, A. M. (2011) Modelos de assistência ao parto e taxa de cesárea em diferentes países. Revista de Saúde Pública, 45(15188787), 185–194. https://www.scielo.br/j/rsp/a/rMnhFmBRjDPQhkSV3HBgQYH/?format=pdf&lang=pt
Silveira, S. C., Camargo, B. V., & Crepaldi, M. A. (2010). Assistência ao parto na maternidade: representações sociais de mulheres assistidas e profissionais de saúde. Psicologia: Reflexão e Crítica, 23(1), 1-10. https://www.scielo.br/j/prc/a/MDwjZz9qf3P5KyWKNPbVDsC/?format=pdf&lang=pt
Trapani, A., Faust, L. W., & Trapani, T. F. (2018). Cesárea: indicações. SP, Federação Brasileira das Associações de Ginecologia e Obstetrícia (FEBRASGO) (Protocolo FEBRASGO-Obstetrícia, No 106/Comissão Nacional Especializada em Assistência ao Abortamento, Parto e Puerpério). https://amb.org.br/files/_BibliotecaAntiga/cesariana-indicacoes.pdf
Vasconcelos, I. J., Falcão, A. B., Lima, S. E. A., Granjeiro, F. M., Carvalho, N. R., & Araújo, V. R. (2023). Efeitos da acupuntura no trabalho de parto. Revista Eletrônica Acervo Saúde, 23 (4), 1-10. https://acervomais.com.br/index.php/saude/article/view/12354/7402
Yildirim, E., Alan, S., & Gokyildiz, S. (2018). The effect of ice pressure applied on large intestinal 4 on the labor pain and labor process. Complementary Therapies in Clinical Practice, 32, 25-31. https://doi.org/10.1016/j.ctcp.2018.02.015
Yuksel, H., Cayir, Y., Kosan, Z., & Tastan, K. (2017). Effectiveness of breathing exercises during the second stage of labor on labor pain and duration: a randomized controlled trial. Journal of Integrative Medicine, 15, 456-461. https://doi.org/10.1016/S2095-4964(17)60368-6
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