USE OF NON-PHARMACOLOGICAL METHODS FOR PAIN RELIEF IN LABOR WOMEN ASSISTED BY OBSTETRICES IN A MATERNITY IN THE COUTRYSIDE OF SÃO PAULO, BRAZIL (Atena Editora)

Abstract

Non-pharmacological methods are excellent humanized alternatives for pain management during labor. Concomitantly, it is necessary to insert midwives and nurse midwives in health services, since these professionals encourage the implementation of these techniques, in addition to encouraging humanization at birth. However, there is a low insertion of midwives in health services, which leads to theoretical and care gaps regarding the care provided by these professionals. This study aimed to verify the practice of performing (non) pharmacological methods for pain relief. Evaluate how non-pharmacological methods relate to the duration of labor, delivery position and lacerations; in addition to maternal and neonatal outcomes. This is a quantitative, descriptive cross-sectional study that analyzed 333 medical records of women who used non-pharmacological methods during labor conducted by midwives, from April 2017 to April 2020, in a maternity hospital in the countryside of São Paulo. Paulo, Brazil. Descriptive analyzes of (non)pharmacological pain relief methods, labor data, and maternal and neonatal outcomes were performed in Stata 14.2. As a result, it was found that the most used non-pharmacological method was change of position/verticalization (91.8%). It was found that 73.1% of women had rapid labor (< 4 hours), 45% adopted a semi-sitting position during delivery and 43.8% had no lacerations or only abrasions after delivery. As for maternal and neonatal outcomes, uterine contractility was observed after delivery (92.5%) and an Apgar score greater than seven in the 1st minute (89.2%) and in the 5th minute (97.3%) of life. It is concluded that the presence of midwives during the delivery process is an important factor that promotes humanized care, reducing unnecessary invasive procedures and increasing women's autonomy.