scholarly journals Percepção de mulheres relacionada aos métodos não farmacológicos para alívio da dor no trabalho de parto

Author(s):  
Ester Conceição Costa ◽  
Fagner Rodrigues dos Santos Sant'ana ◽  
Ingrid Ferreira de Brito

Este artigo tem como objetivo descrever, a partir da literatura, a concepção das mulheres referentes a utilização dos Métodos Não Farmacológicos para alivio da dor no trabalho de parto. Trata-se de uma revisão integrativa da literatura realizada a partir da Biblioteca Virtual em Saúde, utilizando as bases de dados, LILACS e BDENF, sendo selecionados 13 artigos para a análise dos dados.  De acordo com os resultados, as mulheres relataram que a maioria das medidas não farmacológicas não reduziu significativamente a dor, porém permitiu que trouxesse uma redução dos sentimentos de medo e ansiedade gerados pelo momento. Os estudos mostraram ainda que os profissionais que estiveram envolvidos na assistência humanizada foram lembrados de maneira positiva pelas mulheres. No entanto, acredita-se que ainda há necessidade de investimentos com vistas a atender as exigências das práticas humanizadas de parto, uma vez que muitos hospitais-maternidades ainda não dispõem destas medidas na assistência.Descritores: Trabalho de Parto, Dor do Parto. AbstractPerception of women related to non-pharmacological methods for pain relief in laborThis paper aims to describe, from the literature, the conception of women regarding the use of Non - Pharmacological Methods for pain relief in labor. It is a review of the integrative literature, based on the Virtual Health Library, using the, LILACS and BDENF databases, and 13 articles were selected for data analysis. According to the results, women reported that most non-pharmacological measures did not significantly reduce pain, but allowed it to bring about a reduction in the feelings of fear and anxiety generated by the moment. The studies also showed that the professionals who were involved in humanized care were positively reminded by the women. However, it is believed that there is still a need for investment to meet the requirements of humanized childbirth practices, as many maternity hospitals do not yet have these measures in care.Descriptors: Labor, Labor Pain. ResumenLas percepciones de las mujeres relacionadas con los métodos para aliviar el dolor no farmacológica en la sala de partosEste artículo tiene como objetivo describir, a partir de la literatura, la concepción de la mujer sobre el uso de métodos para el alivio del dolor no farmacológica en el trabajo. Se trata de una revisión integradora de la literatura realizada por la Biblioteca Virtual en Salud, utilizando bases de datos, LILACS y BDENF, se seleccionaron 13 artículos para analizar. Según los resultados, las mujeres informaron que la mayoría de las medidas no farmacológicas no redujo significativamente el dolor, pero les permite traer una reducción de los sentimientos de miedo y ansiedad generados por el tiempo. Los estudios también demostraron que los profesionales que participaron en la asistencia humana fueron recordados de una manera positiva por las mujeres. Sin embargo, se cree que todavía hay necesidad de inversión con el fin de cumplir los requisitos de las prácticas humanizadas de mano de obra, ya que muchos hospitales de maternidad todavía no tienen este tipo de medidas en materia de asistencia.Descriptores: Trabajo de Parto, Dolor del Parto.

Author(s):  
I. Kuchyn ◽  
D. Govsieiev ◽  
K. Bielka ◽  
A. Romanenko

The problem of a labor pain is becoming very important for health care because insufficient analgesia for women during childbirth affects the quality of medical care. The complexity of the use in the system and approaches to providing care to citizens in Ukraine, and at the local level –  the interaction of the obstetrician with the women, anaesthetist and also the technical capabilities of public maternity hospitals [1]. For the last decade, epidural analgesia has been the «golden» method in labor analgesia. We searched numerous meta-analyzes about pain management during labor and delivery in the United States, they prefer epidural analgesia in 80-90% of women, while in the UK - 36% [2, 3]. Statistics from around the world indicate a relationship between pain relief and income levels, so in high-income countries, (HICs) women are more likely to be anesthetized during childbirth than in South Africa or Asia [4]. Although childbirth is a physiological and natural process, it needs pain relief. Nowadays a woman’s desire is a sufficient indication for labor analgesia, and this is her right [5]. The problem is to choose a pharmacological and / or non-pharmacological method of analgesia for a particular woman, which will be best for the parturient. It should be noted that there is a separate group of women who choose to give birth at home to reduce the «aggression» of medical staff against women and her child, but they have a higher incidence of complications and increased mortality [6]. «Homebirth» in maternity hospitals helps to solve this problem. A comprehensive questionnaire was created among seven state maternity hospitals in Kyiv to identify the current situation with the provision of maternity care and to analyze the main issues of labor analgesia in Kyiv.


Author(s):  
Bruna Lemos Silva ◽  
Débora Talitha Neri ◽  
Elisângela Da Silva Ferreira ◽  
Joana Angélica Azevedo de Oliveira ◽  
Luana Rocha Pereira

A pesquisa analisou a percepção das mulheres acerca da utilização dos métodos não farmacológicos para alívio da dor na fase ativa do trabalho de parto. Pesquisa descritiva, de caráter qualitativo, na qual a coleta de dados ocorreu em um Hospital Regional de Belém/PA, com 11 mulheres, durante o puerpério, por meio de questionários. Nos resultados, quatro eixos emergiram: “Caracterização das participantes da pesquisa”, “Conhecimento das mulheres sobre a existência e utilização dos métodos não farmacológicos para alivio da dor durante trabalho de parto”, “A utilização e a eficácia dos métodos não farmacológicos durante o trabalho de parto”, “O benefício dos métodos não farmacológicos e a intensidade da dor antes e após seu uso”. Evidenciou-se que a utilização destes métodos proporcionou sensação de bem-estar, transformando o momento do parto em uma experiência vivida positivamente, constatada pela redução do score da dor na Escala Analógica Visual referida pelas mulheres.Descritores: Terapias Complementares, Manejo da Dor, Trabalho de parto. Non-pharmacological methods for labor: women perceptionAbstract: The research analyzed the perception of women about the use of non-pharmacological methods for pain relief in the active phase of labor. A qualitative descriptive study, in which the data collection took place in a Regional Hospital of Belém/PA, with 11 women, during the puerperium, through questionnaires. In the results, four axes emerged: “Characterization of the participants of the research”, “Knowledge of women about the existence and use of non-pharmacological methods for pain relief during labor”, “The use and efficacy of non-pharmacological methods during labor”, “The benefit of non-pharmacological methods and the intensity of pain before and after use”. It was evidenced that the use of these methods provided a sensation of well-being, transforming the moment of delivery into a lived experience positively, evidenced by the reduction of pain score in the Visual Analogue Scale mentioned by the women.Descriptors: Complementary Therapies, Pain Management, Labor. Métodos no farmacológicos durante el parto: percepción de las mujeresResumen: Se analizó la percepción de las mujeres sobre la utilización de los métodos no farmacológicos para el alivio del dolor en el parto. Una investigación cualitativa descriptiva en la que se realizó la recolección de datos en un Hospital Regional de Belém/PA, con 11 mujeres, durante el puerperio, por medio de cuestionarios. En los resultados, cuatro ejes surgieron: “Caracterización de las participantes de la investigación”, “Conocimiento de las mujeres sobre la existencia y utilización de los métodos no farmacológicos para aliviar el dolor del parto”, “uso y eficacia de métodos no farmacológicos durante el trabajo de parto”, “El beneficio de los métodos no farmacológicos y la intensidad del dolor antes y después de su uso”. Se evidenció que la utilización de estos métodos proporcionó sensación de bienestar, resultando en una experiencia vivida positivamente, reduciendo la puntuación del dolor en la Escala Analógica Visual referida por las mujeres.Descriptores: Terapias Complementarias, Manejo del Dolor, Trabajo de Parto.


1936 ◽  
Vol 32 (10) ◽  
pp. 1231-1232
Author(s):  
A. A. Shklyaev
Keyword(s):  

Back in 1935, we began to use methods of pain relief in childbirth, partly published in the central press, partly heard in reports.


2017 ◽  
Vol 26 (2) ◽  
Author(s):  
Marília Vieira Peleckis ◽  
Adriana Amorim Francisco ◽  
Sonia Maria Junqueira Vasconcellos de Oliveira

ABSTRACT Objective: identifying therapies for treating perineal pain after vaginal birth and to verify indication, technique and duration of local cooling. Method: an exploratory study (survey) conducted in 32 public maternity hospitals in the city of São Paulo (Brazil). A nurse or midwife who provided direct care to the woman was interviewed in each maternity ward. We investigated: institutional characterization, professional qualification, pain relief method, criterion for administration of therapies, indication, contraindication, method, local cooling technique and interval. A descriptive analysis was also carried out. Results: pharmacological and non-pharmacological methods were used for perineal pain relief, despite the use of non-pharmacological therapies not having protocols in these institutions. Among the pharmacological-based methods, analgesics and anti-inflammatories were the most common. Local cooling was the most used non-pharmacological method, and its main indication was perineal edema. Application time and local cooling interval ranged from 10-30 min and 3-8 h, respectively. Ice cubes in latex gloves were the main cooling technique. Conclusion: drug therapies predominated for control of perineal pain. Considering the advantages of non-pharmacological therapies, it is necessary to develop protocols to ensure their safe and effective use in maternity care.


2019 ◽  
Author(s):  
YuliaKurniasari

Language is a human interaction tool to facilitate humans to communicate with one another, language also has benefits that are very important for life as an introduction in the world of education. But what happens, the fact is that at the moment in carrying out group guidance conducted by some people, they have not been able to use good and correct grammar, but have already behaved politely when communicating with other interlocutors and some people still assume that when communicating only requires language simple or improvised. This study aims to teach that people need to apply true and wise communication, especially in the use of good and correct language systems when conducting group guidance. This study uses descriptive qualitative methods that refer to data collection, data analysis, interpretation of the data concerned with the situation. The results of this study indicate that in conducting group counseling they have not been able to apply good and correct language but have applied good manners. This research has various benefits, namely making people able to understand and realize that the importance of communication when guidance uses good and correct language so that it is easy to understand and easily accepted.


MUSAS ◽  
2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Josefina Goberna-Tricas ◽  
Ainoa Biurrun-Garrido

Introduction In Spain the use of epidurals for pain relief during childbirth is widespread. Currently, we can observe a progressive change in attitude towards a less interventionist care and the use of non-pharmacological methods to reduce pain, unless the woman has left instructions otherwise. Aims To explore the decision-making process concerning pain relief methods in childbirth in order to detect the elements of vulnerability that are present in said process and examine the demands directed towards healthcare professionals. Methodology This study has applied a qualitative methodology with a phenomenological theoretical-methodological approach. The technique used to obtain information was the semistructured individual interview. The study was carried out in Catalonia. The participants were 17 adult women with low-risk pregnancies. Results Three categories have been identified after the analysis: (a) Completion of the birth plan: an approach to the decision; (b) The rationale of the decision: resources and barriers; and (c) The approach to pain in childbirth: elements of vulnerability. Conclusions Women do not always make firm decisions when completing the birth plan; The decisions expressed may be statements of intent. At the time of delivery, the perceived pain can be experienced as a threat that makes them feel vulnerable. The role of midwives and other healthcare professionals is to help work out this sense of vulnerability.


2015 ◽  
Vol 7 (3) ◽  
pp. 39-50
Author(s):  
MONIKA PIATKOWSKA ◽  
SYLWIA GOCLOWSKA ◽  
JOLANTA ZYSKO

Background: Facing a growing diversity of needs, preferences and behaviors among sports events consumers, the segmentation of this market has become a key aspect in designing and implementing marketing programs. Therefore, the purpose of this paper is to create a 2012 UEFA Euro Championship consumer typology that adopts a segmentation method based on socio-demographic and behavioral variables. Material/Methods: Sample CAPI surveys were conducted among viewers of the 2012 UEFA European Championship (N = 1,000). Consumer profiles were analyzed by adopting basic criteria of marketing segmentation based on socio-economic, demographic and psychographic variables. Due to a hierarchical clustering, authors obtained five groups of consumers: heavy, moderate, light, very light and non-viewers. Results: The study proved that an individually prepared therapeutic program including postisometric relaxation and combination therapy improves ROM in all planes of hip joins in osteoarthritis. It was also stated that after 2 pain assessment tests (the VAS and Laitinen scales) the therapy was confirmed to be a successful method in pain relief. The researchers also noticed that systematically conducted therapy led to reducing the incidence of pain which is manifested by limitation of pharmacotherapy. Conclusions: Data analysis showed a relationship between consumer behaviors and the respondents’ gender, age, place of residence. A new typology of segments of Euro 2012 fans was created.


2021 ◽  
Vol 11 (33) ◽  
pp. 107-116
Author(s):  
Margarete Maria de Lima ◽  
Clara De Andrade Leal ◽  
Roberta Costa ◽  
Maria De Fatima Motta Zampieri ◽  
Ariane Thaise Frello Roque ◽  
...  

O estudo objetiva conhecer a percepção de mulheres participantes de um grupo de gestantes e casais grávidos sobre a gestação em tempos de Covid-19. Trata-se de um estudo qualitativo, exploratório-descritivo desenvolvida com 30 mulheres participantes de um Grupo de Gestantes e Casais Grávidos. A coleta de dados foi realizada entre março e junho de 2020 via formulário eletrônico. A análise de dados foi realizada qualitativamente com auxílio do software IramuteqⓇ. Os resultados mostraram que a vivência da gestação em tempos de pandemia fez emergir incertezas e inseguranças especialmente pelas dificuldades de acesso aos serviços de saúde e medidas impostas pelo isolamento social. O grupo de gestantes e casais grávidos como um espaço virtual e interdisciplinar é uma ferramenta que possibilitou troca de informações e experiências sobre a gestação, parto e puerpério, contribuindo para o enfrentar as incertezas do contexto da pandemia.Descritores: Gestantes, Educação em Saúde, Enfermagem, Coronavirus. Pregnancy in pandemic times: perception of womenAbstract: This study aims to understand the perception of women participating in a group of pregnant women and couples about experiencing pregnancy during the Covid-19 pandemic. This is a qualitative, exploratory-descriptive study developed with 30 women participating in a Group of Pregnant Women and Pregnant Couples. Data collection was carried out between March and June 2020 via electronic form. Data analysis was performed qualitatively with the aid of the IramuteqⓇ software. The results showed that the experience of pregnancy during the pandemic caused the emergence of uncertainties and insecurities, especially due to difficulties in accessing health services and because of measures imposed by social isolation. The group of pregnant women and pregnant couples as a virtual and interdisciplinary space is a tool that made it possible to exchange information and experiences on pregnancy, childbirth and the puerperium, contributing to face the uncertainties in the context of the pandemic.Descriptors: Pregnant Women, Health Education, Nursing, Coronavirus. El embarazo en tiempos de pandemia: percepción de las mujeresResumen: El estudio tiene como objetivo comprender la percepción de las mujeres que participan en un Grupo de Gestantes y Parejas Embarazadas sobre el embarazo en tiempos de Covid-19. Estudio cualitativo, exploratorio-descriptivo desarrollado con 30 mujeres participantes de un Grupo de Gestante y Parejas Embarazadas. La recolección de datos se realizó entre marzo y junio de 2020 a través de formulario electrónico. Los datos fueron analizados de forma cualitativa con el software IramuteqⓇ. Los resultados mostraron que la experiencia del embarazo en tiempos de pandemia lo hizo aparecer incertidumbre e inseguridad, especialmente por las dificultades para acceder a los servicios de salud y las medidas impuestas por el aislamiento social. El grupo de gestantes y parejas embarazadas como espacio virtual e interdisciplinario es una herramienta que posibilitó el intercambio de información y experiencias sobre el embarazo, el parto y el puerperio, contribuyendo a enfrentar las incertidumbres en el contexto de la pandemia.Descriptores: Mujeres Embarazadas, Educación en Salud, Enfermería, Coronavirus.


2020 ◽  
Vol 73 (7) ◽  
pp. 1339-1344
Author(s):  
Martyna Rozek ◽  
Zuzann Smiech ◽  
Marcin Kolacz ◽  
Dariusz Kosson

The aim: Women of reproductive age often think of motherhood and labor with fear of intense labor pain. The anxiety they experience can lead to their postponing pregnancy. There are not many studies in the literature that research the knowledge young women have about the analgesia of labor. The aim of the present work was to evaluate the state of awareness about the possible methods of labor analgesia among women of childbearing age. Material and methods: An Internet survey was conducted among 160 women. It consisted of questions on the pharmacological and non-pharmacological methods of labor analgesia. Most of the respondents were not medical university students (96.2%). Correct answers ranged between 11.3% and 97.5% of the total responses. Results: The greatest number of incorrect answers were given to the question regarding contraindications to labor anesthesia (only 11.3% of answers were correct). There was also a low percentage of correct answers to questions about the risk of spinal cord injury during the procedure of inducing anesthesia (18.8% of correct answers), the motor activity of a woman after analgesia (22.5%) and the reimbursement of anesthesia (29.4%). Nearly 40% of the respondents did not know the correct answer to the question about the possibility of breastfeeding after anesthesia. The problem of aalgesia during twin delivery also posed a challenge. Over half of the respondents (54.1%) incorrectly answered the question about the occurrence of complications among women who want to become pregnant again after the procedure of labor anesthesia. Moreover, 70.6% of the women surveyed considered non-pharmacological methods of labor anesthesia to be safer compared to pharmacological analgesia. The most commonly mentioned methods of non-pharmacological labor pain relief included breathing techniques and water birth. Conclusions: The study shows that women


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