Non-pharmacological Resources in Assisting Labor
Condition: Labour Pain
MeSH terms: Labor Pain
Study type: Interventional

Summary: 
      The proposed project will be conducted to evaluate the influence of application resources
      associated with non-pharmacological during labor for pain relief and accelerated phase of
      expansion. Although mothers' access to resources for non-pharmacological pain relief during
      labor is recommended, is not seen as the application of routine obstetric practice, although
      it has been demonstrated benefits and scientific evidence with your application. It is
      believed that the implementation of associated application of non-pharmacological resources
      in assisting the labor can be introduced into daily practice in various hospitals in the
      country, minimizing pain and favoring the shorter duration of labor, decrease in use of
      painkillers and inductors, resulting in a reduction of complications, improves the comfort of
      the mother making her birth experience more satisfying and rewarding, being assisted with
      security and trained by multidisciplinary teams.
    

Detailed description: 
      The current model of care delivery has demanded a technical-assistance approach that
      prioritizes the quality of care, as indissolubly concerns the employment of technology,
      knowledge, the centrality of dialogue between professionals and patients and individualized
      choice resources deemed suitable for safe delivery. Seeking to implement a less
      interventionist care with evidence-based practice and greater incentive to vaginal delivery,
      the programs were created humanization of labor and birth, with the use of various
      non-pharmacological resources. This study aimed to evaluate the effectiveness of the
      combination of non-pharmacological resources during the dilation in relieving the pain of the
      mothers. The research will be of type randomized controlled trial, consisting of low-risk
      primigravidae admitted at the Reference Center for Women's Health in Ribeirão Preto. The
      mothers will be distributed in two groups (intervention protocol features non-drug) and
      Control (routine maternity) and will be evaluated before and after application of each
      resource, and the control group in the same time according to cervical dilation. Evaluation
      will be conducted by a visual analog scale and / or facial pain and pain location diagram and
      postpartum will be applied a validated questionnaire Experience and Satisfaction with
      childbirth. After collecting the data, the groups are statistically analyzed using the linear
      regression model with mixed effects (fixed and random), taking into account a value of p
      <0.05 to obtain the statistical significance of 5%.
    

Intervention name(s): Non-pharmacological resources; Routine care
Intervention type(s): Other; Other
Intervention description(s): A sequence of non-pharmacological resources were applied to the patient by the researcher according to uterine cervical dilation, as follows:
Pelvic mobility on the exercise ball oriented and accompanied by the researcher for 40 minutes;
Lumbosacral massage for a period of 40 minutes, when dilation was between 5 and 6 cm. During the procedure, the woman in labor was allowed to freely choose the most comfortable position; and,
Warm shower with the water flow directed to the lower-back of the woman in labor, for 40 minutes, when uterine cervical dilation was equal to or higher than 7cm.; Routine care of the institution performed by the staff, without the presence of the researcher that included offering a balanced meal, continuous support with the presence of a partner or family throughout labor, use of oxytocin when prescribed by the staff, use of drug analgesia when requested by the patient.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Investigator)
Primary purpose: Supportive Care
Keywords: labor; pain; massage; natural birth