The application of non-pharmacological techniques for pain relief in labor

Authors

DOI:

https://doi.org/10.29352/mill0220e.41252

Keywords:

abor; pain; non-pharmacological techniques; parturients; obstetric nurse

Abstract

Introduction: Non-pharmacological pain relief techniques during labor are a valuable tool managed either by the woman/couple or by the Specialist Nurse in Maternal and Obstetric Health (EHESM) or the professional assisting the birth, with their implementation and effectiveness being influenced by a multitude of factors.

Objective: To determine which sociodemographic, professional, and training context variables interfere with the application of non-pharmacological techniques in labor and delivery by EHESM.

Methods: Analytical, descriptive-correlational, cross-sectional study with a non-probabilistic, convenience sample (N=204 nurses). A data collection instrument was applied to characterize the sociodemographic dimensions, and a scale validated in this research, with an overall alpha of 0.906, to assess the use of various non-pharmacological techniques for pain relief during labor by EHESM.

Results: In 84.3% of the sample, the delivery room where they work provides the parturient with non-pharmacological pain relief techniques; in 59.3% they are made available to the parturient from admission to the delivery room and in 31.9% from the start of labor, the most obvious being: Pilates ball (66.7%), hydrotherapy (53.9%), massage (43.1%), free walking (34.3%), music therapy (29.9%), breathing techniques (21.6%), thermotherapy (11.8%), freedom of movement (11.8%) and rebozo (10.3%). Female nurses in the 36-44 age group apply sensory, mechanical, emotional, and dynamic non-pharmacological techniques the most.

Conclusion: Obstetric nurses have a privileged role to play in monitoring labor, and it is up to them to inform pregnant women/parturients about non-pharmacological pain relief techniques and to apply them during labor, thus making childbirth more humanized and a more rewarding experience.

 

Downloads

Download data is not yet available.

References

Adams, J., Frawley, J., Steel, A., Broom, A., & Sibbritt, D. (2015). Use of pharmacological and non-pharmacological labour pain management techniques and their relationship to maternal and infant birth outcomes: Examination of a nationally representative sample of 1835 pregnant women. Midwifery, 31(4), 458–463. https://doi.org/10.1016/j.midw.2014.12.012

Cahyaningtyas, K. N., & Sulastri, S. (2024). Effectiveness of massage therapy intervention for labour pain management during normal delivery: A literature review. Malahayati International Journal of Nursing and Health Science, 7 (7), 807–817. https://doi.org/10.33024/minh.v7i7.429

Czech, I., Fuchs, P., Fuchs, A., Lorek, M., Tobolska-Lorek, D., Drosdzol-Cop, A., & Sikora, J. (2018). Pharmacological and non-pharmacological methods of labour pain relief—Establishment of effectiveness and comparison. International Journal of Environmental Research and Public Health, 15(12), 2792. https://doi.org/10.3390/ijerph15122792

Heim, M. A., & Makuch, M. Y. (2023). Breathing techniques during labor: A multinational narrative review of efficacy. Journal of Perinatal Education, 32(1), 23–34. https://doi.org/10.1891/JPE-2021-0029

Hildingsson, I., Karlström, A., Rubertsson, C., & Larsson, B. (2021). Quality of intrapartum care assessed by women participating in a midwifery model of continuity of care. European Journal of Midwifery, 5, 11. https://doi.org/10.18332/ejm/134502

Koyucu, R., & Karaca, P. P. (2022). Effects of low back pain during the first stage of labor on maternal birth satisfaction: A cross-sectional study. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 13(2). https://doi.org/10.31067/acusaglik.1016943. https://dergipark.org.tr/en/download/article-file/2055209

Michaels, P. A. (2018). Pain and Suffering in Labour and Birth (pp. 69–92). Palgrave Macmillan, Singapore. https://doi.org/10.1007/978-981-13-0143-8_4

Ordem dos Enfermeiros. (2020). Anuário Estatístico de 2019. Ordem dos Enfermeiros. https://www.ordemenfermeiros.pt/arquivo/estatistica/2019_AnuarioEstatisticos.pdf

Pedrosa, J. F. (2020). Medidas não farmacológicas utilizadas no alívio da dor da mulher em trabalho de parto: a intervenção do EEESMO [Dissertação de Mestrado não publicada, Instituto Politécnico de Santarém].

Pietrzak, J., Mędrzycka-Dąbrowska, W., Tomaszek, L., & Grzybowska, M. E. (2022). A cross-sectional survey of labor pain control and women’s satisfaction. International Journal of Environmental Research and Public Health, 19(3), 1741. https://doi.org/10.3390/ijerph19031741

Thomson, G., Feeley, C., Moran, V. H., Downe, S., & Oladapo, O. T. (2019). Women’s experiences of pharmacological and non-pharmacological pain relief methods for labour and childbirth: A qualitative systematic review. Reproductive Health, 16(1). https://doi.org/10.1186/s12978-019-0735-4

Tibola, C., Rivero, M. M., Pacheco, A. F., Marcelo, I. de O., Correa, S. L. P., Canova, J. M., Morais, R. C. S., Minuzzi, P. de V., Vargas-Ferreira, F., & Ferreira, F. V. (2021). Non-pharmacological methods for pain relief during labor: Experience report and an integrative review. Research, Society and Development, 10(7), e18310716446. https://doi.org/10.33448/rsd-v10i7.16446

Whitburn, L. Y., Jones, L. E., Davey, M.-A., & Small, R. (2017). The meaning of labour pain: How the social environment and other contextual factors shape women’s experiences. BMC Pregnancy and Childbirth, 17(1), 157. https://doi.org/10.1186/s12884-017-1343-3

World Health Organization. (2018). Recommendations: Intrapartum care for a positive childbirth experience. World Health Organization. https://www.ncbi.nlm.nih.gov/books/NBK513809/pdf/Bookshelf_NBK513809.pdf

Published

2025-10-10

How to Cite

Loureiro, M., & Nelas, P. (2025). The application of non-pharmacological techniques for pain relief in labor . Millenium - Journal of Education, Technologies, and Health, 2(20e), e41252. https://doi.org/10.29352/mill0220e.41252

Issue

Section

Life and Healthcare Sciences