Nonpharmacological Methods to Reduce Pain During Active Labor in A Real-life Setting

Abstract

Objective To evaluate the association between pain intensity in the active phase of the first stage of labor with the use or not of nonpharmacological methods for pain relief in a real-life scenario. Methods This was an observational cross-sectional study. The variables analyzed were obtained by a questionnaire with the mothers (up to 48 hours postpartum) to investigate the intensity of pain during labor using the visual analog scale (VAS). The nonpharmacological pain relief methods routinely used in obstetric practice were evaluated by consulting medical records. The patients were separated into two groups: Group I – patients who did not use nonpharmacological methods for pain relief and Group II –patients who used these methods. Results A total of 439 women who underwent vaginal delivery were included; 386 (87.9%) used at least 1 nonpharmacological method and 53 (12.1%) did not. The women who did not use nonpharmacological methods had significantly lower gestational age (37.2 versus 39.6 weeks, p < 0.001) and shorter duration of labor (24 versus 114 min, p < 0.001) than those who used the methods. There was no statistically significant difference in the pain scale score using the VAS between the group that used nonpharmacological methods and the group that did not (median 10 [minimum 2–maximum 10] versus 10 [minimum 6–maximum 10] p = 0.334). Conclusion In a real-life setting, there was no difference in labor pain intensity between the patients who used nonpharmacological methods and those who did not use them during the active phase of labor.

Effectiveness of antenatal yoga in reducing intensity of labour pain: A systematic review and meta-analysis

“…At times, it may also lead to incidences of instrumental delivery, fetal distress, caesarean section, urinary incontinence, motor nerve blockade, hypotension and fever [3] . Available evidences have documented that the non-pharmacological interventions such as, breathing exercises, relaxation techniques and massage reduce labour pain intensity during the active phase of labour [5] . Similarly, other non-pharmacological interventions such as essential oils, acupressure, music therapy, aromatherapy, perineal massage [6] and yoga are commonly used to manage labour pain as well [7] , [8] , [9] .…”

Commentary on “Nonpharmacological Methods to Reduce Pain During Active Labor in a Real-life Setting”

“…We have read with interest the article by Silva et al 1 The study concluded that in a real-life setting there was no difference in the intensity of labor pain between patients who used nonpharmacological methods during the active phase of labor and those who did not. We appreciate the efforts of the research team, as their study undoubtedly contributes to enhance knowledge about labor and childbirth care.…”