Efeito do banho de chuveiro no alívio da dor em parturientes na fase ativa do trabalho de parto

Abstract

BACKGROUND AND OBJECTIVES: Labor pain is not only influenced by individual parturients characteristics, but also by their psychological experiences and cultural, ethnic, social and environmental factors. This study aimed at evaluating the effect of shower bath on pain relief during active labor stage. METHOD: This is a controlled clinical trial of therapeutic intervention type, with 34 parturients admitted to pre-delivery for parturition process assistance, who received shower bath therapy for 30 minutes. Pain was measured by the visual analog scale (VAS). RESULTS: VAS has shown 80 mm before and 55 mm after therapy with pain relief of patients in active labor with cervix dilatation of 4-5 cm. CONCLUSION: There has been significant pain intensity decrease by VAS during active labor stage, after shower bath therapy.

Use of the shower aspersion combined with the swiss ball as a method of pain relief in the active labor stage

“…Pain intensity was assessed before and after applying the therapy. The study concluded that the shower had a positive and significant result, reducing the level of pain from 80mm pre-therapy to 55mm post-shower intervention 8 .…”

“…For the elaboration of this category, 6 articles were selected [8][9][10][11][12][13] . The pain and anxiety experienced by the parturient during childbirth can cause effects considered harmful, as the secretion of catecholamines and cortisol 8 .…”

“…For the elaboration of this category, 6 articles were selected [8][9][10][11][12][13] . The pain and anxiety experienced by the parturient during childbirth can cause effects considered harmful, as the secretion of catecholamines and cortisol 8 . Such hormones are released to respond to the stress, leading to the activation of two neurohumoral systems, the hypothalamic-pituitary-adrenal axis responsible for the release of cortisol, and the sympathoadrenal medullary system responsible for the release of catecholamines 9 .…”

“…Such hormones are released to respond to the stress, leading to the activation of two neurohumoral systems, the hypothalamic-pituitary-adrenal axis responsible for the release of cortisol, and the sympathoadrenal medullary system responsible for the release of catecholamines 9 . The epinephrine and norepinephrine catecholamines raise during labor without analgesia, causing an increase of the cardiac output and the peripheral vascular resistance, also raising the blood pressure, in addition to the reduction of the uterine blood flow, compromising, in turn, the fetal perfusion 8 . The hydrotherapy, whether in the form of immersion or shower, is widely used around the world to promote comfort, to reduce anxiety and consequently the pain in childbirth.…”

Análise do nascimento Bororo: aspectos culturais da dor de parto

“…Muito já se avançou na compreensão dos aspectos relativos à fisiologia da dor e dos métodos farmacológicos para minimizar os desconfortos que são causados, contudo, a experiência dolorosa não se resume à influência de aspectos anatomofisiológicos ou características individuais das pessoas, uma vez que personalidade, ambiente, cultura, gênero, fatores sociais e psicológicos afetam diretamente a percepção dolorosa e a resposta correspondente a mesma [1][2] . A dor é muito mais do que um simples fenômeno neurológico reflexo que denuncia alguma lesão orgânica como acredita a biomedicina.…”