Non-pharmacological techniques to reduce pain and anxiety among parturients undergoing vaginal delivery: a systematic review

• Autor(a) principal: Nascimento, José William Araújo do
• Data de Publicação: 2022
• Outros Autores: Vasconcelos, Mariana Rodrigues Buarque de, Oliveira, Julyana da Silva de, Santana, Jéssica Lucas de, Silva, Jaqueline Maria da, Santos, Joana Gabriela Farias Lourenço dos, Silva Neto, Gerson Waltrudes da, Miranda, Igor Henrique Mendes Ribeiro de
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Research, Society and Development
• Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/27921
• topic: Anxiety; Natural childbirth; Complementary therapies.; Ansiedad; Parto normal; Terapias complementarias.; Ansiedade; Parto normal; Terapias complementares.

Objective: To analyze the main non-pharmacological techniques to reduce anxiety among parturients undergoing vaginal delivery. Methodology: This is a systematic review carried out using the PRISMA method, in the electronic databases PubMed, Scopus and Web of Science, using the following descriptors: “pregnancy”, “parturition”, “natural childbirth”, “anxiety”, “therapeutics” and “complementary therapies”. Full articles, available in Portuguese, English or Spanish, published between January 2016 and December 2021 and providing a detailed description of interventions to reduce anxiety in women undergoing vaginal delivery were included. Results: 11 articles made up the final sample of this study, with the highest frequency of publication in 2016 (n: 04) and greater production from Iran (n: 04) and Brazil (n: 03). All studies used the methodology of a randomized controlled clinical trial, characterizing the studies as presenting a strong level of evidence (II). The most used non-pharmacological techniques to reduce anxiety were: aromatherapy (n: 04), hydrotherapy with hot shower and perineal exercises with a ball (n: 02), music therapy (n: 02), breathing techniques (n: 02) and massage (n: 01). The periods of these interventions ranged from 10 minutes to 2 hours, most often lasting 30 minutes. Conclusion: Six non-pharmacological techniques were found to reduce anxiety in parturients undergoing vaginal delivery, with different effect sizes, especially aromatherapy and music therapy.