Non-pharmacological therapies applied in pregnancy and labor: an integrative review

Rev Esc Enferm USP. 2021 Apr 16:55:e03681. doi: 10.1590/S1980-220X2019019703681. eCollection 2021.
[Article in English, Portuguese]

Abstract

Objective: To identify non-pharmacological therapies applied during pregnancy and labor.

Method: Integrative review conducted in the databases: PubMed, ScieLO and PEDro, searching for articles from 2008 in English, Spanish and Portuguese. The descriptors used were: pregnancy, childbirth, physiotherapy, alternative and complementary medicine, alternative therapy, non-pharmacological therapy, biomechanical therapy.

Results: Forty-one articles were analyzed and subdivided into ten categories of nonpharmacological therapies: massage, perineal massage, hot bath, supportive care, childbirth preparation group, breathing techniques, pelvic floor exercises, transcutaneous electrostimulation, Swiss ball and spontaneous pushing. Six articles (60%) showed a positive outcome for reduction of pain in labor and all of them had a positive outcome for different variables of labor, such as reduction of time, anxiety and pelvic floor laceration rates.

Conclusion: The use of non-pharmacological therapies was efficient to reduce the effects of labor and childbirth, such as pain, duration of labor, anxiety, laceration and episiotomy.

Publication types

  • Review

MeSH terms

  • Delivery, Obstetric
  • Episiotomy
  • Female
  • Humans
  • Labor Pain* / therapy
  • Labor, Obstetric*
  • Lacerations
  • Massage
  • Perineum
  • Pregnancy