“…It is noteworthy that the use of this measure, in addition to being effective in reducing pain, has proven effective for relaxation, as well as being responsible for reducing anxiety in women, mainly due to their free choice of position and active participation in the birth process. 24,29,36 Thus, the use of non-pharmacological measures such as thermal therapy, massage, and the use of the Swiss ball bring excellent results for pain relief in pregnant women in labor, as stated by Mascarenha et al, 7 Araújo et al, 35 and Santos et al 36 The use of thermal therapy was combined with the Swiss ball and although there were no differences in pain perception between the two when applied separately, it was possible to observe a significant reduction in pain and stress felt by pregnant women since they acted synergistically. 23,29 Acupressure is another non-pharmacological measure capable of maintaining balance during labor, reducing pain, improving the labor process and the quality of care for the parturient, as stated by França et al, 37 and capable of increasing uterine contractions.…”