Non-invasive nursing technologies for pain relief during childbirth—The Brazilian nurse midwives' view

The contribution of nurse midwives to consolidating humanized childbirth in maternity hospitals in Rio de Janeiro-Brazil

“…These positions, considered beneficial for the descent of the fetus, favor the movements of rotation and flexion of the cephalic pole, respecting the physiology, as well as offering the parturient woman greater comfort and autonomy during childbirth. 18 In addition to this, it was verified that encouragement to walk around was present in 55.45% of the births in the two Hospitals/ Maternity Hospitals, reinforcing the idea of choosing the vertical position during the process.…”

“…2,3 As a result, the nurse midwife aggregated technical knowledge to humanized and quality care, respecting the ethical precepts and ensuring the woman's privacy and autonomy. 17,18 One evidence of the insertion of nurse midwives into the care for births in the hospital/maternity hospitals studied was the high percentage of births accompanied by these professionals (68.5% in hospital/maternity hospital A and 43.07% in hospital/ maternity hospital B). These data are not yet configured as as high as, for example, the high rate of attendances to normal births by the nurse midwives, in the Normal Birth Center (CPN) of the Sofia Feldman Hospital/Maternity Hospital, in the State of Minas Gerais.…”

“…In this context, in order to occupy and maintain themselves in the space, the nurse midwives carry out the noninvasive obstetric nursing care technologies (TNICE), which have as their distinctive characteristics the understanding of birth as a physiological process, alongside respect for its nature, and for the women's physical and psychic integrity. 18 The noninvasive care technologies form part of the humanized model and are widely used, both in reducing length of labor and in relieving pain. 18 Providing an opportunity for the parturient woman to use TNICE was configured as an important strategy in the humanization process of the two institutions analyzed.…”

“…18 The noninvasive care technologies form part of the humanized model and are widely used, both in reducing length of labor and in relieving pain. 18 Providing an opportunity for the parturient woman to use TNICE was configured as an important strategy in the humanization process of the two institutions analyzed. These TNICE allowed the parturient woman to choose the position which suited her best during labor and birth.…”

“…2,3 We perceive, therefore, that the implantation of care for births by nurse midwives is associated with changes in institutional practices and routines, given that it is characterized as an attitude in favor of the humanization of labor and birth. 18 Emphasis is placed here on the development and use of noninvasive technologies of obstetric nursing care. These are defined as a set of techniques, procedures and knowledges used by the nurse midwife during her relationship of professional care, which, due to her ecological conception, understands birth as a physiological process, respecting its nature, and the women's physical and psychic integrity.…”