“Parirás com dor”: assistência ao parto e manejo da dor à luz da humanização segundo uma revisão integrativa.

Abstract

Biblical writings portray the experience of pain in childbirth as a process of purging the sin. In Genesis it is designated for women "I will greatly multiply thy suffering in pregnancy, in the midst of agony, you will give birth to children.” In this sense, this study aims to identify forms of childbirth care and pain management in light of the humanization from an integrative review. The guiding question of this study was: how is childbirth care and pain management in the light of humanization according to some scientific journals? The method addressed was an integrative literature review. The research was carried out between the months of July 2021 to March 2022. relevance of the study because it is a type of research that will gather evidence about of childbirth care. At the end of this study, we reaffirm that when analyzing the articles included in this review, it was possible to identify that the pain of childbirth, historically, is seen as something almost intolerable to deal with, being compensated by the pleasure of having the child in the arms. Pain was seen from different perspectives and could be instigated by different singular elements, such as the family experience, the current socio-historical context, the culture in which the woman is inserted, the presence or absence of feelings as anxiety and fear, among others. It is also concluded that even though the pain is a result of of a complex and subjective interaction of multiple physiological and psychological factors subjective and adaptive aspects of the parturient, it is known that an approach humanized approach, aiming at pain relief, will change its response, in most cases, women. In this sense, it is relevant to transform the care model obstetrician as an example of health service management beyond the care technicist, use and encouragement of non-pharmacological pain relief care, psychological support, among others.