Massage for Pain Relief During the Active Phase of Labor

• Evaluate the effectiveness of massage therapy pain relief during labor. [ Time Frame: 30 minutes ] [ Designated as safety issue: Yes ]
  To assess the efficacy of massage therapy as a resource for pain relief during the active phase of labor.
  
  

• The massage therapy postpones the use pharmacological pain relief. [ Time Frame: 10 hours ] [ Designated as safety issue: Yes ]
  Consider whether massage therapy during the active phase of labor postpones the request of analgesia use for pain relief for pregnant women.
  
  
• Compare the evolution of labor and obstetric outcomes [ Time Frame: 10 hours ] [ Designated as safety issue: Yes ]
  Observe and compare the evolution of labor and obstetric outcomes in intervention and control groups
  
  
• Satisfaction of mothers with the presence of a professional side during the study period. [ Time Frame: 30 minutes ] [ Designated as safety issue: Yes ]
  Assess the degree of satisfaction of mothers of intervention and control groups, the presence of a professional side during the study period.
  
  

The pain in labor appears as a subjective experience, individual interaction involving a broad physiological, psychosocial and environmental influences, representing one of the main clinical signs of this phase. Despite presenting an important biological function, is today well established the need for their relief, since its persistence is associated with harmful effects on mother and fetus. Among the available non-pharmacological resources, we highlight the massage therapy that has shown positive effects in relieving pain and promoting the comfort of the mother. The objective of this research is to evaluate the effect of massage therapy as a resource for pain relief during the active phase of labor. The research will be of type randomized controlled trial, consisting of low-risk nulliparous pregnant women admitted to the Referral Center for Women's Health in Ribeirão Preto. The mothers will be distributed in two groups (lumbosacral massage) and control (routine maternity) and will be assessed before and after therapy, which corresponds to 30 minutes between 4-5 cm of cervical dilation. The evaluation will be performed by numerical category scale, Diagram Location of Pain and Pain Questionnaire McGll (reduced form). After delivery will apply a customer satisfaction questionnaire. After collecting the data, the groups are statistically analyzed using the linear regression model with mixed effects (fixed and random), taking into account a value of p <0.05 to obtain the statistical significance of 5%.