Uso de práticas integrativas e complementares em saúde pela enfermagem no trabalho de parto e parto: uma revisão de escopo

Abstract

Introduction: Labor involves complex sensations, from physiological, cultural and emotional aspects. Therefore, humanized practices that aim to offer protagonism and well-being to the parturient and the newborn are necessary. Integrative and Complementary Health Practices stand out as a strategy for holistic and humanized care, and their use and benefits can be made viable by Nursing. Objective: To map the evidence of the use of Integrative and Complementary Health Practices by Nursing in labor. Methods: Scoping review based on the PRISMA-ScR guide and the Joanna Briggs Institute method. Data collection ranged from January to April 2025, in seven databases. Results and discussion: 12 studies were included to compose the final sample of the review, 58.3% of which originated in Brazil. The main Integrative and Complementary Health Practices used in labor by Nursing were massage therapy, music therapy, aromatherapy, practices originating from Traditional Chinese Medicine and flower essences. The effects of Integrative and Complementary Health Practices on parturients included relieving pain levels, promoting protagonism, relaxation, tranquility and reducing anxiety, stress, fear, and the duration of labor. Nursing is relevant in the application of Integrative and Complementary Health Practices, enabling a positive labor experience, but it is still a professional category that suffers considerable devaluation. Conclusion: The use of Integrative and Complementary Health Practices by Nursing during labor seeks to promote a satisfactory experience, offering benefits to parturients and newborns, in addition to contributing to the reduction of the incidence of inadequate interventions, obstetric violence, and the high rates of medicalization. In this scenario, training and continuing education of the team become necessary, as well as the self-valuation of the care provided by Nursing.