**Author details**

*Pain Management - Practices, Novel Therapies and Bioactives*

The studies revealed that transcutaneous electrical nerve stimulation, immersion bath, acupuncture and acupressure, touch, massage, continuous support, hydrotherapy, and music therapy are effective methods for pain relief during labor. Besides this, they reduce pain perception, levels of anxiety, and stress and indicated laboring mothers who used these methods did not report the need for pharmaco-

Although these methods are cost-effective and non-invasive, there are barriers that impediment to using the techniques as per needed. Perceived barriers can be broken up into three categories: barriers related to the patient, the clinicians, and the health-care system as a whole. To be successful in the use of non-pharmacological pain relief in labor, obstetric caregivers must have to develop positive attitude toward non-pharmacological labor analgesia and women need to be aware of

All future randomized trials must be adequately powered in evaluation of complementary and alternative techniques for pain management in labor as they are needed for improving the quality and reporting of future trials. In particular, consideration should be given to the analysis and reporting of the person providing the intervention, for example, their training, length of experience, and relationship

Finally, the findings of this chapter point to the need of clinical research particularly in midwifery care focusing on the use of these and other nonpharmacological strategies for pain relief during labor, aiming to humanize care

EA acupuncture with a combination of both manual and electrical

The authors report no conflicts of interest in this work.

stimulation

T10–T11 thoracic nerve fibers 10 to 11

S2–S4 sacral nerve fibers 2 to 4

VAS visual analog scale

SE standard care

MA acupuncture with manual stimulation

TENS transcutaneous electrical nerve stimulation

**4. Conclusion**

logical methods.

to the woman.

for women during labor.

**Conflict of interest**

**Abbreviations**

different alternatives available to them.

**132**

Teketel Ermias Geltore1 \* and Abiy Tadesse Angelo2

1 Midwifery Department, School of Nursing and Midwifery, College of Health Sciences and Medicine, Wachemo University – Durame Campus, Durame, Ethiopia

2 Nursing Department, School of Nursing and Midwifery, College of Health Sciences and Medicine, Mizan Tepi University, Mizan Aman, Ethiopia

\*Address all correspondence to: teketelermias@gmail.com

© 2020 The Author(s). Licensee IntechOpen. This chapter is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/ by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
