DISCUSSION
Happiness was also present during the moment the women heard about the induction of their labor, although Agate characterizes her moment as a change in her feelings, which went from happiness to suffering. This transition happened due to the induction process itself, leading her to characterize the occasion worthy of suffering and no longer happiness, prompting feelings of guilt and regret.
Due to their social model of maternity, happiness and satisfaction are usually part of what mothers feel during the expectation of finally delivering their babies. However, there could be changes in the feelings of these women, especially in high-risk parturients, giving place to insecurities, fears and anxiety in front of the unknown, the risk diagnosis, which makes them suffer, particularly because of the possible impact on their child's health(6). Given that, the health assistance during this moment must target the embracement of the woman from the beginning of the pregnancy until its end, directing the health professional's attention toward the comprehensive wellbeing of both mother and child.
The practice of inducing birth is necessary when there is a risk to continuing the pregnancy, focusing on life and on the wellbeing of the mother-baby dyad. Prior to that, the woman, her companion and her family members must be given detailed information about the labor induction process, such as its indications and potential associated risks. The agreement to undergo the procedure must be registered in the woman's medical record(1).
Crystal's expectations were crushed by the pain and suffering associated with the moment of induction. When assisting the parturient, the healthcare professional should suggest activities that will help reduce the woman's anxiety, inform her of the labor progress and question her about the experience, aiming to better comprehend her feelings(7). Information is an indispensable tool for all professionals, especially for nurses. Fear was also present when the women heard about their labors being induced. When analyzing previous literature, it can be found that fear is associated with the daily lives of women who undergo high-risk pregnancies, being present from the prenatal period until the puerperium(8-10).
Fear is a particular feeling for these women, as it relates to the anticipation of childbirth. It takes away their peace and tranquillity, since they now have to deal with the uncertainty and unpredictability of what is going to happen to them and to their babies(8).
During this woman's period of vulnerability, the moment of labor and childbirth causes fear due to the risk of feeling pain and suffering. Given that, the pregnant woman must be reassured, having her complaints, fears and expectations heard(11).
Dissatisfaction and sadness permeated some women's moments, especially regarding the way labor was initiated, as in Topaz's case. The possibility of going through an induced labor shatters the dream and the idealization of having a natural delivery, without complications, since the mother's clinical and physical conditions are not fit for a more natural, physiological labor.
In Diamond's speech, it can be noticed that she is not receptive to the idea of an induced labor, saying she would rather have an immediate cesarean section.
The high number of cesarean sections in Brazil does not appear to be linked directly with changes in the obstetric risk, but to cultural and socioeconomic factors. A woman's choice to have a cesarean section may be caused by healthcare professionals' influence during the prenatal period and by believing that the quality of obstetric care is bly associated with technology(11). Therefore, the pregnant woman and her partner should first be informed and enlightened about the chosen method and its benefits before agreeing to it.
The second category approached thoughts about labor induction methods. In this study's case the pharmacological methods were addressed.
The vast majority of the research interviewees mentioned in their comments the way in which the labor induction drugs were administered.
It can be noticed in Pearl's and Sapphire's statements that the healthcare professionals did not adequately explain that the medication would only be used to start labor pains. That alone contributes to the development of feelings such as fear, as fear generates pain and pain increases fear.
It is known that nurses are responsible for administrating drugs, especially oxytocin. However, for administrating Misoprostol, a nurse must also be qualified in Obstetric Nursing, so that he/she is capable of dealing properly with potential adverse events(12).
However, regardless of the professional who administers the drug, doctor or nurse, he/she must be clearly informed of the effect that this may, in fact, have on the woman during labor induction.
The moments were characterized by feelings of disappointment and frustration. Disappointment may arise in the face