These labor interventions will only be humanized if the woman's opinion is taken into consideration - as she, the fetus and the family are the scene's true protagonists. Therefore, all information must be given and their frustration taken into account(11).
These women have negative feelings trapped inside them, characterizing the moment they gave birth to their child as a moment of loss; loss of their idealizations, dreams or expectations regarding their labor, as can be seen in Amethyst’s and Topaz’s statements.
Topaz says she prepared for natural birth, more physiological, with no interventions. Nowadays, women are much more conscious about their role and participation in labor(13).
One study indicates that having a traumatic experience during labor can bring adjustment disorders during puerperium as it influences the woman's emotional state(14).
Unfortunately, it was noted that not all the puerperae were warned about the possible outcomes and procedures that may occur during preterm labor. In the prenatal period, women must be informed about labor's possible outcomes and the procedures that might be involved.
Anxiety is also a feeling present amongst these women. When discerning anxiety, the fear of getting hurt or losing something or someone is found. This fear can either be real or imaginary, but the feeling is the same. Fear, like all feelings, has a purpose: alerting for danger and threat.
The mother's concern about the baby's health is present during all stages of labor, due to the possibility of losing the baby because of her health condition. Death can be inconceivable, as it is a moment of birth and not of such a terrible event(8).
Agatha's statement shows feelings such as anger, irritability, being harassed, molested, put aside. Anger contemplates a wide range of feelings, having in common the aspects of loss and sorrow. Any emotional injury creates a negative feeling, such as anger, which might be accompanied by other feelings, such as hate.
When unveiling Agatha's feelings, it can be noticed that her negative emotions are due to the procedures executed during labor induction. In the puerpera's conception, the procedures were done unnecessarily and not carefully by the healthcare professionals, making her feel, in some way, violated. This created a resentment of not wanting more children so she does not have to go through that again.
Regarding her fasting, which was maintained for 16 hours, a study(15) shows that ingesting liquids while in labor was seen by women both in a positive and in a negative way. Pregnant women who ate felt satisfied and eating did not cause any disturbances during labor, providing better physical conditions. Pregnant women who chose not to eat were scared to be sick and vomit during labor. It is necessary, therefore, to consider the individuality and freedom of choice of these women.
Pain was undoubtedly the feeling most mentioned by the women. It can be pointed out that pain during labor, especially during induced labor, is exacerbated by labor induction medications, such as sintectic oxytocin and Misoprostol, leading to higher discomfort and increasing the parturient's pain threshold.
When stating that labor pains are influenced by psychological aspects, it can be said that the participants of the study are deeply threatened, as pregnancy represents biological, psychological, psychical and social changes in a woman's life. When all of these aspects become associated with a risk - a high-risk pregnancy - it can contribute to the intensification of the woman's pain threshold during this period(9).
The pain of induced labor of a high-risk pregnancy has multiple interrelated causes, which end up culminating in physical pain. Often, this stage is described by women only in terms of physical pain, suffering and fear.
The healthcare professional, along with the environment, contributes to providing increased comfort and care to the woman while she is experiencing labor pains. Nowadays, many non-pharmacological methods are available for relieving the pain and discomfort for the woman. For instance, continuous support, breathing exercises, shower baths, massages and relaxation exercises have been used to relieve pain with some puerperae(16).
Despite being accompanied by her mother, Diamond stated feeling alone during this moment.
It is important to give the pregnant woman correct and detailed information, avoiding discrepancies and a lack of bonding between the woman and the professional. In order to fully take into account the human aspect of care, based also in integrality, it is crucial that pregnant women and healthcare professionals maintain a good relationship(17).
Continuous education is necessary for professionals who provide this assistance in order to enable a reflection of the woman's role as the protagonist of her own labor and to become aware of her rights as a citizen in order to support her autonomy(7).
In spite of the prevalence of feelings co