Effectiveness of Maneevej Sitting Position Technique on Labor Pain, Time During Active Phase and Perception of Childbirth Experience of Parturients
Keywords:Maneevej sitting position, active phase of labor, perception of childbirth experience
Introduction: Vaginal delivery is a natural process. During the delivery, regular and painful uterine contractions cause progressive dilation and effacement of the cervix. Fear and stress during delivery process usually cause the increasing of Catecholamine and Cortisol hormone. The increase of stress hormones is related to abdominal pain and uterine dysfunction that affect the length of the stage of delivery resulting in a prolong delivery process. These may cause maternal negative experiences in the vaginal delivery and also affect bonding and attachment between maternal and infant in the postpartum period. Research objectives: This research aimed to compare the effects of Maneevej sitting position versus routine nursing care (recumbent position) for women in the first stage of labor on labor pain, duration of active labor period, and perception of childbirth experience. Research methodology: This quasi-experimental research included of 57 participants who had giving birth at Nakornprathom hospital during April-May 2020. Participants were assigned to either an experimental group (n=29) or a control group (n=28). The experimental group received positioning using the Maneevej sitting position as well as routine nursing care while the control group received the routine nursing care only. Data were collected using a demographic questionnaire, pregnancy recording form, delivery process recording form, pain assessment form, the perception of childbirth experience questionnaire and Maneevej sitting position in parturients program. Descriptive statistics and independent t-tests were used for data analysis. Results: The findings showed that the experimental group had significantly shorter active labor period than the control group (p<.01) and had a higher score on perception of childbirth experience than that of the control group (p< .01). However, there were no statistically significant difference of labor pain while the cervix was 3-4, 5-7 and 8-10 centimeters dilated between the experimental and control groups (p value .97, .72, .29, and p value .55, .41, .25 respectively). Conclusions: This study confirmed the effectiveness of the Maneevej sitting position as it could shorten the duration of active labor and provide more perception of childbirth experience. Implications: Maneevej sitting position is one of the effective positions that can be adopt during labor for women to promote the progression of labor and provide more perception of positive childbirth experience.
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