The effects of Maneveda practice on labour pain coping and labour time of primigravidarum at Suratthani Hospital.

Abstract

Female who are primigravidarum have to face to labour pain for a long time; 10-12 hours especially in active phase, the labour pain has more severe and higher frequency. The primigravidarum has no experienced in maternity. They always afraid and anxiety. Maneveda practice is one of the technique we use to relieve the pain during labour. This study is an Quasi-experimental study which aims to study the effects of Maneveda on labour pain coping and labour time of primigravidarum in labour room of Suratthani hospital. The patients who meet our inclusion criteria will be separated into 2 groups; Control group who were recorded on the even day will received usual standard labour care and Maneveda group who were recorded on the odd day will received Maneveda technique in addition to usual standard labour care. We collected data since May 1st, 2015 to March 31st, 2016 total 11 months.The instrument we used in this research including the instruction of Maneveda practice for labour care, questionare was used to primigravidarum details, labour recording form, recording form for the screaming and numeric rating scale for pain which were checked for validity by five experts. The statistic we used in this study including number, percentage, average, standard deviation and independent T-test which were determined statistically significant at P-value < 0.05.Results: After using Maneveda practice in labour pain of primigravidarum found that 1) Average numeric rating scale for pain during contraction of Maneveda group during cervical open 3-4 cm. were 4.90 in
Maneveda group and 5.67 in control group, there was no statistically significant in numeric rating scale for pain in both group. But cervical open 6-8 cm. respectively which were less than control group thatthe average numeric rating scale for pain during contraction were 7.55 in Maneveda group and 9.00 in control group and the results showed statistically significant (P<0.05). 2) Average screaming scale in Maneveda group were 1.53 and 2.27 in cervical open 3-4 cm. and 6-8 cm. respectively. In
control group, average screaming scale were 1.30 and 2.27 in cervical open 3-4 cm. and 6-8 cm. respectively. The average screaming scale showed no statistically significant in cervical open 3-4 cm. and 6-8 cm. of both Maneveda and control group. 3) Labour time during active phase in Maneveda group was 194.60 minutes which was less than 261.17 minutes of the control group. And this resultsshowed statistically significant (P-value < 0.05) Conclusion : Maneveda practice is one of the new knowledge in labour care which nursing team can be used in addition to standard labour care to relieve labour pain and shortening labour time in active phase without using medication causing less complication to both mother and child.