Efficacy of the butterfly positioning Maneevade in Maneevade in reducing active phase duration in nulliparous women at Sanpasitthiprasong Hospital: A parallel group randomized controlled trial

Abstract

Objectives

To evaluate efficacy of the butterfly-positioning Maneevade in reducing first stage of labor in nulliparous women

Materials and methods

A randomized controlled trial was conducted in nulliparous singleton women aged 15-34 years, gestational age 37-41 weeks, who were in labor and admitted into labor room at Sanpasitthiprasong hospital. The participants with cervical dilatation of 3-6 cm and intact membranes were randomly assigned into two groups: 1) intervention group: performed butterfly-positioning Maneevade or 2) control group: received standard obstetric care. The primary outcome was duration of active phase compared using student t-test. Secondary outcomes included pain score (PS), interval of uterine contraction (UC) at fully-dilated cervix, maternal blood loss and neonatal outcomes were also recorded.

Results

The total of 102 participants had comparable baseline characteristics. There was no significant difference in active phase duration, maternal blood loss and neonatal complications between groups. However, there was significant change in PS assessed by numerical rating scale between groups from the enrollment to fully-dilated cervix (median change of 1.0 VS 3.0 in intervention group and control group, P<0.005) and significant difference in interval of UC at fully-dilated cervix (median of 120.0 VS 130.0 minutes in intervention group and controlled group, P=0.017).

Conclusion

Although Butterfly-positioning in active phase of labor cannot decrease first stage of labor duration, but it is effective in pain relief and improving UC at fully-dilated cervix, without significant maternal and neonatal complications.