EFFECTIVENESS OF MED METHOD (MATERNAL POSITIONS, EFFLEURAGE, DICK READ METHOD) ON PAIN DURING FIRST STAGE OF LABOUR AMONG PRIMIGRAVID WOMEN

Abstract

Background and objectives: Labour pain is a universal incident. Many women would like to want labour by finding alternative techniques to manage pain. Laying in different positions, Effleurage in sacral region and Dick read method as abdominal breathing administered at the time of labour helps in reducing the pain intensity and promotes relaxation. The objective of this study was to evaluate the effectiveness of MED method (Maternal positions, Effleurage, Dick read method) on pain during first stage of labor among primigravid women. Methods: In this study, a randomized controlled trial employing a two-group pretest-posttest design was conducted with primigravid women in the first stage of labor as the population. A total of 60 samples were chosen through consecutive sampling, with randomization achieved using Block Randomization Technique (Permuted Block Method), resulting in 30 participants allocated to each group. Group I received the MED method, while Group II received routine care. Pre-test measurements were conducted using a structured questionnaire and the Numerical Pain Rating Scale. Following the MED method, post-test pain levels were assessed. Results: The results indicated significant differences between the experimental and control groups. The Mann-Whitney U test revealed pre-post test differences of 422 and 21.5 respectively for the experimental and control groups, with p-values of 0.632 and 0.001 respectively. These differences were highly significant at p < 0.001. Interpretation & Conclusion: The study suggest that the MED method (Maternal positions, Effleurage, Dick read method) had a positive effect in reducing pain during first stage of labour among primigravid women.