Impact of Peanut Ball Device on the Duration of Active Labor: A Randomized Control Trial

Abstract

Use of the peanut ball does not significantly increase rates of cervical dilation or decrease time in active labor.

Use of the peanut ball during labour: A systematic review and meta‐analysis

“…The length of the first phase of labour was reported in terms of minute based on mean ± standard deviation by groups in all studies except one (Tarsilla, 2016). The length of the second stage of delivery was reported as minute by groups in two studies (Mercier & Kwan, 2018;Tussey et al, 2015). Accordingly, the meta-analysis results for caesarean section were reported as risk ratio (RR) and 95% confidence interval, while meta-analysis results for the first and second stages of labour were reported as mean difference and 95% confidence interval.…”

“…The participants were divided into two groups (use of peanut ball and routine care without its usage). The sample size varied from 86 in Mercier et al's study (Mercier & Kwan, 2018) to 400 in Payton's study (2015). The participants consisted of nulliparous and multiparous women in labour under epidural analgesia.…”

“…The control group received routine care without the peanut ball. In all studies except one (Hickey & Savage, 2019), the length of the first phase of labour is expressed in minutes based on the mean (standard deviation) by groups and in two studies (Mercier & Kwan, 2018;Tussey et al, 2015) The length of the first and second stages of labour was reported in minutes by groups. All included studies reported frequent caesarean sections.…”

“…The bias about different areas was found as follows: random sequence generation was low risk in five studies (D'Angelo, 2015;Evans, 2014;Roth et al, 2016;Tussey et al, 2015;Mercier, & Kwan, 2018), and high risk in one study (Payton, 2015);…”

“…The difference is that use of peanut balls is comfortable without constant support to hold the right position during labour in women under epidural analgesia (Mercier & Kwan, 2018).…”