A Comparative Study on Effect of Ambulation and Birthing Ball on Maternal and Newborn Outcome Among Primigravida Mothers in Selected Hospitals in Mangalore

Mathew, Albin; Nayak, Sneha; Vandana, Kanumury

doi:10.1055/s-0040-1703561

Cited by 25 publications

(42 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Also these findings supported by Hodnett et al [10] who found that women who encouraged to assuming upright position were satisfied and more comfortable. On the other hand this findings disagree with Mathew et al [27] who found that women who were choosing side lying or lying on back in first stage of labor were more satisfied.…”

Section: Discussioncontrasting

confidence: 83%

Upright versus recumbent position during first stage of labor among primipara women on labor outcomes

Emam¹,

Al-Zahrani²

2018

JNEP

View full text Add to dashboard Cite

Objective: The aim of this study was to assess the effect of upright versus recumbent position during the active phase of first stage of labor among primipara women on labor outcomes in term of progress, duration of labor, method of delivery, neonatal outcome and maternal satisfaction with assumed position.Methods: Quasi experimental design was used. The study was conducted in the labor unit in obstetric department at Benha University Hospital. A purposive sample of 100 parturient women in 1st stage of labor were recruited in the study, they divided into two groups; upright group (50) and recumbent group (50). Data were collected through four main tools: Structured Interviewing questionnaire sheet, Structured Observational Checklist include (Partograph and Apgar score), Visual analogue pain intensity scale and maternal satisfaction with assumed position questionnaire.Results: It revealed that high statistical significant difference between the upright and recumbent groups in term of decreases interval and increases duration, frequency and intensity of uterine contraction, cervical dilatation and fetal head descent/fifth among the upright group. While the recumbent group showed less progress. Moreover, the recumbent group expressed more pain score, consume longer duration of 1st, 2nd, 3rd stage of labor than the upright group and statistical significant difference in Apgar score of the neonate during both first and fifth minute. In addition, the upright group had higher satisfaction scores compared to those assumed recumbent positions (p < .001).Conclusions: Upright position had positive effect on progress of labor, decreased duration of the three stages of labor, better neonatal outcomes and improving parturient women's satisfaction with assumed position. The study recommended that all parturient women in low-risk labor should be informed about the benefits of assuming upright positions during first stage of labor, and be encouraged and supported to use them.

show abstract

Section: Discussioncontrasting

confidence: 83%

Upright versus recumbent position during first stage of labor among primipara women on labor outcomes

Emam¹,

Al-Zahrani²

2018

JNEP

View full text Add to dashboard Cite

show abstract

“…In partial agreement with our findings study by Mathew, 2012 [33] who stated that there is significant improvement in maternal outcome after the use of birthing ball therapy while 95% of birthing ball group underwent normal vaginal delivery. As well, the same outcomes indicated that, there is significant difference in second stage duration whereas no significant difference in first stage duration and cervical dilatation rate.…”

Section: Discussionsupporting

confidence: 93%

“…Eventually our findings pointed to approximately 70% of the women who adopted birth ball during first stage were satisfied regarding the care received in first stage of labor, compared to 25% of women in control group exhibit high satisfaction. In concordance with these results Mathew , 2012 [33] study concluded that 95% of mothers from ambulation group and 95% mothers from birthing ball group, were comfortable and satisfied and would like to recommend birthing ball use to others .…”

Section: Discussionmentioning

confidence: 62%

Using of Birthing Ball during the first Stage of Labor: Its Effect on the Progress of Labor and Outcome among Nulliparous Women

Farrag

Omar²

2018

IJND

View full text Add to dashboard Cite

Background: It is beyond argument that women who are about to give natural birth to their babiesneed some physical exercise such as standing, walking around, sitting, or kneeling in order to provide for the "gravity effect" that would help in speeding up the dilation of the cervix. The birth ball used to be utilized in various settings of birth and is highly considered as a powerful, secureand easy method of promoting the progress of labor and relieving pain. The current study aim sat studying the using of the birthing ball during the first stage of labor and its effect on the progress of labor and outcome among nulliparous women. The design: The quasi-experimental design was utilized. A group of 120 laboring women was included by purposive sampling technique; the study subjects randomly assigned into two equal group. Setting: The study was implemented in the maternity Unit located in El-Nabawy El Mohandes Hospital (economical part), Fayoum. Five tools have been employed ingathering the needed data; 1) structure interview schedule questionnaire, 2) Partograph, 3) Visual analog pain intensity scale, 4) State Trait Anxiety Inventory and 5) Satisfaction visual analogue scale. The Findings of the present results revealsa high significant statistical difference between the two groups concerning the improvement of the dilatation of the cervix and fetus head descent that end in decreases duration of the first and second labor stages in the study sample. Also the sample of the study expressed less pain and anxiety score. Conclusion: the using of birthing ball throughout the first stage of labor is associated with positive effect on labor progress and outcome. Recommendation: Encourage women to use birth ball during the first stage of labor as one of the significant modalities to improve labor progress, manage pain, anxiety and attain more satisfactory birthing experience.

show abstract

“…The review showed that using a flexible sacrum position can reduce the duration of the second stage of labor by 21.12. The reduction was contributed mainly by a large reduction in the three studies of the birthing ball, flexible sacrum and squatting positions reduce 25.9, 29.7 and 34.38 minutes respectively (22,27,28). The reduction in duration is in line with other review and meta-analysis conducted both in UK in different times (29,30), in contrast other meta-analysis done in Australia and UK, didn't show any reduction in duration of second stage (14,31).…”

Section: Discussionsupporting

confidence: 78%

Effect of maternal birth positions on duration of second stage of labor: Systematic review and meta-analysis

Badi

Lindgren

Christensson

et al. 2019

Preprint

View full text Add to dashboard Cite

Background: it is believed that giving birth in an upright position is beneficial for both mother and the infant for several physiologic reasons. An upright positioning helps the uterus to contract more strongly and efficiently, the baby gets in a better position and thus can pass through the pelvis faster. Upright and lateral positions enables flexibility in the pelvis and facilitates the extension of the outlet. Before implementing a change in birthing positions in our clinics we need to review evidences available and context valid related to duration of second stage of labor and birthing positions. Objective: The aim of this review was to examine the effect of maternal flexible sacrum birth position on duration of second stage of labor. Method: The research searched articles using bibliographical Databases: Medline/PUBMED, SCOPUS, Google scholar and Google. All study designs were considered while investigating the impact of maternal flexible sacrum birthing positioning in relation duration of second stage of labor. Studies including laboring mothers with normal labor and delivery. A total of 1,985 women were included in the reviewed studies. We included both qualitative and quantitative analysis. Results: We identified 1,680 potential citations, of which 8 articles assessed the effect of maternal upright birth positioning on the reduction during the duration of second stage of labor. Two studies were excluded because of incomplete reports for meta analysis. The result suggested a reduction in duration of second stage of labor among women in a flexible sacrum birthing position, with a mean duration from 3.2-34.8. The pooled weighted mean difference with random effect model was 21.118(CI: 11.839-30.396) minutes, with the same significant heterogeneity between the studies (I2=96.8%, p<000). Conclusion: The second stage duration was reduced in cases of a flexible sacrum birthing position. Even though the reduction in duration varies across studies with considerable heterogeneity, laboring women should be encouraged to choose her comfortable birth position. Researchers who aim to compare different birthing positions should consider study designs which enable women to choose birthing position. Prospero registration number [CRD42019120618]

show abstract

A Comparative Study on Effect of Ambulation and Birthing Ball on Maternal and Newborn Outcome Among Primigravida Mothers in Selected Hospitals in Mangalore

Cited by 25 publications

References 1 publication

Upright versus recumbent position during first stage of labor among primipara women on labor outcomes

Upright versus recumbent position during first stage of labor among primipara women on labor outcomes

Using of Birthing Ball during the first Stage of Labor: Its Effect on the Progress of Labor and Outcome among Nulliparous Women

Effect of maternal birth positions on duration of second stage of labor: Systematic review and meta-analysis

Contact Info

Product

Resources

About