Birthing ball on promoting cervical ripening and its influence on the labor process and the neonatal blood gas index

Shen, Hai-Chuan; Wang, Huan; Sun, Bo; Jiang, Lan-Zhi; Meng, Qian

doi:10.12998/wjcc.v9.i36.11330

Cited by 2 publications

(1 citation statement)

References 20 publications

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“…Evidence suggests that light massage and counter pressure provide relief to many women during the first stage of labor [ 4 ]. Birthing ball exercises help bring the fetal longitudinal axis to fall in line with the birth axis which eventually shortens the duration of the first stage of labor and favors vaginal delivery [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

The Effect of Birthing Ball Exercises on Labor Pain and Labor Outcome Among Primigraviade Parturient Mothers at a Tertiary Care Hospital

Jha¹,

Vyas²,

Nebhinani³

et al. 2023

Cureus

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Introduction: Every woman has the right to respectful and empathetic care during childbirth that addresses her needs for pain management, and allows her the liberty to make it a memorable experience. This study aimed to assess the effect of birthing ball exercises on labor pain and labor outcome among primigravidae parturients at a tertiary care hospital. Method: A quasi-experimental design was used. A total of 60 primigravidae with 30 each in the control and experiment groups were selected by consecutive sampling. Primigravidae in the experiment group underwent two sessions of 20 minutes of birthing ball exercises at a subsequent gap of one hour during their active phase of labor (>4 cm cervical dilation). Primigravidae in the control group received routine standard care that included continuous observation and monitoring of vital signs and progress of labor. The visual analog scale (VAS) score was assessed in the transition phase (cervical dilation 8 cm to 10cm) and labor outcomes were assessed after delivery in both groups. Result: The experiment group had significantly better labor outcomes in terms of labor pain, cervical dilatation, and duration of labor compared to the primigravidae in the control group (p<0.05). In addition, the majority of mothers in the experiment group (86.7 %) underwent vaginal delivery with episiotomy compared to the control group (53.3%). Findings also revealed a statistically significant difference in the newborns of both groups regarding appearance, pulse, grimace, activity, and respiration (APGAR) score, crying immediately after birth, and admission to the neonatal intensive care unit (NICU) at p<0.05. Conclusion: There are a variety of discomforts that a woman experiences during labor. Reducing these discomforts is an important part of good nursing care. Non-pharmacologic methods like birthing ball exercises help decrease these discomforts by reducing labor pain and improving maternal and neonatal outcomes.

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Section: Introductionmentioning

confidence: 99%

The Effect of Birthing Ball Exercises on Labor Pain and Labor Outcome Among Primigraviade Parturient Mothers at a Tertiary Care Hospital

Jha¹,

Vyas²,

Nebhinani³

et al. 2023

Cureus

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Effectiveness of counterpressure technique with a birth ball on cervical dilatation and reduction of labour pain and uterine contractions: A prospective cohort study

Egam,

Abdullah,

Isir

et al. 2024

Scripta Medica

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Background/Aim: Non-pharmacological interventions play a crucial role in managing labour pain and facilitating labour progression. The counter-pressure technique is a commonly utilised method purported to alleviate pain and enhance cervical dilation during childbirth. However, its effective-ness remains a subject of debate, necessitating further investigation. This study aimed to evaluate the efficacy of the counterpressure technique in managing labour pain and influencing labour progression among women in labour. Method: A randomised controlled trial was conducted involving participants in active labour. The intervention group received the counterpres-sure technique, while the control group received standard care. Pain levels, uterine contractions and cervical dilation were assessed and compared between the two groups. Results: Analysis revealed no significant difference in pain levels or uterine contractions between the intervention and control groups. However, there was a significant increase in cervical dilation in the intervention group compared to the control group (p = 0.034, Cohen's d = -0.586). Conclusion: Despite the counterpressure technique's limited impact on pain relief and uterine contractions, it significantly facilitated cervical dilation during labour. These findings contribute to understanding of non-phar-macological interventions in childbirth and underscore the importance of evidence-based approaches to labour management. Further research is warranted to elucidate the underlying mechanisms of the counterpressure technique and optimise its implementation in clinical practice.

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Birthing ball on promoting cervical ripening and its influence on the labor process and the neonatal blood gas index

Cited by 2 publications

References 20 publications

The Effect of Birthing Ball Exercises on Labor Pain and Labor Outcome Among Primigraviade Parturient Mothers at a Tertiary Care Hospital

The Effect of Birthing Ball Exercises on Labor Pain and Labor Outcome Among Primigraviade Parturient Mothers at a Tertiary Care Hospital

Effectiveness of counterpressure technique with a birth ball on cervical dilatation and reduction of labour pain and uterine contractions: A prospective cohort study

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