Effect of Birth Ball Usage on Pain in the Active Phase of Labor: A Randomized Controlled Trial

Abstract

Although the use of a birth ball had no effect on the duration of the active phase of labor, the duration of uterine contractions, or the interval between contractions, this complementary treatment could reduce the intensity of pain during the active phase of labor.

Effect of pelvic rocking exercise using sitting position on birth ball during the first stage of labor on its progress

“…These inexpensive nonpharmacologic methods can be combined or used sequentially to enhance the overall effect. (20,21) On assessing cervical dilatation the study group shows significant improvement during the 2nd, 3rd and fourth hours after intervention than the control group. This can be interpreted as the effects of setting position and performing regular pelvic rocking exercise facilitate in the widening of the pelvic outlet which in turn aids fetus descent in the pelvis, as well as intensified uterine contraction.…”

Hidroterapia e bola suíça no trabalho de parto: ensaio clínico randomizado

“…The effects of pelvic position and movement during labor may be related to the reduction of maternal discomfort, (2) facilitate uterine circulation, increase the intensity of the contractions, which can decrease the length of labor, facilitate fetal progression in the birth canal, as well as reduce the possibility of perineal trauma and the need for episiotomy. (9,10,16) Women who used this therapy presented a reduction in pain, an increase in the active participation in the labor process, decreased use of epidural anesthesia, shorter duration of the first stage of labor, and a lower cesarean section rate than the control group. (9) A detailed description on the records about the use of the Swiss ball during pregnancy and labor can provide an auxiliary tool for the standardization of its use by professionals in relation to the promotion of women's comfort and care during the labor progress.…”

“…(9) A detailed description on the records about the use of the Swiss ball during pregnancy and labor can provide an auxiliary tool for the standardization of its use by professionals in relation to the promotion of women's comfort and care during the labor progress. (9,16) The Safe Motherhood Program, adopted by the Ministry of Health, makes reference to the practices used in the management of labor that promote maternal well-being, with reference to methods of pain relief and promotion of comfort as "practices that prove to be useful and should be encouraged". Therefore, having an outcome of a vaginal delivery helps this process and provides support for the patient.…”

Efektifitas Latihan Birth Ball Terhadap Efikasi Diri Primipara dengan Persalinan Normal

“…Efikasi diri akan berkembang berangsur-angsur secara terus menerus sejalan dengan meningkatnya kemampuan dan bertambahnya pengalaman-pengalaman yang berkaitan (11). Latihan birth ball bertujuan untuk mengurangi nyeri persalinan dan mempercepat penurunan kepala janin sehingga diharapkan ibu lebih siap dan tenang dalam menghadapi persalinan serta persalinan akan berlangsung lebih cepat (3,4,12). Dengan latihan birth ball selama 30 menit, nyeri persalinan dapat berkurang dan menurunkan penggunaan pethidin (1).…”

“…Ibu hamil dan bersalin yang telah mendapatkan persiapan menghadapi persalinan dalam bentuk latihan birth ball dan psikologis, akan sehingga dapat lebih mempersiapkan diri menjalani terhadap nyeri dan ketidaknyaman selama proses persalinan (11,13 latihan birth ball dapat mengurangi rasa nyeri. Hal ini ditunjukkan dengan penelitian mengenai kelompok rendah dibandingkan dengan kelompok kontrol (12).…”