Experience of Childbirth With Birth Ball: A Randomized Controlled Trial

Abstract

Objectives: Childbearing is considered as a great event in the lives of many women while the effect of pain on this event is undeniable. Thus, the think of pain and how to overcome it has engaged the minds of women, their family, and health-care providers. The birth ball is one of the non-invasive methods of pain control. Therefore, the present study aimed to evaluate the effect of the birth ball on the pain and self-efficacy of pregnant women during the childbirth process. Materials and Methods: This study was a randomized clinical trial. A total of 178 participants were selected based on the specific selection criteria and randomly allocated to control and intervention groups. The women in the intervention group were asked to join a planned exercise with the birth ball including a 20-minute well-defined exercise three times a week for 6–8 weeks at home whereas those in the control group followed up the routine prenatal cares. The questionnaires were completed by the participants at the four and eight-centimeter cervical dilations. Results: Based on the results, birth ball exercises could significantly improve childbirth self-efficacy and pain so that labour pain was lower in this group of women as compared to the other group (P<0.001 in both cervical dilatations). In addition, the score of selfefficacy was higher in the intervention group compared to the control group (P<0.001). Further, the result of generalized estimating equation model showed that birth ball exercise can decrease the childbirth pain. However, part of this effect may be related to an increase in the patients’ self-efficacy (30%-40%). Conclusions: In general, although birth ball exercise could decrease the childbirth pain, part of this effect was probably associated with an increase in self-efficacy of the patients.

Attachment Behaviors in Physiological Birth Versus Cesarean Section

“…According to these studies, attachment is a long and deep reaction that occurs long before delivery. Therefore, it is unlikely that the mode of delivery can undergo such a profound reaction (35)(36)(37)(38)(39). It is assumed that some of the observed differences between the results of our study and those of the above-mentioned studies are attributed to the impact of some affecting factors mentioned in the articles (40)(41)(42)(43).…”

The Effectiveness of Birth Ball During Pregnancy in Length of Labor

“…Shirazi, et al (2019) [13] in the results of their study showed a significant difference in time 1 in the group receiving birth ball treatment during pregnancy with a p-value of 0.003.…”

Efek Terapi Birth Ball pada Ibu Bersalin terhadap Intensitas Nyeri Persalinan Kala I Fase Aktif

“…Hasil penelitian ini didukung oleh penelitian Delgado et al, (2019) yang menyatakan bahwa ketidaknyamanan pada ibu bersalin dapat diatasi dengan posisi tubuh yang menunjang gravitasi dan posisi yang mempercepat dilatasi serviks seperti berjalan, berjongkok, berlutut, dan duduk. Menurut Shirazi et al, (2019) bahwa penggunaan posisi ini saat melahirkan akan didukung oleh penggunaan bola kelahiran. Rasa tidak nyaman ibu akan berkurang akibat janin dibantu masuk ke rongga panggul.…”