Peanut ball for decreasing length of labor: A systematic review and meta-analysis of randomized controlled trials

Grenvik, Jessica M.; Rosenthal, Emily; Saccone, Gabriele; Corte, Luigi Della; Quist‐Nelson, Johanna; Gerkin, Richard; Gimovsky, Alexis C.; Kwan, Mei; Mercier, Rebecca; Berghella, Vincenzo

doi:10.1016/j.ejogrb.2019.09.018

Cited by 18 publications

(10 citation statements)

References 14 publications

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“…All existing studies (Tussey, et al, 2015;Roth, et al, 2016;Kwan & Mercier, 2018;Hickey & Savage, 2019)., the systematic review (Grenvik, et al, 2019) and a protocol (Stulz, et al, 2018) published with the use of PB, only use this resource after pharmacological analgesia. Therefore, our study is innovative, interesting and feasible, since, we will evaluate the effectiveness of PB in maternal fatigue in women without the use of pharmacological analgesia, which makes perfect sense, because if we obtain good results, we can implement another method not pharmacological effects during labor, positively impacting public health.…”

Section: Resultsmentioning

confidence: 99%

“…The systematic review of PB after epidural analgesia in four clinical trials with 648 nulliparous and multiparous women in labor, showed trends in a higher incidence of spontaneous vaginal births (RR 1.1, 95% CI 1.0, 1.2) and a lower incidence of cesarean deliveries (RR 0.8, 95% CI 0.6, 1.0) (Grenvik, et al, 2019). However, it did not show results in other maternal and neonatal outcomes, such as maternal fatigue.…”

Section: Introductionmentioning

confidence: 99%

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Peanut ball use for reducing maternal fatigue during labor: protocol for a randomized clinical trial

Delgado

Silva²,

Medeiros³

et al. 2022

RSD

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Objectives: Develop a protocol of the use of the Peanut Ball (PB) to evaluate its effectiveness compared to usual care on decreasing maternal fatigue during labor. Methods: This is the development of a randomized clinical trial protocol. Perform an intervention group or use the Peanut Ball through five postures, according to an obstetric assessment. To assess maternal fatigue, the Maternal Perception of Childbirth Fatigue Questionnaire (MCFQ) will be used in the form of an interview. Results: The proposed protocol is according to the evolution of labor: height and positioning of the fetal presentation, erasure and uterine dilation and the presence of early blood flow. Postures with fetal presentation in the upper strait: postures with abduction and external rotation hips will be encouraged using PB. Posture according to the fetal position in the upper strait: posture that cancels gravity will be encouraged: lateral decubitus posture with PB between legs. If the parturient feels like pushing or pushing down with the baby tall and cervix before 8-10 centimeters of uterine dilation, posture that nullifies gravity will be encouraged: lateral decubitus with the aid of the ball, with the hips in abduction and external rotation Conclusion: A specific protocol was developed with the use of Peanut Ball, through an obstetric evaluation, to reduce maternal fatigue during labor.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Peanut ball use for reducing maternal fatigue during labor: protocol for a randomized clinical trial

Delgado

Silva²,

Medeiros³

et al. 2022

RSD

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“…The use of the peanut ball -a variation of the birthing ball -is being studied to verify its effectiveness in decreasing the labour lenght, increasing the incidence of spontaneous vaginal birth and reducing the rates of caesareans. 28,29 Breathing exercises with slow and deep inspiration, exhalation, and vocalization contribute to women's concentration during the contractions. It promotes pain relief and improves the sense of control and positive emotional experience in labout and birth as massages with or without oils and the warm packs or compresses.…”

Section: Complementary and Integrative Health Practicesmentioning

confidence: 99%

Complementary and Integrative Health Practices in a Brazilian Freestanding Birth Center

Leister

Teixeira

Mascarenhas

et al. 2022

Holistic Nursing Practice

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The study aimed to analyse the use of Complementary and Integrative Health Practices (CIHP) during labour and birth in a freestanding birth centre. A total of 28 different CIHP were applied with or used by laboring women. The most adopted CIHP were mind-body practices (99.9%) and natural products (35.5%); mostly used by primiparous women (p <.05).Adopting CIHP can increase care quality, increase positive experiences during childbirth and promote evidence-based choices.

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“…However, there were also trends toward an increased incidence in spontaneous vaginal deliveries and lower incidence of cesarean delivery (metaanalysis: 4 RCTs; 648 women). 32 In summary, routine use of the peanut ball cannot be recommended in labor (weak recommendation).…”

Section: Peanut Ballmentioning

confidence: 99%

Evidence-based labor management: first stage of labor (part 3)

Al-Hafez

Berghella

2020

American Journal of Obstetrics & Gynecology MFM

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Peanut ball for decreasing length of labor: A systematic review and meta-analysis of randomized controlled trials

Cited by 18 publications

References 14 publications

Peanut ball use for reducing maternal fatigue during labor: protocol for a randomized clinical trial

Peanut ball use for reducing maternal fatigue during labor: protocol for a randomized clinical trial

Complementary and Integrative Health Practices in a Brazilian Freestanding Birth Center

Evidence-based labor management: first stage of labor (part 3)

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