The Effect of the Birthing Ball on Duration of the First Stage of Labour in Primigravida at Utama Barokah Clinic, Bandung City in 2021

Abstract

Background: Labour and birth are physiological and normal events. The process is considered to be normal if it takes 37-42 weeks without any complications. Non-pharmacological methods to speed up the progress of labour include birthing ball exercises. The Birthing ball exercise is a technique to help the progress of labour that can be used during the first stage of labour. Until now, birthing balls are not widely known and not common, even though birthing balls are very effective in accelerating the birth process. The advantage of using the birthing ball is that it increases blood flow to the uterus, placenta and baby, and provides comfort for the knees and ankles. Purposes: The purpose of this study was to determine the average length of the first stage of labour in primigravida using a birthing ball and those not using a birthing ball and the effect of the birthing ball on the duration of the first stage of labour in primigravida. Method: This study uses a quasi-experimental method with a Randomized Two-Group design, Post-test only. This study was held at Utama Barokah Clinic, Bandung from June to July 2021. Result: The research sample was 30 respondents, primigravida during the first stage of labour with data analysis using the Mann Whitney test, and the p value <0.05 was obtained. Conclusion: There was a difference in the average length of the first stage of labour in primigravida using a birthing ball and those not using a birthing ball.

Effect of Different Birth Balls Used at the First Stage of Labor on Birth Outcomes and Maternal Satisfaction: A Randomized Controlled Trial

“…Both birth balls utilized in this study were found to affect the pain perception levels, but the spherical birth balls were found to have the highest effect. Several studies that investigated the effect of the use of birth balls on pain have shown that the use of the balls reduced labor pain significantly (7,9,17,30,(32)(33)(34)(35)(36)(37)(38)(39). A randomized study indicating that nonpharmacological methods reduced the severity of labor pain reported that the use of a peanut ball in 4-5 cm cervical dilatation, massage application in 5-6 cm cervical dilatation, and a hot shower after 7 cm cervical dilatation reduced labor pain significantly (40).…”

“…A clinical study showed that free positioning with birth balls could directly reduce women's labor pain by enlarging the dimensions and mobility of pelvic and fetal positions (38).…”

The Effect Of Counter Pressure On The Scale Of Labor Pain In Active Phase I In

“…This is one of the causes of maternal mortality worldwide. In contrast, mothers die from prolonged labor in Indonesia, where the rate is the highest in ASEAN (359 per 100,000 live births) (Oktafiani, 2021) In 2021, the Katibung Health Center saw an increase in the number of mothers giving birth, with 811 mothers giving birth and 21 mothers giving birth (a rate of 2.6%) experiencing problems. In addition, there were no maternal deaths in Katibung Health Center in either 2020 or 2021.…”