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

Sönmez, Tuğçe; Ejder Apay, Serap

doi:10.33808/clinexphealthsci.1164952

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

Tuğce SÖNMEZ, (Tarsus Üniversitesi, Sağlık Bilimleri Fakültesi, Ebelik Bölümü, Mersin, Türkiye)

Serap EJDER APAY (Atatürk Üniversitesi, Sağlık Bilimleri Fakültesi, Ebelik Bölümü, Erzurum, Türkiye)

Clinical and Experimental Health Sciences

1 1

Yıl: 2023 Cilt: 13 Sayı: 3 Sayfa Aralığı: 600 - 607 Metin Dili: İngilizce DOI: 10.33808/clinexphealthsci.1164952 İndeks Tarihi: 19-09-2023

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

Öz:

Objective: This study aimed to determine the effectiveness of different birth balls used at the first stage of labor on fetal head descent, pain intensity, and maternal satisfaction. Methods: This study used a single-blind, randomized controlled experimental design. It was conducted with 180 primipara women in a maternity hospital in Erzurum, Turkey between October 2018 and December 2019. Women were randomized into 3 groups: A=Control group (n=60), B=Spherical birth ball group (n=60), and C=Peanut ball group (n=60). Birth balls were initiated in the active phase in the first stage of labor when cervical dilatation was 4 cm. Data were collected using the Personal Information Form, the Visual Analogue Scale (VAS), the Verbal Rating Scale (VRS), Partograph, and the Scale for Measuring Maternal Satisfaction in Birth (SMMSB). Results: In the active and transitional phases of labor, the VAS and VRS scores for labor pain perception of Group B were statistically significantly lower than the scores of Group A and C (p<.05). Compared to other groups, Group B had a faster rate of fetal head descent. Group B also had the highest maternal satisfaction rate (83.3%), and the difference between the groups was found to be significant (p<.05). Conclusion: This study revealed that different birth balls reduced pain, accelerated the rate of fetal head descent, and increased maternal satisfaction at the active and transition phases of the first stage of labor.

Anahtar Kelime: Labor pain birth balls satisfaction non-pharmacological methods

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

[1] Aktaş D, Kolsuz S, Ertuğrul M, Beşirli EG, Gündoğan FR. Effect of birth ball exercising for the management of childbirth pain in Turkish women. Bezmialem Science 2021;9(1):46-52. DOI:10.14235/bas.galenos.2020.3898
[2] Ulfa RM. Effect of the use of birth balls on the reduction of pain and duration of labor during the first stage of active and second stage of labor in primigravida maternity. Sci Midwifery 2021;9(2):418–430.
[3] Rathfisch G. Doğal doğum felsefesi. 2nd ed. Ankara: Nobel Tıp Kitabevleri; 2018.
[4] Hau WL, Tsang S, Kwan W, Man LSK, Lam KY, Ho LF, Cheung HY, Laı FK, Laı CY, Sın WH. The use of birth ball as a method of pain management in labour. Hong Kong J Gynaecol Obstet Midwifery 2012;12(1):63-68.
[5] Gau ML, Chang CY, Tian SH, Lin KC. Effects of birth ball exercise on pain and self-efficacy during childbirth: A randomised controlled trial in Taiwan. Midwifery 2011;27(6):e293-e300. DOI:10.1016/j.midw.2011.02.004.
[6] Taavoni S, Abdolahian S, Haghani H, Neysani L. Effect of birth ball usage on pain in the active phase of labor: A randomized controlled trial. The Journal of Midwifery & Women’s Health 2011;56(2):137-140. DOI: 10.1111/j.1542-2011.2010.00013.x
[7] Delgado A, Maia T, Melo RS, Lemos A. Birth ball use for women in labor: A systematic review and meta-analysis. Complement ther clin pract. 2019;35(2):92-101. DOI:10.1016/j. ctcp.2019.01.015
[8] Leung RW, Li JF, Leung MK, Fung BKY, Fung LCW, Tai SM, Sing C, Leung WC. Efficacy of birth ball exercises on labour pain management. Hong Kong Med J. 2013;19(5):393-399. DOI:10.12809/hkmj133921.
[9] Kwan W, Chan SW, Li W. The birth ball experience: Outcome evaluation of the intrapartum use of birth ball. HKJGOM. 2011;11(1):59-64.
[10] Zwelling E. Overcoming the challenges: maternal movement and positioning to facilitate labor progress. MCN: The American Journal of Maternal/Child Nursing 2010;35(2):72- 78. DOI:10.1097/NMC.0b013e3181caeab3.
[11] Grenvik JM, Rosenthal E, Saccone G, Corte LD, Quist-Nelson J, Gerkin RD, Gimovsky AC, Kwan M, Mercier R, Berghella V. Peanut ball for decreasing length of labor: A systematic review and meta-analysis of randomized controlled trials. European Journal of Obstetrics and amp; Gynecology and Reproductive Biology 2019;242(11):159-165. DOI:10.1016/j. ejogrb.2019.09.018
[12] Aswitami NGAP, Septiani NGAP. Antenatal clinical hypnosis and birth ball exercise as adjunct therapy for management of labor and delivery pain: A summary of ıts empirical findings. Journal MIDPRO. 2020;12(2):233-245.
[13] Tussey CM, Botsios E, Gerkin RD, Kelly LA, Gamez J, Mesik J. Reducing length of labor and cesarean surgery rate using a peanut ball for women laboring with an epidural. The Journal of Perinatal Education 2015;24(1):16-24. DOI:10.1891/1058- 1243.24.1.16
[14] Mercier RJ, Kwan M. Impact of peanut ball device on the duration of active labor: A randomized control trial. American Journal of Perinatology 2018;35(10):1006-1011. DOI:10.1055/s-0038.163.6531.
[15] Roth C, Dent SA, Parfitt SE, Hering SL, Bay RC. Randomized controlled trial of use of the peanut ball during labor. MCN: The American Journal of Maternal/Child Nursing 2016;41(3):140- 146. DOI:10.1097/NMC.000.000.0000000232.
[16] Makvandi S, Latifnejad Roudsari R, Sadeghi R, Karimi L. Effect of birth ball on labor pain relief: A systematic review and meta-analysis. Journal of Obstetrics and Gynecology Research 2015;41(11):1679-1686. DOI:10.1111/jog.12802.
[17] Bell CR. Effectiveness of using the peanut ball to shorten the first and second stage of labor. Nursing Education Research Conference. Published [5 Nov 2018]. Updated [27 December 2022]. https://sigma.nursingrepository.orghttps://sigma. nursingrepository.org
[18] Çapık C. İstatistiksel güç analizi ve hemşirelik araştırmalarında kullanımı: Temel bilgiler. Anatolian Journal of Nursing and Health Sciences 2014;17(4):268–274. (Turkish)
[19] Cohen J. Statistical Power Analysis for the Behavioral Sciences. 2nd Edition, Lawrence Erlbaum Assocıates Press; Hillsdale, NJ: Erlbaum; 1988.
[20] Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods 2007;39(2):175-191. DOI:10.3758/bf03193146
[21] Taavoni S, Sheikhan F, Abdolahian S, Ghavi F. Birth ball or heat therapy? A randomized controlled trial to compare the effectiveness of birth ball usage with sacrum-perineal heat therapy in labor pain management. Complementary therapies in clinical pract. 2016;24(3):99-102. DOI:10.1016/j. ctcp.2016.04.001
[22] Power Analysis. https://www.ncss.com/software/pass/ Accessed [20 November 2019].
[23] Sunay D, Şengezer T, Oral M, Aktürk Z, Schulz KF, LTMn DG, Moher D for the CONSORT Group. CONSORT 2010 raporu: Randomize paralel grup çalışmalarının raporlanmasında güncellenmiş kılavuzlar. Euras J Fam Med 2013;2(1):1-10. (Turkish)
[24] Wewers ME, Lowe NK. A critical review of visual analogue scales in the measurement of clinical phenomena. Research in Nursing & Health 1990;13(4):227-236. DOI:10.1002/ nur.477.013.0405.
[25] Aslan FE, Onturk ZK. Ağrı ölçümü ve değerlendirilmesi. Aslan FE, editor. Ağrı doğası ve kontrolü. Academican Press, Ankara, 2014.p.83. (Turkish)
[26] Karaman ÖE, Yildiz H. The effect on birth pain and process of the freedom of movement in the first stage of labor: A randomized controlled study. Clin Exp Health Sci 2022;12(3):730-738. DOI:10.33808/clinexphealthsci.1016033
[27] Güngör İ, Beji NK. Development and psychometric testing of the scales for measuring maternal satisfaction in normal and caesarean birth. Midwifery 2012;28(3):348-357. DOI:10.1016/j.midw.2011.03.009
[28] Henrique AJ, Gabrielloni MC, Rodney P, Barbieri M. Non- pharmacological interventions during childbirth for pain relief, anxiety, and neuroendocrine stress parameters: A randomized controlled trial. International Journal of Nursing Practice 2018:24(3):e12642. DOI:10.1111/ijn.12642
[29] Republic of Turkey Ministry of Health, Health Efficiency, Quality and Accreditation Department. Partography Example. Published [29 Dec 2015]. Updated [21 Oct 2020]. https:// kalite.saglik.gov.tr/TR,9025/partograf-ornegi.html
[30] Ferreira-Valente MA, Pais-Ribeiro JL, Jensen MP. Validity of four pain intensity rating scales. Pain 2011;152(10):2399– 2404. DOI:10.1016/j.pain.2011.07.005
[31] Sharifipour P, Kheirkhah M, Rajati M, Haghani H. The effect of delivery ball and warm shower on the childbirth experience of nulliparous women: A randomized controlled clinical trial. Trials 2022; 23(1): 391. DOI:10.1186/s13063.022.06358-x
[32] Taavoni S, Abdolahian S, Neisani L, Hamid H. Labor pain management: Effect of pelvic tilt by birth ball, sacrum-perinea heat therapy, and combined use of them: A randomized controlledtrial.EuropeanPsychiatry2016;33(Supplement):626. DOI:10.1016/j.eurpsy.2016.01.1851
[33] Taavoni S, Charkamyan F, Hashemdabaghia F, Ekbatani N. Effect of pelvic movements using birth ball and listening to nature sounds and honey syrup consumption on labor pain in nulliparous women: A randomized clinical trial. World Family Medicine 2018;16(4):97-102. DOI:10.5742/ mewfm.2018.93348
[34] Yeung MPS, Tsang KWK, Yip BHK, Tam WH, Ip WY, Hau FWL, Wong MKW, Ng JWY, Liu SH, Chan SSW, Law CK, Wong SYS. Birth ball for pregnant women in labour research protocol: A multi-centre randomised controlled trial. BMC pregnancy and childbirth 2019;19(1):153. DOI:10.1186/s12884.019.2305-8
[35] Rubneide BSG, Licia SS, Alessandra CM, Geraldo D, Silvana MQ. Sequential application of non-pharmacological interventions reduces the severity of labour pain, delays use of pharmacological analgesia, and improves some obstetric outcomes: A randomised trial. J Physiother. 2018;64(1):33-40. DOI:10.1016/j.jphys.2017.11.014.
[36] Zaky NH. Effect of pelvic rocking exercise using sitting position on birth ball during the first stage of labor on its progress. IOSR Journal of Nursing 2016;5(4):19-27. DOI:10.9790/1959.050.4031927.
[37] Sun XJ, Zhu RD, Zhou QY, Yang RS. The influence of delivery ball combined with free position midwifery on the delivery of primipara. Int J Nurs. 2014;33(7):1672-1674. DOI:10.3760/cm a.j.issn.1673-4351.2014.07.044
[38] Feni O, Anni S, Rukmaini R. The effect of the birthing ball on duration of the first stage of labour in primigravida at Utama Barokah Clinic, Bandung City in 2021. Muhammadiyah Medical Journal 2021;2(2):55-61. DOI:10.24853/mmj.2.2.55-61
[39] Abdolahian S, Ghavi F, Abdollahifard S, Sheikhan F. Effect of dance labor on the management of active phase labor pain & clients’ satisfaction: A randomized controlled trial study. Global J. Health Sci. 2014;6(3):219–226. DOI:10.5539/gjhs. v6n3p219.
[40] Lawrence A, Lewis L, Hofmeyr GJ, Styles C. Maternal positions and mobility during first stage labour, Cochrane Database Syst. Rev. 2013;10(8):1-125. DOI:10.1002/14651858.CD003934. pub4
[41] Abdul-Sattar Khudhur Ali S, Mirkhan Ahmed H. Effect of change in position and back massage on pain perception during first stage of labor. Pain Manag, Nurs. Times 2018;19(3):288–294. DOI:10.1016/j.pmn.2018.01.006.
[42] Zang H, Lu Y, Zhao J, Huang L, Ren X, Li X. Effects of flexible sacrum positions during the second stage of labour on maternal and neonatal outcomes: A systematic review and meta-analysis. J. Clin. Nurs. 2020;29(17–18):3154–3169. DOI:10.1111/jocn.15376
[43] Gruss L, Gruss R, Schmitt D. Pelvic breadth and locomotor kinematics in human evolution. Anatomical Record 2017;300(4):739–750. DOI:10.1002/ar.23550
[44] Lewis CL, Laudicina NM, Khuu A, Loverro KL. The human pelvis: variation in structure and function during gait. Anatomical Record 2017;300(4):633–642. DOI:10.1002/ar.23552.
[45] Mathew A, Nayak S, Vandana K. A comparative study on effect of ambulation and birthing ball on maternal and newborn outcome among primigravida mothers in selected hospitals in Mangalore. Nitte University Journal of Health Science 2012;2(2):2-5. DOI:10.1055/s-0040.170.3561
[46] Lilis S, Mufida DH. The effectiveness of birthing ball therapy on the duration of the first stage of labor and the ıntensity of labor pain ın primigravid mothers giving births. STRADA Jurnal Ilmiah Kesehatan 2020;9(2):981-989. DOI:10.30994/ sjik.v9i2.404
[47] Marwiyah N, Pusporini LS. Package of birthing ball, pelvic rocking, and endorphin massage (bpe) decrease the first step labor pain. Indonesian Nursing Journal of Education and Clinic (Injec) 2017;2(1):65. DOI:10.24990/injec.v2i1.124
[48] Fernández-Arranz J, Pedraz-Marcos A, Palmar-Santos AM, Nieves MJM. Birthing ball versus pethidine and haloperidol in satisfaction with childbirth. Enfermería Clínica (Engl Ed) 2019;29(4):234-238. DOI:10.1016/j.enfcle.2019.02.005

APA	Sönmez T, Ejder Apay S (2023). Effect of Different Birth Balls Used at the First Stage of Labor on Birth Outcomes and Maternal Satisfaction: A Randomized Controlled Trial. , 600 - 607. 10.33808/clinexphealthsci.1164952
Chicago	Sönmez Tuğçe,Ejder Apay Serap Effect of Different Birth Balls Used at the First Stage of Labor on Birth Outcomes and Maternal Satisfaction: A Randomized Controlled Trial. (2023): 600 - 607. 10.33808/clinexphealthsci.1164952
MLA	Sönmez Tuğçe,Ejder Apay Serap Effect of Different Birth Balls Used at the First Stage of Labor on Birth Outcomes and Maternal Satisfaction: A Randomized Controlled Trial. , 2023, ss.600 - 607. 10.33808/clinexphealthsci.1164952
AMA	Sönmez T,Ejder Apay S Effect of Different Birth Balls Used at the First Stage of Labor on Birth Outcomes and Maternal Satisfaction: A Randomized Controlled Trial. . 2023; 600 - 607. 10.33808/clinexphealthsci.1164952
Vancouver	Sönmez T,Ejder Apay S Effect of Different Birth Balls Used at the First Stage of Labor on Birth Outcomes and Maternal Satisfaction: A Randomized Controlled Trial. . 2023; 600 - 607. 10.33808/clinexphealthsci.1164952
IEEE	Sönmez T,Ejder Apay S "Effect of Different Birth Balls Used at the First Stage of Labor on Birth Outcomes and Maternal Satisfaction: A Randomized Controlled Trial." , ss.600 - 607, 2023. 10.33808/clinexphealthsci.1164952
ISNAD	Sönmez, Tuğçe - Ejder Apay, Serap. "Effect of Different Birth Balls Used at the First Stage of Labor on Birth Outcomes and Maternal Satisfaction: A Randomized Controlled Trial". (2023), 600-607. https://doi.org/10.33808/clinexphealthsci.1164952

APA	Sönmez T, Ejder Apay S (2023). Effect of Different Birth Balls Used at the First Stage of Labor on Birth Outcomes and Maternal Satisfaction: A Randomized Controlled Trial. Clinical and Experimental Health Sciences, 13(3), 600 - 607. 10.33808/clinexphealthsci.1164952
Chicago	Sönmez Tuğçe,Ejder Apay Serap Effect of Different Birth Balls Used at the First Stage of Labor on Birth Outcomes and Maternal Satisfaction: A Randomized Controlled Trial. Clinical and Experimental Health Sciences 13, no.3 (2023): 600 - 607. 10.33808/clinexphealthsci.1164952
MLA	Sönmez Tuğçe,Ejder Apay Serap Effect of Different Birth Balls Used at the First Stage of Labor on Birth Outcomes and Maternal Satisfaction: A Randomized Controlled Trial. Clinical and Experimental Health Sciences, vol.13, no.3, 2023, ss.600 - 607. 10.33808/clinexphealthsci.1164952
AMA	Sönmez T,Ejder Apay S Effect of Different Birth Balls Used at the First Stage of Labor on Birth Outcomes and Maternal Satisfaction: A Randomized Controlled Trial. Clinical and Experimental Health Sciences. 2023; 13(3): 600 - 607. 10.33808/clinexphealthsci.1164952
Vancouver	Sönmez T,Ejder Apay S Effect of Different Birth Balls Used at the First Stage of Labor on Birth Outcomes and Maternal Satisfaction: A Randomized Controlled Trial. Clinical and Experimental Health Sciences. 2023; 13(3): 600 - 607. 10.33808/clinexphealthsci.1164952
IEEE	Sönmez T,Ejder Apay S "Effect of Different Birth Balls Used at the First Stage of Labor on Birth Outcomes and Maternal Satisfaction: A Randomized Controlled Trial." Clinical and Experimental Health Sciences, 13, ss.600 - 607, 2023. 10.33808/clinexphealthsci.1164952
ISNAD	Sönmez, Tuğçe - Ejder Apay, Serap. "Effect of Different Birth Balls Used at the First Stage of Labor on Birth Outcomes and Maternal Satisfaction: A Randomized Controlled Trial". Clinical and Experimental Health Sciences 13/3 (2023), 600-607. https://doi.org/10.33808/clinexphealthsci.1164952