The Peanut Ball Use on Labor

Selcuk University

Status: Completed

Conditions: Birth, First; Labor Long; Apgar; 4-7 at 1 Minute; Birth Outcome, Adverse

Treatments: Other: The Effect of Peanut Ball Use on Labor Memory, Labor Satisfaction, Delivery Length, and Neonatal APGAR Score: A Randomized Controlled Trial

Study type: Interventional

Funder types: Other

Identifiers

NCT06387680

2022/187

Details and patient eligibility

About

The purpose of this study was to evaluate the effect of using peanut balls during labor on labor memory, labor satisfaction, labor length, and neonatal APGAR scores.

Full description

The purpose of this study was to evaluate the effect of using peanut balls during labor on labor memory, labor satisfaction, labor length, and neonatal APGAR scores.

This randomized, controlled, single-blind trial was conducted in 156 primiparous pregnant women (peanut ball group n=78, control group n=78) who delivered between March 2024 and October 2024. Pregnant women in the peanut ball group were instructed to perform movements with the peanut ball after cervical dilation reached 4 cm. The control group received only standard intrapartum midwifery care. Data were collected by personal information form, labor and postpartum follow-up form (APGAR score, etc.), Birth Memory and Recall Scale 4 hours after delivery, and Birth Satisfaction Scales.

Enrollment: 140 patients

Sex: Female

Ages: 18 to 45 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

Pregnant women were included if they had indications for vaginal delivery,

• Were primiparous,
• Had cervical dilation of 3 cm or more,
• Had term pregnancy (38 to 42 weeks of gestation),
• Had a single,
• Healthy,
• Vertex-positioned fetus,
• Had no complications that could cause dystocia during labor (contraction anomalies, birth object, dystocia related to the birth canal, dystocia related to the mother's psyche, dystocia related to the mother's psychology),
• Did not use analgesia and anesthesia during the first stage of labor,
• I did not have any physical disability to take the positions to be used in the study,
• Did not have any communication problems,
• Had language skills sufficient to speak and understand Turkish.

Exclusion criteria

• Pregnant women were excluded if they had abnormal changes in fetal heart rate during labor (fetal distress, etc.),
• Had an unexpected pregnancy or fetal complication,
• Had a high-risk pregnancy,
• Were taking magnesium sulfate,
• Had symptoms of intrauterine infection,
• Had previously attended antenatal classes,
• Or reported having been educated about birthing balls.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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140 participants in 2 patient groups

Peanut Ball Group

Experimental group

Description:

When the cervical dilation reached 4 cm, the peanut ball was first applied to the pregnant women in the side-lying position (right side/left side) for 20 minutes, and then the pregnant women were allowed to rest for 10 minutes. Second, the semi-seated position was applied for 20 minutes and the pregnant women were allowed to rest for 10 minutes. Third, the supine position was applied for 20 minutes followed by 10 minutes of rest. Fourth, the hand-knee position was applied for 20 minutes and rested for 10 minutes. Finally, the squatting position was practiced for 20 minutes and then the pregnant women rested for 10 minutes. Each position was practiced with the peanut ball for 20 minutes and rested for 10 minutes. Each position was performed once during the procedure. A pregnant woman who wished to remain in a position longer was allowed an additional 10 minutes without interrupting the flow of the intervention and then rested for 10 minutes.

Treatment:

Other: The Effect of Peanut Ball Use on Labor Memory, Labor Satisfaction, Delivery Length, and Neonatal APGAR Score: A Randomized Controlled Trial

Control Group

No Intervention group

Description:

Control Group (CG) No intervention other than routine intrapartum midwifery care was provided to primiparous pregnant women in the control group. After admission to the hospital for delivery, the pregnant women in the control group were informed about the study, written informed consent was obtained, routine practices and care in the delivery room were performed (taking history, taking vital signs, demonstrating correct breathing techniques, ensuring freedom of movement), vaginal examination and cervical changes were recorded on the partograph, EFM (electronic fetal monitoring) was performed when the time came according to the doctor's order, fetal heart rate (FHR) was listened to every half hour and recorded on the partograph.