The Use of Peanut Ball in Labor in Obese Women

Gulhane Training and Research Hospital

Status: Completed

Conditions: Labor Long

Treatments: Other: position with peanut ball

Study type: Interventional

Funder types: Other

Identifiers

NCT05276947

PBinON

Details and patient eligibility

About

The purpose of this study is to assess the efficacy of peanut ball use on labor process and maternal, neonatal outcomes in obese pregnant women.

Full description

After being informed about the study, all participants giving written informed consent, on the active phase of labor (cervical dilatation = 5 cm), the pregnant women in the experimental group will be provided with a position change lasting at least 30 minutes every hour with a peanut ball. The peanut ball will be used with a sheath that is changed for each participant. Pregnant women in the control group will be included in the study during the active phase of labor (cervical dilatation = 5 cm). No intervention will be made by the researcher. They will receive standard care by the service nurse.

Enrollment: 70 patients

Sex: Female

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Admitted for delivery
• Maternal BMI > 30kg/m2 at admission
• Gestational age > 37 weeks 0 days
• Singleton pregnancy
• Cephalic presentation
• Cervical dilatation less than 5 cm
• Turkish speaking

Exclusion criteria

• Pre-pregnancy BMI < 30kg/m2
• Gestational age < 37 weeks 0 days
• Multifetal gestation
• Intrauterine fetal demise
• Musculoskeletal problems
• Receiving magnesium sulfate
• High risk pregnancies (Preeclampsia/eclampsia, cholestasis, intrauterine growth retardation, fetal anomaly, polyhydramnios or oligohydramnios)

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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70 participants in 2 patient groups

Peanut ball intervention

Experimental group

Description:

The experimental group. In the active phase of the labor (cervical dilatation = 5 cm), the peanut ball, which has a cover provided by the researcher and changed in each patient, will be placed between the knees of the participant for at least 30 minutes every hour, and a position change will be provided with the peanut ball in each time. The positions to be given with the peanut ball, semi sitting lunge, side lying, tucked, leaning forward, pushing and sitting position.

Treatment:

Other: position with peanut ball

Control group

No Intervention group

Description:

Standard care will be given to the control group without positioning with a peanut ball.