Effect of Peanut Birth Ball on The Progress of Labor and Birth Outcome among Primigravidae

Ahmed, Afaf Hassan; Mohmed, Anwaar Anwar; Fathalla, Naglaa Fathy

doi:10.21608/asalexu.2022.280357

Effect of Peanut Birth Ball on The Progress of Labor and Birth Outcome among Primigravidae

Document Type : Research articles

Authors

¹ Obstetrics and Gynecologic Nursing, Faculty of Nursing, Alexandria University, Egypt.

² Obstetrics and Gynecologic Nursing, Faculty of Nursing, Damanhour University, Egypt.

³ Obstetrics and Gynecologic Nursing, Faculty of Nursing, Alexandria University, Egypt

10.21608/asalexu.2022.280357

Abstract

Background: One of the World Health Organization's recommendations for preventing prolonged
labor and averting cesarean sections is frequent position changes and movements during labor. However,
some women may find themselves unable to get out of bed due to labor exhaustion, in addition to
conventional procedures used in most hospitals such as labor induction, epidural anesthesia, and
continuous fetal monitoring, create an environment in which women cannot move around freely or easily.
To address these issues and implement World Health Organization's recommendations, the peanut birth
ball may be a helpful tool for achieving frequent position changes without disrupting labor
procedures. The current study aimed to evaluate the effect of the peanut birth ball on the progress of labor
and birth outcome among primigravidae. Methods: A quasi-experimental research design was used. A
convenient sample of 80 parturient was recruited from Damanhur national medical institute affiliated to
the ministry of health. Three tools of data collection were used: (1) basic data-structured interview
schedule (2) physical assessment sheet for progress of labor (3) An observational birth outcome checklist.
Results: the current findings revealed that a statistically significant difference (P <0.001) was recognized
between the two groups' frequency, duration and interval of uterine contractions as well as cervical
dilation, and fetal descent after the intervention. In addition, a high significantly shorter duration of 1st and
2nd stages of labor among the study group than the control group (p <0.001) was observed. Almost the
entire (92.5%) of the study group had normal vaginal delivery compared to 75% of the control group .No
statistically significant difference was found between both groups concerning Apgar score and need for
resuscitation. Conclusion: The peanut birth ball is thought to be an effective, affordable, reusable,
innovative, non-pharmacological intervention that helps in the progress of labor and supports vaginal
birth. Recommendations: utilization of peanut birth ball is recommended for laboring women, especially
those who are confined to bed during childbirth

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