The Effect of Using a Birth Ball and Squatting Position During Labor

NCT05360823 | Completed

• 1 other identifier: ISBASP
• Study Type: interventional
• Target: 159
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of the study was to evaluate the effect of using the birth ball and squatting position during labor on labor pain, duration of labor and satisfaction. The research is a randomized controlled experimental study. The sample of the study consisted of a total of 159 pregnant women, 53 in the birthing ball application group, 53 in the squatting group, and 53 in the control group, who met the criteria for inclusion in the study.

Conditions

Labor Pain; Labor Fast; Satisfaction, Patient

Keywords

Labor Pain; Birth ball; Squatting; Duration of labor; Satisfaction

Outcome Measures

Primary Outcomes (4)

• Personal and Obstetric Information Form

  This form, prepared by the researcher, consists of 45 questions including sociodemographic, obstetric and obstetric follow-up information of women.

  pre-intervention

• Visual Analog Scale (VAS)

  It is a measuring instrument with a score between 0 (no pain) and 10 (severe pain), divided equally by marks on a horizontal or vertical 10 cm line. Horizontal form was used in the research. The scale was used to assess the severity of pain.

  latent, active and transition phase of labor

• Partogram

  It is a graphical form used to evaluate the progress of birth and the health status of the baby.

  active phase of labor

• Evaluation Scale for Maternal Satisfaction with Normal Delivery

  This is used to assess the mother's level of satisfaction at birth. The scale, which has a validity and reliability of 0.91 in Turkey, was developed by Güngör and Beji in 2009. It is a 5-point Likert-type scale consisting of 43 items and 10 sub-dimensions.

  Postpartum at the 4th hour

Study Arms (3)

Birth Ball Group

EXPERIMENTAL

In the active and transitional phases, during contractions, performing exercises on the birth ball (fully rotating the hip, moving to the right/left, coming back and forth, and slightly bouncing while sitting on the birth ball) (average 25 minutes). In order to monitor the condition of the fetus, exercises on the birth ball were performed by the pregnant woman during contractions while connected to NST.

Other: Birth ball

Squatting Group

EXPERIMENTAL

In the active and transitional phase, squatting position (squatting with feet shoulder-width apart by laying a clean sheet on the floor and getting support from a bed, chair or birth ball) during contractions (average 25 minutes). In order to monitor the condition of the fetus, the squatting position was used by the pregnant woman during contractions while connected to the NST.

Other: Squatting

Control Group

NO INTERVENTION

Usual routine care of the service.

Interventions

Birth ball OTHER

Exercises for childbirth

Birth Ball Group

Squatting OTHER

Exercises for childbirth

Squatting Group

Eligibility Criteria

• Age: 18 Years - 35 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• No risky pregnancy
• Gestational week between 37-42
• Unopened amniotic membrane
• Those who will give birth vaginally
• In active phase
• Fluent in Turkish
• Singleton pregnancy
• Primiparous

You may not qualify if:

• Any complication development
• Cesarean section status

Sponsors & Collaborators

• Fatma Dünmez: lead

Study Sites (1)

Istanbul University-Cerrahpasa

Istanbul, Turkey (Türkiye)

Location

Related Publications (4)

• 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 Childbirth. 2019 May 6;19(1):153. doi: 10.1186/s12884-019-2305-8.

  PMID: 31060522 BACKGROUND

• Lavender T, Cuthbert A, Smyth RM. Effect of partograph use on outcomes for women in spontaneous labour at term and their babies. Cochrane Database Syst Rev. 2018 Aug 6;8(8):CD005461. doi: 10.1002/14651858.CD005461.pub5.

  PMID: 30080256 BACKGROUND

• Gungor I, Beji NK. Development and psychometric testing of the scales for measuring maternal satisfaction in normal and caesarean birth. Midwifery. 2012 Jun;28(3):348-57. doi: 10.1016/j.midw.2011.03.009. Epub 2011 May 4.

  PMID: 21546142 BACKGROUND

• Dunmez F, Yilmaz T. The effect of using birth ball and squatting position during labor on pain, duration, and satisfaction: A randomized controlled trial. Jpn J Nurs Sci. 2024 Apr;21(2):e12580. doi: 10.1111/jjns.12580. Epub 2023 Dec 10.

  PMID: 38073180 DERIVED

Related Links

• Ministry of Health Partograph Circular

MeSH Terms

Conditions

Labor Pain; Patient Satisfaction; Personal Satisfaction

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Treatment Adherence and Compliance; Health Behavior; Behavior

Study Officials

• Fatma Dünmez, Midwife

  Istanbul University - Cerrahpasa

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Midwifery-Master Student

Study Record Dates

• First Submitted: April 26, 2022
• First Posted: May 4, 2022
• Study Start: July 3, 2021
• Primary Completion: January 20, 2022
• Study Completion: June 24, 2022
• Last Updated: July 28, 2022

Record last verified: 2022-07

Locations

TU (1)