The Peanut Ball Use on Labor

NCT06387680 | Completed

• 1 other identifier: 2022/187
• Study Type: interventional
• Target: 140
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

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

Keywords

Birth memory and recall; Birth satisfaction; Labor length; APGAR score; Peanut ball

Outcome Measures

Primary Outcomes (7)

• Comparison of sociodemographic of pregnant women.

  Sociodemographic of pregnant women will be collected through surveys and compared and reported.

  6 months

• Comparison of obstetric characteristics of pregnant women

  Obstetric of pregnant women will be collected through surveys and compared and reported.

  6 months

• Comparison of postpartum characteristics of pregnant women

  Postpartum characteristics of pregnant women will be collected through surveys and compared and reported.

  6 months

• Comparison of duration of 1st and 2nd stage of labor by group

  The 1st and 2nd stages of the birth of pregnant women will be followed by the midwife and notes will be taken in the survey.

  6 months

• Comparison of 1st and 5th minute APGAR scores of newborns by group

  The 1st and 5th minute APGAR scores of newborns will be noted in the survey.

  6 months

• Comparison of the mean scores of the Pregnant Women's Birth Memory and Recall Questionnaire (BirthMARQ) and its subscales by groups

  BirthMARQ scale will be applied to pregnant women. BirthMARQ ranges from 1 to 147 points (min-max), with higher scores indicating poor mood and more frequent involuntary recall.

  6 months

• Comparison of pregnant women's Birth Satisfaction Scale (BSS) mean scores by groups

  BSS scale will be applied to pregnant women.BSS is 0-40 points (min-max), and as the score increases, the level of birth satisfaction increases.

  6 months

Study Arms (2)

Peanut Ball Group

EXPERIMENTAL

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.

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

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.

Interventions

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

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

Peanut Ball Group

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• 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.

You may not qualify if:

• 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.

Sponsors & Collaborators

• Selcuk University: lead

Study Sites (1)

Selcuk University

Konya, 42250, Turkey (Türkiye)

Location

Related Publications (1)

• Cankaya S, Alan Dikmen H, Atas A. The effect of peanut ball use on labor memory, labor satisfaction, delivery length, and neonatal APGAR score: a randomized controlled trial. Postgrad Med. 2025 Jun;137(5):368-378. doi: 10.1080/00325481.2025.2510198. Epub 2025 May 26.

  PMID: 40396494 DERIVED

MeSH Terms

Conditions

Pregnancy Complications

Condition Hierarchy (Ancestors)

Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assoc. Prof. Seyhan Çankaya

Study Record Dates

• First Submitted: April 16, 2024
• First Posted: April 29, 2024
• Study Start: January 1, 2023
• Primary Completion: March 1, 2024
• Study Completion: March 1, 2024
• Last Updated: April 15, 2025

Record last verified: 2025-04

Locations

TU (1)