Effects of Pilates Ball and Sacral Massage Applications on Labor Pain, Labor Duration and Childbirth Satisfaction

NCT06927531 | Recruiting

• 1 other identifier: Decision No: 24-9.1T/46
• Study Type: interventional
• Target: 105
• Locations: 1 country
• Sites: 1

Brief Summary

As researchers, we believe that Pilates ball and manual sacral massage applications can be easily and cost-free applied in maternity clinics in our country. For all these reasons, this study was planned as a randomized controlled study to evaluate the effects of Pilates ball and sacral massage applications in labor on labor pain, labor duration, and labor satisfaction. The research will be carried out between December 1, 2024 and May 1, 2025 in two public hospitals affiliated with the Gaziantep Provincial Health Directorate. The sample of the research will consist of 35 pregnant women in the Pilates ball group, 35 in the sacral massage group and 35 in the control group, totaling 105 pregnant women who meet the criteria for inclusion in the research. Applications to the intervention groups will be made during the active phase of labor. Personal Information Form, Labor Monitoring Form, Application Monitoring Form to record the number and duration of applications, Visual Analog Scale to assess labor pain, Partograph to assess labor duration and Labor Satisfaction Scale to assess maternal satisfaction will be used in data collection. Data will be analyzed with tests appropriate to normal distribution characteristics in the SPSS 24 package program. At the end of the research, the effects of Pilates ball and sacral massage applications in labor on labor pain, labor duration and labor satisfaction will be evaluated.

Conditions

Labor Pain; Satisfaction

Keywords

sacral massage; pilates ball

Outcome Measures

Primary Outcomes (1)

• The intensity of pain will be measured with a visual pain scale.

  reduction in pain in intervention groups

  prebirth during

Study Arms (3)

sacral massage

EXPERIMENTAL

During labor, pregnant women will be given effleurage (stroking) and vibration (vibration) techniques to the sacral region in a comfortable position during contractions, once an hour for a maximum of 10 minutes.

Other: sacral massage

pilates ball

EXPERIMENTAL

During labor, pregnant women will be made to perform pelvic oscillation movements (full rotation of the hips, going right/left, coming forward and back, gently bouncing on a ball while holding on to the headboard) once an hour during the active phase of labor.

Other: pilates ball

control

NO INTERVENTION

Pregnant women in the control group will not be subjected to any intervention other than the routine practices of the clinic.

Interventions

sacral massage OTHER

During labor, pregnant women will be given effleurage (stroking) and vibration (vibration) techniques to the sacral region in a comfortable position during contractions, once an hour for a maximum of 10 minutes.

sacral massage

pilates ball OTHER

During labor, pregnant women will be given pelvic oscillation movements (a full rotation of the hips, going right/left, coming forward and backward, lightly bouncing on a ball while holding onto the headboard) once an hour during the active phase of labor.

pilates ball

Eligibility Criteria

• Age: 18 Years - 35 Years
• Gender Eligibility Details: women
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Pregnant women over 18 years old and under 35 years old
• Term pregnancies (38-41 weeks gestation)
• Primiparous
• Those with a single live fetus
• Vertex development
• Those who do not have any risk factors during pregnancy (Dermatological disease, Preeclampsia, active membrane rupture, oligohydramnios and polyhydramnios, gestational diabetes, placental anomalies, intrauterine growth retardation, intrauterine dead fetus, macrosomic babies, fetal distress, etc.)
• Those who do not have any obstacles for Pilates ball application
• Those who do not have any chronic diseases (Hypertension, DM, ...)
• Those in the active phase of labor, those who have at least 1 hour of labor follow-up
• Pregnant women who voluntarily accept to participate in the study

You may not qualify if:

• Indications for Caesarean section (such as presentation disorder, breech presentation)
• Those who underwent induction
• Those whose labor duration was shorter than 1 hour or longer than 8 hours
• Those who underwent vacuum forceps or shoulder insertion

Sponsors & Collaborators

• Ege University: lead

Study Sites (1)

Gaziantep Unıversity

Şehitkamil, Gazi̇antep, Turkey (Türkiye)

RECRUITING

Related Publications (3)

• Makvandi S, Hadizadeh-Talasaz Z, Nosrati Hadi Abad SF, Manouchehri E, Larki M. Effectiveness of sacral massage during labor in pregnant women: A systematic review and meta-analysis. Midwifery. 2025 Feb;141:104252. doi: 10.1016/j.midw.2024.104252. Epub 2024 Nov 28.

  PMID: 39673988 BACKGROUND

• https://doi.org/10.1111/jjns.12580

  BACKGROUND

• Erkal Aksoy Y, Dereli Yilmaz S, Celimli S. Effect of using a birth ball on birth satisfaction and pain in pregnant women during labor: a randomized controlled trial. Arch Gynecol Obstet. 2024 Dec;310(6):2999-3007. doi: 10.1007/s00404-024-07825-3. Epub 2024 Nov 25.

  PMID: 39585392 BACKGROUND

MeSH Terms

Conditions

Labor Pain; Personal Satisfaction

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Behavior

Central Study Contacts

EMİNE CAN, ARAŞTIRMA GÖREVLİSİ

CONTACT

+905437371424; ebemisyen@hotmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: res. asst.

Study Record Dates

• First Submitted: February 20, 2025
• First Posted: April 15, 2025
• Study Start: February 20, 2025
• Primary Completion: May 30, 2025
• Study Completion: December 30, 2025
• Last Updated: April 15, 2025

Record last verified: 2025-02

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)