Birthing Ball Gymnastics Technique to Reduce Labor Morbidity and Mortality

Fijri Rachmawati, Nurliyani Nurliyani

Abstract


Background: Labor pain is a major concern for women, especially during the first stage, which is often intense and long. It is caused by both physical and emotional factors, like anxiety and fear. Proper pain management can improve the birth experience. A birthing ball is a non-drug method that helps reduce pain, support cervical dilation, and widen the pelvis, making labor shorter and aiding vaginal delivery. It also helps women feel more in control during labor. This study aims to examine the effect of using a birthing ball on pain intensity during the active phase of the first stage of labor.

Method: This study is quantitative research using a quasi-experimental approach with a one-group pre-test-post-test design. The sample consisted of 30 respondents selected through purposive sampling, using the Visual Analogue Scale (VAS) observation sheet. Data analysis was conducted using the paired t-test.

Results: The study found that the average pain intensity during the active phase of the first stage of labor before using the birthing ball was 7.29 (severe pain), and after using the birthing ball, it was 6.06 (moderate pain). The paired t-test showed that there is a significant effect of using a birthing ball on labor pain intensity during the active phase of the first stage of labor with a p-value of 0.000 (p < 0.005).

Conclusion: There is an effect of using birthing ball on labor pain intensity in active phase of the first stage of labor. Therefore, we need to encourage collaboration between midwives and doctors in the use of birthing balls to ensure a holistic and comprehensive approach to labor pain management.


Keywords


gymnastics technique, birthing ball, morbidity and mortality

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References


  1. World Organisation Health. Maternal mortality in the world. USA; World Organisation Health. 2019
  2. Yulianti. Iqmy, Octaviani, Ledy. Farich, Achmad. (2022). Differences in the Use of Birth Ball Against Pain in Active Phase I Labouring Mothers. Anjani Journal. DOI: https://doi.org/13.11114/anjani.1.x.x1-x2
  3. Lampung Provincial Health Office. (2019). Lampung Provincial Health Office Profile. Lampung
  4. Irfana Tri Wijayanti, Sifa Altika. Effectiveness of Comfortable Contraction Application on the Intensity of First Period Labour Pain. Community of Publishing in Nursing (COPING). 2020
  5. Ulfa, Rahmi Mutia. Effect of the Use of Birth Balls on the Reduction of Pain and Duration of Labor During the First Stage of Active and Second Stage of Labor in Primigravida Maternity. Science Midwifery, Vol 9, No. 2, April. 2021
  6. Adams S, Eberhardgran M, Eskild A. Fear of childbirth and duration of labor: A study of women with intended vaginal delivery. BJOG Int Obst Gy. 2012
  7. Ganchimeg T, Ota E, Morisaki N, Laopaiboon M, Lumbiganon P, Zhang J, et al. Pregnancy and child birth outcomes among adolescent mothers: A world health organisation multinational study. BJOG Int Obst Gy. 2014
  8. Novitasari, E., Wardana, K. E. L., Natalia, M. S., Nurahmawati, D., Rochkmana, M. J., Yuliana, W., Destriani, S. N., Dewi, M. M., Somala, W., Apriani, L. A., Destariyani, E., Widiani, N. N. A., & Susianti, S. Physiology of Pregnancy, Labor, Puerperium, and the Newborn. In 4th Edition. PT Global Executive Technology. 2023
  9. Sahara, Roca, Dahlan, Suralaga. The Effect Of The Use Of Birth Ball On Intensity Of Labor Pain I Active Phase In Primigravidal Mothers In Pmb Bekasi City. Science Midwifery, 2022
  10. Fauziah, S. F., Rhomadona, S. W., Mufidati, D., Dewi, M. M., Rochkmana, M. J., Yulivantina, E. V., Putri, S., Hadi, I., & Purnamasari, K. D. Evidence Based Evidence Based. 2022
  11. Mwakawanga, Mselle, Chikwala & Sirili. Use of non-pharmacological methods in managing labour pain: Experiences of nurse-midwives in two selected district hospitals in eastern Tanzania. BMC Pregnancy and Childbirth. 2022
  12. Pramudianti DN. Literature Review: Non pharmacological Methods to Reduce Pain in the First Stage of Labour with a Counter Pressure Technique. Health media 2020
  13. Gunadi, Agus, et al. Trend of Non-Pharmacological Therapy for First Phase of Active Labor Pain: A Pilot Study. J Epidemiology Health Indonesia. 2022
  14. Taavoni S, Sheikhan F, Abdolahian S, et al. Birth ball or heat therapy? A randomized controlled trial to compare the effectiveness of birth ball usage with sacrum-perineal heat therapy in labor pain management. Complement Ther Clin Pract. 2016
  15. Chaillet N, Belaid L, Crochetiere C, et al. Nonpharmacologic approaches for pain management during labour compared with usual care: a meta-analysis. Birth. 2014
  16. Grenvik, J, Rosentha, Wey, Saccone, Vivo, Prisco, et all. Birthing balls for reducing labour pain: a systematic review and meta-analysis of randomised controlled trials. The Journal of Maternal-Fetal & Neonatal Medicine. 2021
  17. Rachmawati, Fijri. Textbook of Complementary Midwifery Care in Maternity. Jakarta. Nuansa Fajar Cemerlang. 2023
  18. Vaijayanthimala M, Judie A. Effectiveness of birthball usage during labor on pain and child birth experience among primipaturient mothers: a randomized interventional study. Int J Sci Res. 2014
  19. Aprilia, Y., & B, R. Gentle Birth: Comfortable Childbirth without Pain. PT Gramedia Widiasarana Indonesia. 2011
  20. Mylod, D, Hundley, Way & Clark. Using a birth ball to reduce pain perception in the latent phase of labour: a randomised controlled trial. Women and Birth, Elsevier. 2024
  21. Kaya, Saglam, Karadag, Gursoy. The effectiveness of aromatherapy in the management of labour pain: A meta-analysis. European Journal of Obstetrics & Gynaecology and Reproductive Biology. Elsevier. 2023
  22. Bobak, Lowdermilk, J. Handbook of Maternity Nursing. Jakarta: EGC, 2016.
  23. Rahmy, C. The Relationship between Anxiety Level and the Smoothness of the Labour Process of Primigravida Mothers at
  24. Banda Aceh Mother and Child Hospital Year. STIKES U'Budiyah Banda Aceh. Journal of Nursing and Midwifery, 2018,
  25. Notoatmodjo, S. Health Education and Behaviour. Jakarta: Rineka Cipta, 2017.
  26. Difarissa, R.R. Relationship between Anxiety Level and Duration of Active Phase I Partus in Primigravida in Pontianak. Cerebellum Journal, 2016, 2(3): 531-552.
  27. Astuti, T. Effectiveness of Materna Package on Pain and Duration of Period 1 of Labor of Primiparous Women in Bandar Lampung. University of Indonesia, 2018.
  28. Afroh, F., M & Sudarti. Pain Measurement Theory & Labour Pain. Yogyakarta: Nuha Medika, 2017.
  29. Oktavia, S.A. The Effect of the Combination of Counterpressure Techniques with Birth Ball on Active Phase 1 Labor Pain at Dirgahayu Hospital in 2020. Muhammadiah Medical Journal, 2020, 2(2): 76-83.
  30. Sumakul, V. D. O., & Terok, K. A. (2017). The Effect of Husband's Assistance on the Duration of the Labor Process of Periods I and II in Primiparous Mothers at Irna Yohana Rsu Gunung Maria. Proceedings of the National Seminar, 1(2), 278-285.
  31. Sintya Dewi, P. I., Aryawan, K. Y., Ariana, P. A., & Eka Nandarini, N. A. P. (2020). The intensity of latent phase I labour pain in intrapartum mothers using birth ballexercise. Silampari Journal of Nursing, 3(2), 456-465. https://doi.org/10.31539/jks.v3i2.1050
  32. Kustari, Oktifa, et al.2012. The Effect of Birth Ball Therapy on Labor Pain.Malang: Faculty of Medicine, University of Brawijaya, Nursing Science Study Program.
  33. Irawati, A., Susanti, S., & Haryono, I. (2019). Reducing labor pain with birthing ball techniques. Journal of Smart Midwives (JBC), 2(3), 129. https://doi.org/10.33860/jbc.v2i3.282
  34. Maryani T, & Estiwidani D (2016). Birth ball therapy affects ama kala II and labour pain intensity in primigravida birthing mothers at RB Kasih lbu Yogyakarta. Journal of Maternal and Child Health. 2016;10(2):22-7.
  35. Sahara, R., Febry Mutiariami Dahlan and Cholisah Suralaga (2022) "The Effect Of The Use Of Birth Ball On Intensity Of Labor Pain I Active Phase In Primigravidal Mothers In Pmb Bekasi City In 2022", Science Midwifery, 10(3), pp. 2095-2101. doi: 10.35335/midwifery.v10i3.615.
  36. Setiani, E. T., Latifah, L., & Anggraeni, M. D. (2023). The Effect of Birth Ball Therapy on the Intensity of Spontaneous Labor Pain. Journal of Midwifery and Traditional Health, 8(1), 20-32. https://doi.org/10.37341/jkkt.v8i1.379




DOI: https://doi.org/10.20961/placentum.v13i1.93119

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