The Effect of Peanut Ball Application on Delivery Process
Condition: Birth, First
Study type: Interventional

Summary: 
      This study was carried out to evaluate the effect of peanut ball application on labor
      process, birth pain, and birth comfort. The data of the study were collected between July
      2021 and July 2022 in a Training and Research Hospital in Istanbul. 115 pregnant women who
      met the inclusion criteria of the study were included in the sampling, and the study was
      completed with 102 (experimental n: 51; control n: 51) pregnant women. Data were collected
      with an introductory information form, visual and verbal pain scales, Birth Comfort Scale,
      and birth follow-up form.
    

Detailed description: 
      A group was determined to be involved in the study after obtaining consent from the pregnant
      women participating in the research. The purpose of the study was explained to all pregnant
      women, informing them that the data would be anonymized and privacy principles would be
      adhered to.

      Experimental Group: Pregnant women who received the peanut ball application were provided
      with necessary information about the ball and how to use it through visual aids showing the
      positions provided by the midwife. A total of 5 positions were shown to the pregnant women.
      The peanut ball was used when the cervical dilation reached 6 cm. Pregnant women in active
      labor, the transition phase, and the second stage with the peanut ball were directed to
      change positions every 30-45 minutes. Emphasis was placed on selecting positions in which the
      pregnant women felt comfortable.

      Control Group: No intervention was made other than routine practices within the clinic for
      pregnant women. It was observed that pregnant women generally spent the time before delivery
      lying down and connected to electronic fetal monitoring.

      In the Birth Monitoring Form, the gestational week found in the patient's file, interventions
      and medications applied in the first stage of labor, the situation of episiotomy application
      in the second stage, the newborn's birth time, and 1st and 5th APGAR scores, newborn's
      length, weight, head circumference, and gender were recorded. In both groups, labor pains
      during the dilation stage were evaluated three times using the Visual Anolog Scale (VAS) when
      the dilation was at 6 cm, 9 cm, and 10 cm. During this period, the pregnant women were asked
      to rate the pain they felt on the VAS scale from 1 to 10, and the values expressed were
      recorded by the researcher. The childbirth comfort scale and the form indicating mothers'
      views
    

Intervention name(s): PEANUT BALL
Intervention type(s): Other
Intervention description(s): Experimental Group: Pregnant women who were applied with a peanut ball were informed about the necessary information related to the ball by the midwife with a visual representation of the positions. A total of 5 positions were shown to the pregnant women. Peanut ball was started to be used when the cervical dilation reached 6 cm. Pregnant women in the active phase, the transition phase, and the second stage of labor where the peanut ball was applied were directed to change positions every 30-45 minutes. Importance was given to selecting positions where the pregnant woman felt comfortable.
Control Group: No intervention was made other than routine practices within the clinic for pregnant women. It was generally observed that pregnant women spent the time until delivery lying down and connected to electronic fetal monitoring.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Experimental Group: Pregnant women who received the peanut ball application were provided with necessary information about the ball and how to use it through visual aids showing the positions provided by the midwife. A total of 5 positions were shown to the pregnant women. The peanut ball was used when the cervical dilation reached 6 cm. Pregnant women in active labor, the transition phase, and the second stage with the peanut ball were directed to change positions every 30-45 minutes. Emphasis was placed on selecting positions in which the pregnant women felt comfortable.
Control Group: No intervention was made other than routine practices within the clinic for pregnant women. It was observed that pregnant women generally spent the time before delivery lying down and connected to electronic fetal monitoring.
Masking: Triple (Participant, Care Provider, Outcomes Assessor)
Primary purpose: Supportive Care