A Study to Assess the Level of Satisfaction of Birthing Ball Technique and Sacral Massage on Maternal and Fetal Outcome among Primi Parturition Mothers
Creators: name: M. Sundaram
name: Dr. G. Bhuvaneswari
name: Dr. Chandrika Anand M.B.B.S, OG, MD
Publisher: name: Zenodo
Year: 2023
Subjects: Birthing Ball Technique, Sacral Massage, Satisfaction, Maternal and Fetal Outcome, Parturition Mothers.

description: Abstract
Background of the Study: Every woman has the right to respectful and empathetic care during childbirth .Pain during labour has been described as one of the most extreme pains that canbe experienced by mother. Each mother expect effective pain management .This is integral in the labour management. In order to manage the pain, pharmacological approaches are commonly used, such as injection of the analgesic pethidine, Intramuscular pethidine caused increases sedatives, dizziness, as well as nausea and vomiting for mother .Under these circumstances, pregnant women commonly feel to remain in bed and also if newborns exposed to pethidine have significantly decrease the normal behaviour, particularly sucking effort and breastfeeding, because opioids readily cross the placenta and influence fetal-neonatal activity and impair breast feeding. Ultimatly pharmacological management affect their labour progress and mother birthing experience .So Birth ball exercises and sacral massage constitute a non-pharmacological means of pain relief, which not only address labour pains, but also attempt to enhance the psychological and emotional components of mother care. Leung et all1 found that efficacy  of birth ball exercises in terms of reducing labour pain and back pain, decreasing anxiety levels, and promoting relaxation among the labour mother. Objective: Assess the level of satisfaction of birthing ball technique and sacral massage on maternal and fetal outcome among primi parturition mothers. Materials And Methods: Qusai experimental with Posttest only control group design was chosen for the study to assess the level of satisfaction of birthing ball technique and sacral massage on maternal  and fetal outcome among primi parturition mothers in selected Maternity Health Centres, Bangalore.  A total of 300 primigravidae with 150 each in the control and experiment groups were selected by Non Probability Purposive sampling technique, with the total duration of data collection was one year. Primigravidae in the experimental group underwent two sessions  of 15-20 minutes  of birthing ball exercises when uterus is in relaxed state and 10 -15  minutes  of sacral massage when uterus is in contraction state at a subsequent gap of  20minutes interval duringtheir  latent phase of labour (<4 cm cervical dilation) with total duration of 25-35 minutes in each session. Primigravidae in the control group received routine standard care that included continuous observation and monitoring of vital signs and progress of labour. Posttest was conducted after half an hour and one hour of intervention to assess the progress of labour by modified WHO Partogram and level of pain perception by using Visual Analogue Scale (VAS) was assessed in the transition phase (cervical dilation 8 cm to 10cm) and level of anxiety is measure by GAD-7 Anxiety Severity scale after intervention in both experimental and control group.  Maternal satisfaction regarding intervention assessed by rating scale among Parturient women and fetal outcomes were assessed after delivery in both groups by Apgar score. Results: The satisfaction among women was compared by Student's unpaired't' test. A probability of 0.05 and less was considered statistically significant.  The mean value of levels of satisfaction regarding procedure in control group was 38.720 with standard error of 0.238 , where as in the experimental group, the mean value of levels of satisfaction was 41.480 with standard error of 0.202.  The mean difference between control and experimental group was 2.8 so it was statistically significant at p<0.001. Conclusion: Birthing Ball technique and Sacral Massage is strongly recommended to be incorporated as an approach to labour management as non pharmacological management to improve the level of satisfaction on maternal and fetal outcome among primi parturient mothers.