The Effect of Using a Birth Ball and Squatting Position During Labor

Study Overview
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Brief Summary
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The aim of the study was to evaluate the effect of using the birth ball and squatting position during labor on labor pain, duration of labor and satisfaction. The research is a randomized controlled experimental study. The sample of the study consisted of a total of 159 pregnant women, 53 in the birthing ball application group, 53 in the squatting group, and 53 in the control group, who met the criteria for inclusion in the study.

Official Title
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The Effect of Using a Birth Ball and Squatting Position During Labor on Labor Pain, Duration of Labor and Satisfaction

Conditions
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Labor Pain, Labor Fast, Satisfaction, Patient

Intervention / Treatment
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* Other: Birth ball
* Other: Squatting


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: No risky pregnancy Gestational week between 37-42 Unopened amniotic membrane Those who will give birth vaginally In active phase Fluent in Turkish Singleton pregnancy Primiparous Exclusion Criteria: Any complication development Cesarean section status

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 35 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Birth Ball Group<br>In the active and transitional phases, during contractions, performing exercises on the birth ball (fully rotating the hip, moving to the right/left, coming back and forth, and slightly bouncing while sitting on the birth ball) (average 25 minutes). In order to monitor the condition of the fetus, exercises on the birth ball were performed by the pregnant woman during contractions while connected to NST. | Other: Birth ball<br>* Exercises for childbirth<br>|
| Experimental: Squatting Group<br>In the active and transitional phase, squatting position (squatting with feet shoulder-width apart by laying a clean sheet on the floor and getting support from a bed, chair or birth ball) during contractions (average 25 minutes). In order to monitor the condition of the fetus, the squatting position was used by the pregnant woman during contractions while connected to the NST. | Other: Squatting<br>* Exercises for childbirth<br>|
| No Intervention: Control Group<br>Usual routine care of the service. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Personal and Obstetric Information Form | This form, prepared by the researcher, consists of 45 questions including sociodemographic, obstetric and obstetric follow-up information of women. | pre-intervention | 
| Visual Analog Scale (VAS) | It is a measuring instrument with a score between 0 (no pain) and 10 (severe pain), divided equally by marks on a horizontal or vertical 10 cm line. Horizontal form was used in the research. The scale was used to assess the severity of pain. | latent, active and transition phase of labor | 
| Partogram | It is a graphical form used to evaluate the progress of birth and the health status of the baby. | active phase of labor | 
| Evaluation Scale for Maternal Satisfaction with Normal Delivery | This is used to assess the mother's level of satisfaction at birth. The scale, which has a validity and reliability of 0.91 in Turkey, was developed by Güngör and Beji in 2009. It is a 5-point Likert-type scale consisting of 43 items and 10 sub-dimensions. | Postpartum at the 4th hour | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Labor Pain, Birth ball, Squatting, Duration of labor, Satisfaction