Effects of Body Movement by Birth Ball Program on Labor Pain and Active Phase Duration among Primiparous Parturients

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Lamai Wongsason
Siriwan Sangin
Wantana Suppaseemanont

Abstract

            Labor pain in the first stage of labor causes discomfort and suffering for women, especially in primiparous parturients. This comparative experimental design, two group pretest-posttest design aimed to determine the effects of body movement by birth ball program on labor pain and duration of active phase among primiparous parturients. Sample consisted of 62 primiparous parturients who delivering in the delivery room at Somdej Phranangchaosirikit Hospital. They were selected by convenience sampling and then were assigned by simple computerized randomization to either an experimental (n = 32) or a control group (n = 30). The experimental group received both body movements by birth ball program and routine care, while the control group received routine care only. Data collection tools included a demographic and obstetric record and a visual analogue scale for pain. Data were analyzed by using descriptive statistics and independent t-test.
            Results revealed that the experimental group had mean score of labor pain in phase of maximum slope and transitional phase significantly lower than those in the control group (t41.85 = 8.50, p < .001; t43.11 = 9.75, p < .001, respectively). As well as, the experiment group had mean score of duration of active labor significantly shorter than those in the control group 134.42 minutes (t60 = 5.06, p < .001).
            This study confirmed that body movement by birth ball program had lower labor pain and shorter duration of active labor. Therefore, midwives should be used this program as a guideline for caring parturients in order to help them safely and soundly pass through the delivery period.

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