Effecttivenness of Birthball Usage During Labour on Pain and Child Birth Experience Among Primi Parturient Mothers : A  Randomized Interventional Study

Mrs. M. vaijayanthimala; Dr. A. Judie

Volume : III, Issue : VII, July - 2014

Effecttivenness of Birthball Usage During Labour on Pain and Child Birth Experience Among Primi Parturient Mothers : A Randomized Interventional Study

Mrs. M. Vaijayanthimala, Dr. A. Judie

Abstract :

Aim: To evaluate the effectiveness of birthball usage during labour on pain and child birth experience of primi parturient mothers. In addition , it also tested the effect of bithball usage on labour outcome. Participants and setting: The study was conducted in Government general hospital, Thambaram in Chennai, Tamilnadu with 30003500 annual births. 240 low risk primi parturient mothers were recruited and were allocated bySimple random sampling technique into the two arms of the study,but only 106 in study and 105 in control group participants completed the trial. Intervention: The study group underwentbirthball exercise programme consisted of 15 minutes videotape followed by live demonstration on birthball positioning and movements during prenatal checkups. Members of study group were asked to practice the swaying movements and positions on birthball at least 20 minutes after the 36 weeks of gestation. Each women in study group was given birth ball during labour and encouraged every hour to practice movements withbithball. Both the groups were received standard nursing care in all aspects of childbirth. Measurement and findings: In active stage of labour (3-6 cm of cervical dilatation) the women completed the demographic and obstetrical information and pain was measured by 0- 10 numerical rating scale and child birth experience was measured by modified labouragentry scale. This study revealed that there was high significant difference found in pain and child birth experience at p=0.001 level between study and control group. Mothers in study group had shorter duration of first stage , less need for augmentation and pain medication and fewer caesarian delivery than control group. Conclusion: The study concluded that, clinical implementation of birthball usage during labour could be an effective non pharmacological intervention in reducing pain perception and andimprove the child birth experience.