Using a peanut ball during labour versus not using a peanut ball during labour for women using an epidural: study
Virginia Stulz1, David Campbell2, Biing Yin3
1School of Nursing and Midwifery Centre for Nursing and Midwifery Research, Nepean Hospital, 1st level Court Building, Derby St, Kingswood, NSW 2340 Australia.
Pilot and Feasibility Studies
|October 12, 2018
Summary
This pilot study assesses the feasibility of using peanut balls for laboring women with epidurals. Findings will inform a larger trial on labor progress and birth outcomes.
Area of Science:
- Obstetrics and Gynecology
- Clinical Trials
- Perinatal Care
Background:
- The peanut ball, a labor support device, may enhance pelvic outlet dimensions during labor.
- Women with epidurals have limited mobility, potentially hindering labor progress.
- No randomized controlled trials have evaluated peanut ball use in Australian women with epidurals.
Purpose of the Study:
- To assess the feasibility and practicality of conducting a definitive randomized controlled trial (RCT) on peanut ball use.
- To determine recruitment rates, retention, and attrition in a pilot RCT.
- To inform the sample size and design of a future large-scale RCT.
Main Methods:
- A two-armed pilot randomized controlled trial involving 50 women with epidurals across two NSW hospitals.
- Participants were randomly allocated to use a peanut ball or not.
- Data collected on willingness to be randomized, retention rates, and key clinical outcomes.
Main Results:
- Pilot study outcomes will inform the powering and design of a larger definitive RCT.
- Feasibility of recruitment, retention, and data collection will be assessed.
- Acceptability of surveys and feasibility of economic evaluation will be investigated.
Conclusions:
- This pilot study provides essential data for a future definitive RCT.
- The findings will guide the implementation of peanut ball support for women with epidurals.
- This research addresses a gap in evidence for a specific laboring population.
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