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The Effect of Peanut Ball Use on the Labour Process and Maternal-Neonatal Outcomes in Parturient Women With High
Fulden Ozkececi1, Gulten Guvenc2
1Department of Nursing, Faculty of Health Sciences, Antalya Bilim University, Antalya, Turkey.
Aim:
The aim of this study was to determine the effect of using a peanut ball in different positions on the labour process, maternal and neonatal outcomes for parturient women with high maternal body mass index.
Methods:
This randomized controlled trial was conducted between March 2022 and August 2023 with 59 parturient women. The intervention group (n = 29) was positioned with a peanut ball for 30 min every hour until cervical dilatation reached 5-10 cm. No intervention was made for the control group (n = 30). Data collection tools included the Birth Satisfaction Scale and pain assessment using the visual analogue scale.
Results:
The mean body mass index was 36.2 and 35.9 kg/m2 in the intervention and control group, respectively. There was no significant difference between the groups in terms of active phase duration (p = 0.522). Pain intensity at the end of the active phase was significantly lower in the intervention group (p = 0.001). Perineal trauma, Apgar score, and need for neonatal intensive care did not differ significantly between the groups (p = 0.706, p = 0.366 and p = 1.000, respectively); however, the Birth Satisfaction Scale score was significantly higher in the intervention group (p = 0.001).
Conclusion:
Increasing use of peanut balls in parturient women with high maternal body mass index may decrease labour pain and improve satisfaction with the labour process.
Trial Registration:
It was registered at ClinicalTrials.gov in March 2022 (NCT05276947). The trial protocol and statistical analysis plan can be accessed through the registry entry.
