The effect of exercises performed on birthing ball on labor pain and duration of labor- A Randomised controlled trial

This study is a non randomised control trial to find out the effect ofexercises performed on birthing ball on labor pain and duration of labor inactive phase of labor among primiparous anternatal women at term, who will beadmit in AIIMS PATNA labor ward. Labour pain can be extremely intense andprolonged, making them challenging for many women to endure without medicalintervention or support. Birthing ball can be a effective nonpharmacological method of pain relief during labor without side effect and would have better outcomes for both mother and baby. Birthing ballexercises by its impact on pelvic structure/dimension may help in fetal descentand cervical dilatation, and will significantly reduce maternal pain in laborand reduce labor duration. Informed consent will be obtained from antenatalwomen before conduction of study. This study will be done in 74 primiparousantenatal women at term (37-42week POG) with singelton pgegnancy with cephalicpresentation in active stage of labor. patient will be randomised between 2group intervention and control group.Intervention group recieve birthingball exercise (4cycle of 15 min exercise at an interval of 45 min) as wellas routine care and control group will recieve only routine care. Exercisesinclude- 3 Simple exercises  – bouncing on ball, rocking left toright , hip circles. Outcome will be measured by visual analogue scale (VAS)  for pain duringlabor at 2 time points (at 5cm, and 9 cm cervical dilatation ) as primaryoutcome, determining the length of labor by measuring cervical dilatationusing  partograph (WHO labor care guide)and measuresubjective outcome of childbirthsatisfaction  using  childbirth experience questionnaire(CEQ2) as secondary outcome.