The effect of exercises on birthing ball during active labor

Not yet recruiting

Conditions: Encounter for full-term uncomplicated delivery,

Registration Number: CTRI/2025/05/087646

Lead Sponsor: Akanksha Singh

Brief Summary: 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.

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: Female

Target Recruitment: 74

Inclusion Criteria

1.primigravida antenatal women at term POG(37-42week) singleton pregnancy with cephalic presentation.
2.primigravida at term who are in active stage of labor.
undergone labor spontaneously / by induction.
3.willing to participate in study.

Exclusion Criteria

1.Patient not giving consent 2.Maternal complications (Oligohydramnios, Polyhydramnios, Placenta previa, Preeclampsia, PROM, Inadequate pelvis, physical abnormality, chronic pelvic pain).
3.Fetal complication ( Malpresentation, IUGR, fetal anomaly, intrauterine death, fetal macrosomia, fetal distress) 4.Elective and Emergency cesarean section in 1st stage of labor 5.Having any complications that prevent vaginal delivery, having any extremity problems for using the birth ball and performing activities.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
1)To compare intensity of labor pain during active stage of labor at 5cm and at 9cm using Visual Analog Scale (VAS) among the two groups ( one whom intervention will be used and one without intervention.)	during active stage of labor at 5cm and at 9cm using Visual Analog Scale (VAS)

Secondary Outcome Measures

Name	Time	Method
To determine the duration of the active stage of labor using labor care guide in both group of patient	duration of active stage of labor (from 5cm to 10cm cervical dialatation )
To compare subjective outcomes of childbirth experience using Childbirth Experience Questionaire 2( CEQ-2 ) between the two groups	after delivery of baby

Trial Locations

Locations (1): AiimsPatna
🇮🇳
Patna, BIHAR, India
AiimsPatna
🇮🇳Patna, BIHAR, India
Dr Akanksha Singh
Principal investigator
8429741304
Akanksha2802singh@gmail.com