BIRTH BALL USAGE ON PAIN IN THE ACTIVE PHASE OF LABOR: EVIDENCE BASED CASE REPORT

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Davilla Pingkan Aqista Yusticia
Wiwin Widayani

Abstract

Background : The labor process is identical to pain. Labor pain is a physiological process but each individual feels a different pain intensity. Labor pain can be caused by uterine muscle contraction factor, pelvic base muscle strain, and psychological factors. Psychologically, excessive pelvic pain and pain will cause anxiety. Anxiety increases the occurrence of stress which affects the body's ability to withstand the pain. Pain can hinder the labor progress, so that the body is unable to adapt that further causes an uncoordinated uterine contractions. This situation can prolong the period of 1st stage labor and increases the risk of fetal distress. One of the non-pharmacological methods that can be used to reduce the pain during the 1st stage labor is birth ball therapy, with the aim to help the labor progress and to reduce the pain. Specifically, birth balls can be used to reduce the labor pains during the active 1st stage of labor


Methods : The Evidence-Based Case Report aims to determine the use of birth balls on the intensity of labor pain. The articles searching regarding to the use of birth balls in PubMed and Google Scholar has obtained several articles, namely, Maria ulfa's article, with a pre-experimental study research method with a one-group pretest-posttest approach and Simin Taavoni, et al's article with the Randomized Controlled Trial research method. Both articles have been thoroughly reviewed and applicable to mothers in the active 1st stage of labor


Results : The intensity measurement the pain intensity by using the Numeric Rating Scale which is conducted before and after the birth ball therapy and the results obtained is a decrease in the intensity of pain in the active 1st stage of labor. The use of birth ball on inpartu mothers of active 1st stage of labor influences the reduction of labor pain intensity.


Conclusion : the birth ball intervention can reduce the pain intensity of active 1st stage labor.

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