Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Meta-Analysis
. 2021 Sep;8(5):2345-2353.
doi: 10.1002/nop2.844. Epub 2021 Mar 27.

Use of the peanut ball during labour: A systematic review and meta-analysis

Parivash Ahmadpour  1 , Sakineh Mohammad-Alizadeh-Charandabi  2 , Rana Doosti  1 , Mojgan Mirghafourvand  3
Affiliations
Meta-Analysis

Use of the peanut ball during labour: A systematic review and meta-analysis

Parivash Ahmadpour et al. Nurs Open. 2021 Sep.

Abstract

Aim: This study aimed to determine effectiveness of peanut ball on the duration of the stages of labour and frequency of caesarean section.

Design: A systematic review and meta-analysis.

Method: A comprehensive electronic search was carried out with no time limit until December 2020. Collected data were analysed using software RevMan- version 5.3. Heterogeneity was assessed using I2 , T2 , and 2 . GRADE approach was used to assess the certainty of evidence.

Results: The meta-analysis on six clinical trials with 645 participants showed no statistically significant difference between the two groups in caesarean surgery rate (RR = 0.82) and length of the first (MD = -15.64).

Conclusions: Therefore, further clinical trials with stronger evidence should be carried out to assess the effectiveness of peanut ball on caesarean surgery rate and length of first and second stages of labour.

Keywords: caesarean section; labour; labour ball; peanut ball; systematic review.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

FIGURE 1
FIGURE 1
Study flow diagram
FIGURE 2
FIGURE 2
Risk of bias graph: review authors’ judgements about each risk of bias item presented as percentages across all included studies
FIGURE 3
FIGURE 3
Risk of bias summary: review authors’ judgements about each risk of bias item for each included study
FIGURE 4
FIGURE 4
Peanut ball group versus control group; Outcome: Caesarean section delivery
FIGURE 5
FIGURE 5
Peanut ball group versus control group; Outcome: First Stage of Labour
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. American College of Obstetricians and Gynecologists Committee on Obstetric Practice (2006). ACOG committee opinion no. 339: analgesia & cesarean delivery rates. Obstet Gynecol, 107, 1487–1488. 10.1097/00006250-200606000-00060 - DOI - PubMed
    1. Brown, S. T., Douglas, C., & Flood, L. P. (2001). Women's evaluation of intrapartum nonpharmacological pain relief methods used during labor. The Journal of Perinatal Education, 10, 1. 10.1624/105812401X88273 - DOI - PMC - PubMed
    1. Caughey, A. B., Cahill, A. G., Guise, J. M., & Rouse, D. J. (2014). American College of Obstetricians and Gynecologists. Safe prevention of the primary cesarean delivery. American Journal of Obstetrics and Gynecology, 210(3), 179–193. - PubMed
    1. Chao, A. S., Chao, A., Wang, T. H., Chang, Y. C., Peng, H. H., Chang, S. D., Chao, A., Chang, C. J., Lai, C. H., & Wong, A. M. (2007). Pain relief by applying transcutaneous electrical nerve stimulation. (TENS). On acupuncture points during the first stage of labor: A randomized double‐blind placebo‐controlled trial. Pain, 127, 214–220. 10.1016/j.pain.2006.08.016 - DOI - PubMed
    1. Cheng, Y. W., Delaney, S. S., Hopkins, L. M., & Caughey, A. B. (2009). The association between the length of first stage of labor, mode of delivery, and perinatal outcomes in women undergoing induction of labor. American Journal of Obstetrics & Gynecology, 201, 477. e1–477. e7. 10.1016/j.ajog.2009.05.024 - DOI - PubMed

LinkOut - more resources