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Randomized Controlled Trial
. 2025 Jun;311(6):1579-1589.
doi: 10.1007/s00404-024-07656-2. Epub 2024 Aug 5.

Effects of peanut ball use on perceived labor pain, fatigue, and mother's perception of childbirth: a randomized controlled trial

Affiliations
Randomized Controlled Trial

Effects of peanut ball use on perceived labor pain, fatigue, and mother's perception of childbirth: a randomized controlled trial

Hacer Alan Dikmen et al. Arch Gynecol Obstet. 2025 Jun.

Abstract

Purpose: The aim of this study was to evaluate the effects of using peanut balls on labor pain, fatigue, and the mother's perception of labor.

Methods: This is a randomized controlled intervention trial. Data were collected from the Intervention (peanut ball) and Control groups between July 2022 and June 2023, with 45 pregnant women in each group. Data were collected using a personal information form, the Visual Analog Scale-Pain (VAS-P), the Visual Analog Scale for Fatigue (VAS-F), and the Maternal Perception of Childbirth Scale (MPCS).

Results: The VAS-P scores of the intervention group were statistically significantly lower than those of the control group 15 min after peanut ball application (p = .000). Immediately after and 15 min after peanut ball application, the mean fatigue score of the Intervention group was statistically significantly lower than that of the Control group (p = .000). There was no statistically significant difference between the mean duration of labor minutes in the two groups (p = .177). The mean MPCS scores of the intervention group and control groups were 62.73 + 7.30 and 47.17 + 9.12, respectively, and the difference was statistically significant (p = .000).

Conclusions: The findings of this study indicate that the use of peanut balls during labor can effectively reduce labor pain and fatigue in pregnant women, without affecting the duration of labor. Additionally, the use of peanut balls has been shown to positively influence the perception of labor among pregnant women. Therefore, it is recommended that midwives educate pregnant women about the use of peanut balls during labor and provide support in their use.

Keywords: Fatigue; Labor pain; Peanut ball; Perception of labor.

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Conflict of interest statement

Declarations. Conflict of ınterest: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. Informed consent: Not applicable.

Figures

Fig. 1
Fig. 1
Flow diagram of the study

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References

    1. Sobhy Saber Hashad N, Ahmed Elsheikh M, Abd ELhaliem Said S, Abo Zaid Ramadan E (2022) An evidence-based guideline of birth ball exercise during the first stage of labor on the outcome of birthing criteria. J Nurs Sci 3(2):903–918
    1. Delgado A, Maia T, Melo RS, Lemos A (2019) Birth ball use for women in labor: a systematic review and meta-analysis. Complement Ther Clin Pract 35:92–101. 10.1016/j.ctcp.2019.01.015 - PubMed
    1. Honaker ME (2021) The use of a peanut ball during labor in nulliparous term singleton vertex pregnancies to decrease the primary cesarean rate: an evidence-based practice improvement project. Available at: https://trace.tennessee.edu/dnp/3/
    1. Kamath P, Pai M, Shenoy R, Karkada S, D’souza S, Noronha J (2022) Effectiveness of a peanut ball device during labour on maternal and neonatal outcomes: protocol for a randomised controlled trial. F1000Res 11(717):1–16 - PMC - PubMed
    1. Tussey C, Botsios E, Gerkin RD, Kelly LA, Gamez J, Mensik J (2015) Reducing length of labor and cesarean surgery rate using a peanut ball for women laboring with an epidural. J Perinat Educ 24(1):16–24. 10.1891/1058-1243.24.1.16 - PMC - PubMed

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