CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2012; 02(02): 02-05
DOI: 10.1055/s-0040-1703561
Original Article

A COMPARATIVE STUDY ON EFFECT OF AMBULATION AND BIRTHING BALL ON MATERNAL AND NEWBORN OUTCOME AMONG PRIMIGRAVIDA MOTHERS IN SELECTED HOSPITALS IN MANGALORE

Albin Mathew
1   2nd year M.Sc. Nursing student, Nitte Usha Institute of Nursing Sciences, Nitte University, Mangalore - 575 018, India
,
Sabitha Nayak
2   Vice-Principal, Nitte Usha Institute of Nursing Sciences, Nitte University, Mangalore - 575 018, India
,
Vandana K.
3   Statitician, Nitte Usha Institute of Nursing Sciences, Nitte University, Mangalore - 575 018, India
› Author Affiliations

Abstract

The study was conducted to assess the effect of ambulation and birthing ball on the maternal and newborn outcome from 01.08.2011 to 31.10.2011. This randomized control study was conducted on 60 primigravida mothers. Purposive sampling technique was used for the selection of samples followed by random allocation of 20 samples each to the three groups namely, ambulation, birthing ball and control group respectively using lottery method. Ambulation and birthing ball therapy were given to the respective samples between cervical dilatation of 1-3cm during first stage of labour, whereas the control group was not given any intervention. Here maternal outcome includes1st stage duration (Area1), 2nd stage duration (Area2), cervical dilatation rate (Area3), and type of delivery(Area4) and newborn outcome includes heart rate, respiratory rate, colour, reflex and muscle tone. Since the t calculated value in Area 1 (5.257), Area 2 (2.781), Area 3(5.438) is greater than t table value (2.042) and in Area 4, 75% of ambulation group underwent normal vaginal delivery, it shows that there is significant improvement in maternal outcome after the use of ambulation. The t calculated value in Area 1(7.223), Area 2 (5.556), Area 3(6.178) is greater than t table value (2.030) and in Area 4, 95% of birthing ball group underwent normal vaginal delivery. It shows that there is significant improvement in maternal outcome after the use of birthing ball therapy. Comparison of ambulation and birthing ball therapy on maternal outcome showed that, there is significant difference in second stage duration (t tab 2.031(df=36)< t cal 2.231= S) and type of delivery. In this study ambulation and birthing ball were found to be effective to improve maternal outcome and there was no harm to the baby. Both the experimental group mothers expressed that they were satisfied and comfortable.



Publication History

Article published online:
02 March 2020

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Thieme Medical and Scientific Publishers Private Ltd.
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  • References

  • 1 Lawrence A, Lewis L, Hofmeyr GJ, Dowswell T, Styles C. Maternal positions and mobility during first stage labour. The Cochrane Collaboration. Wiley & Sons Ltd. Published Online: April 15, 2009 (cited 2010Oct11). http://www2.cochrane.org/reviews/en/ab003934.html
  • 2 Preeti., Positions For Labour. December 2010 (cited 2010 Dec 31). http://prettymomguide.com/positions-for-labour-2.html
  • 3 Durham J. The Labour Progress Handbook by Penny Simkin and Ruth Ancheta. (cited 2011Jan3). http://transitiontoparenthood.com/ttp/parented/pain/positions.htm
  • 4 The Stages of Labor. What to expect during childbirth. (cited 2011Feb 4). (There was no authors name found in the website and it was only an article sited) http://www.baby2see.com/laborandbirth.html
  • 5 Shilling T. Healthy Birth Practice: Walk, Move Around, and Change Positions Throughout Labour. Lamaz international; July 2009(cited 2011Oct12) Available from: http://www.lamaze.org/ChildbirthEducators/ResourcesforEducators/CarePracticePapers/FreedomofMovement/tabid/484/Default.aspx
  • 6 Monroe H. Birthing ball techniques.(cited 2010Sep11) http://www.ehow.com/way_5136757_birthing-ball-techniques.html
  • 7 L ben Regaya, R Fantnassi, A Khlifi, M Fekih, S Kebaili etl. Role of deambulation during labour. Journal de gynécologie, obstétrique et biologie de la reproduction; Tunisia: 2010;39(5):656-62(2010Oct3).(cited 2010Nov17). http://www.ncbi.nlm.nih.gov/pubmed/20692774
  • 8 Karraz MA. Ambulatory epidural anesthesia and the duration of labour. Int J Gynaecol ObstetFranc.2003; Feb;80(2):117-22.(cited 2010Sep11). http://www.ncbi.nlm.nih.gov/pubmed/12566183
  • 9 Gau ML, Chang CY, Tian SH, Lin KC. Effects of birth ball exercise on pain and self-efficacy during childbirth: A randomised controlled trial in Taiwan. Midwifery. Apr;1: 2011 (2010Nov8). http://www.ncbi.nlm.nih.gov/pubmed/21459499
  • 10 Sukumaran S. A study on effect of birthing ball in reduction of labour pain among primigravida mothers. PG dissertation. Nitte University. Mangalore: 2011