Peanut ball use for reducing maternal fatigue during labor: protocol for a randomized clinical trial
Keywords:Labor; Obstetric; Parturition; Physical therapy modalities.
Objectives: Develop a protocol of the use of the Peanut Ball (PB) to evaluate its effectiveness compared to usual care on decreasing maternal fatigue during labor. Methods: This is the development of a randomized clinical trial protocol. Perform an intervention group or use the Peanut Ball through five postures, according to an obstetric assessment. To assess maternal fatigue, the Maternal Perception of Childbirth Fatigue Questionnaire (MCFQ) will be used in the form of an interview. Results: The proposed protocol is according to the evolution of labor: height and positioning of the fetal presentation, erasure and uterine dilation and the presence of early blood flow. Postures with fetal presentation in the upper strait: postures with abduction and external rotation hips will be encouraged using PB. Posture according to the fetal position in the upper strait: posture that cancels gravity will be encouraged: lateral decubitus posture with PB between legs. If the parturient feels like pushing or pushing down with the baby tall and cervix before 8-10 centimeters of uterine dilation, posture that nullifies gravity will be encouraged: lateral decubitus with the aid of the ball, with the hips in abduction and external rotation Conclusion: A specific protocol was developed with the use of Peanut Ball, through an obstetric evaluation, to reduce maternal fatigue during labor.
ACOG Practice Bulletin No. 198. (2018). Obstetrics & Gynecology, 132(3), e87–e102. https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2018/09/prevention-and-management-of-obstetric-lacerations-at-vaginal-delivery
Barasinski, C., Debost-Legrand, A., Lémery, D., & Vendittelli, F. (2018). Positions during the first stage and the passive second stage of labor: A survey of French midwives. Midwifery, 56, 79–85. 10.1016/j.midw.2017.10.010
Biaggio, A. M. B., Natalício, L., & Spielberger, C. D. (1977). Desenvolvimento da forma experimental em português do Inventário de Ansiedade Traço-Estado (IDATE) de Spielberger. Arquivos Brasileiros de Psicologia Aplicada, 29(3), 31–44. https://bibliotecadigital.fgv.br/ojs/index.php/abpa/article/view/17827/16571
Chan, A.-W., Tetzlaff, J. M., Gotzsche, P. C., Altman, D. G., Mann, H., Berlin, J. A., Dickersin, K., Hrobjartsson, A., Schulz, K. F., Parulekar, W. R., Krleza-Jeric, K., Laupacis, A., & Moher, D. (2013). SPIRIT 2013 explanation and elaboration: guidance for protocols of clinical trials. BMJ, 10(33), 1-42. 10.1136/bmj.e7586
Delgado, A., Freire, A., Wanderley, E., & Lemos, A. (2016). Analysis of the Construct Validity and Internal Consistency of the State-Trait Anxiety Inventory (STAI) State-Anxiety (S-Anxiety) Scale for Pregnant Women during Labor. Revista Brasileira de Ginecologia E Obstetrícia / RBGO Gynecology and Obstetrics, 38(11), 531–537. 10.1055/s-0036-1593894
Delgado, A., Maia, T., Melo, R. S., & Lemos, A. (2019). Birth ball use for women in labor: A systematic review and meta-analysis. Complementary Therapies in Clinical Practice, 35, 92–101. 10.1016/j.ctcp.2019.01.015
Delgado, A., Oliveira, P. da N. F., Góes, P. S. A., & Lemos, A. (2019). Development and analysis of measurement properties of the “maternal perception of childbirth fatigue questionnaire” (MCFQ). Brazilian Journal of Physical Therapy, 23(2), 125–131. 10.1016%2Fj.bjpt.2019.01.004
Gallo, R. B. S., Santana, L. S., Marcolin, A. C., & Quintana, S. M. (2014). Swiss ball to relieve pain of primiparous in active labor. Revista Dor, 15(4), 253-255. 10.5935/1806-0013.20140054
Gau, M.-L., Chang, C.-Y., Tian, S.-H., & Lin, K.-C. (2011). Effects of birth ball exercise on pain and self-efficacy during childbirth: A randomised controlled trial in Taiwan. Midwifery, 27(6), e293–e300. 10.1016/j.midw.2011.02.004
Gift, A. G. (1989). Visual analogue scales: measurement of subjective phenomena. Nursing Research, 38(5), 286–288. https://pubmed.ncbi.nlm.nih.gov/2678015/
Grenvik, J. M., Rosenthal, E., Saccone, G., Della Corte, L., Quist-Nelson, J., Gerkin, R. D., Gimovsky, A. C., Kwan, M., Mercier, R., & Berghella, V. (2019). Peanut ball for decreasing length of labor: A systematic review and meta-analysis of randomized controlled trials. European Journal of Obstetrics & Gynecology and Reproductive Biology, 242, 159–165. 10.1016/j.ejogrb.2019.09.018
Hickey, L., & Savage, J. (2019). Effect of Peanut Ball and Position Changes in Women Laboring With an Epidural. Nursing for Women’s Health, 23(3), 245–252. 10.1016/j.nwh.2019.04.004
Kwan, M., & Mercier, R. (2018). Impact of Peanut Ball Device on the Duration of Active Labor: A Randomized Control Trial. American Journal of Perinatology, 35(10), 1006–1011. 10.1055/s-0038-1636531
Lopes T., Madeira L., & Coelho S. (2003). O uso da bola do nascimento na promoção da posição vertical em primíparas durante o trabalho de parto. Rev. Min. Enf, 7, 134-139. https://cdn.publisher.gn1.link/reme.org.br/pdf/v7n2a09.pdf
Pugh, L. C., Milligan, R., Parks, P. L., Lenz, E. R., & Kitzman, H. (1999). Clinical approaches in the assessment of childbearing fatigue. Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN, 28(1), 74–80. 10.1111/j.1552-6909.1999.tb01967.x
Roth, C., Dent, S. A., Parfitt, S. E., Hering, S. L., & Bay, R. C. (2016). Randomized Controlled Trial of Use of the Peanut Ball During Labor. MCN, the American Journal of Maternal/Child Nursing, 41(3), 140–146. 10.1097/NMC.0000000000000232
Simarro, M., Espinosa, J., Salinas, C., Ojea, R., Salvadores, P., Walker, C., & Schneider, J. (2017). A Prospective Randomized Trial of Postural Changes vs Passive Supine Lying during the Second Stage of Labor under Epidural Analgesia. Medical Sciences, 5(1), 5. 10.3390%2Fmedsci5010005
Schulz, K. F., Altman, D. G., & Moher, D. (2010). CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials. BMJ, 340(mar23 1), c340–c332. 10.1186/1745-6215-11-32
Skapinakis, P. (2014). Spielberger State-Trait Anxiety Inventory. Encyclopedia of Quality of Life and Well-Being Research, 6261–6264. 10.1007/978-94-007-0753-5_2825
Stulz, V., Campbell, D., Yin, B., Al Omari, W., Burr, R., Reilly, H., & Lawson, K. (2018). Using a peanut ball during labour versus not using a peanut ball during labour for women using an epidural: study protocol for a randomised controlled pilot study. Pilot and Feasibility Studies, 4(1). 10.1186/s40814-018-0346-9
Taavoni, S., Abdolahian, S., Haghani, H., & Neysani, L. (2011). Effect of Birth Ball Usage on Pain in the Active Phase of Labor: A Randomized Controlled Trial. Journal of Midwifery & Women’s Health, 56(2), 137–140. 10.1111/j.1542-2011.2010.00013.x
Tussey, C. M., Botsios, E., Gerkin, R. D., Kelly, L. A., Gamez, J., & Mensik, J. (2015). Reducing Length of Labor and Cesarean Surgery Rate Using a Peanut Ball for Women Laboring With an Epidural. The Journal of Perinatal Education, 24(1), 16–24. 10.1891%2F1058-1243.24.1.16
Tzeng, Y.-L., Chao, Y.-M. Y., Kuo, S.-Y., & Teng, Y. K. (2008). Childbirth-related fatigue trajectories during labour. Journal of Advanced Nursing, 63(3), 240–249. 10.1111/j.1365-2648.2008.04732.x
World Health Organization. (2018). Intrapartum Care for a Positive Childbirth Experience. https://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng.pdf .
Zohreh, A., Zahra, A., Seyyedeh Batol Hasanpour, A., Alireza, F., & Habibollah, E. (2007). Study of the effects of massage therapy on the intensity of labor fatigue. Pesquisa.bvsalud.org, 172–178. https://pesquisa.bvsalud.org/portal/resource/pt/emr-83573
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Copyright (c) 2022 Alexandre Magno Delgado; Rita de Cassia Barros da Silva; Patrícia Juliana Alves de Medeiros; Renato de Souza Melo; Andrea Lemos Bezerra de Oliveira
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