Does using the birth ball as a physiotherapeutic resource decrease pain and duration of labor?
DOI:
https://doi.org/10.33448/rsd-v11i16.37875Keywords:
Humanized birth; Labor; Birth ball.Abstract
Introduction: The pain of childbirth is an experience lived by most women in labor. Non-pharmacological resources can be used to reduce the pain, duration, and risk of maternal and fetal distress in labor. The objective of this study was to evaluate the effects of the use of the birth ball on pain reduction and labor duration. Methods: This is a systematic review, conducted in PubMed, PEDro and SciELO databases in September/2022. Only randomized controlled trials were selected for the search. The research question was: Does the use of the birth ball as a physical therapy resource reduce pain and labor duration? Results: Seventeen studies were found, and six were included. Among the studies analyzed, all evaluated the effect of the use of the birth ball on pain reduction, observing significant difference, while 5 analyzed its effect on labor duration reduction, presenting divergent results. One of the studies allowed the use of the peanut ball, an alternative in cases of epidural anesthesia for maternal positioning. The birth ball is one of the low-cost non-pharmacological resources used in pain management and labor duration, presenting clinical safety, without interfering in maternal and fetal parameters. Conclusion: This review allows us to conclude that the birth ball is a resource that shows positive results in reducing pain during labor, however, there is still no consensus in the literature about its effect on labor duration.
References
Abalos, E., Chamillard, M., Díaz, V., Pasquale, J., & Souza, J. P. (2020). Progression of the first stage of spontaneous labour. Best practice & research. Clinical obstetrics & gynaecology, 67, 19–32. https://doi.org/10.1016/j.bpobgyn.2020.03.001
Ahmadpour, P., Mohammad-Alizadeh-Charandabi, S., Doosti, R., & Mirghafourvand, M. (2021). Use of the peanut ball during labour: A systematic review and meta-analysis. Nursing open, 8(5), 2345–2353. https://doi.org/10.1002/nop2.844
Artal-mittelmark, R. (2021). Condução do trabalho de parto normal. https://www.msdmanuals.com/pt-br/profissional/ginecologia-e-obstetr%C3%ADcia/trabalho-de-parto-normal-e-parto/condu%C3%A7%C3%A3o-do-trabalho-de-parto-normal.
Baracho, E. (2018). Fisioterapia Aplicada à Saúde da Mulher. 6ª ed. Ed. Guanabara Koogan.
Berta, M., Lindgren, H., Christensson, K., Mekonnen, S., & Adefris, M. (2019). Effect of maternal birth positions on duration of second stage of labor: systematic review and meta-analysis. BMC pregnancy and childbirth, 19(1), 466. https://doi.org/10.1186/s12884-019-2620-0
Biana, C. B., Cecagno, D., Porto, A. R., Cecagno, S., Marques, V. A., & Soares, M. C. (2021). Non-pharmacological therapies applied in pregnancy and labor: an integrative review. Revista da Escola de Enfermagem da U S P, 55, e03681. https://doi.org/10.1590/S1980-220X2019019703681
Delgado-García, B. E., Orts-Cortés, M. I., Poveda-Bernabeu, A., & Caballero-Pérez, P. (2012). Ensayo clínico controlado y aleatorizado para determinar los efectos del uso de pelotas de parto durante el trabajo de parto [Randomised controlled clinical trial to determine the effects of the use of birth balls during labour]. Enfermeria clínica, 22(1), 35–40. https://doi.org/10.1016/j.enfcli.2011.07.001
Gallo, R., Santana, L. S., Marcolin, A. C., Duarte, G., & Quintana, S. M. (2018). Sequential application of non-pharmacological interventions reduces the severity of labour pain, delays use of pharmacological analgesia, and improves some obstetric outcomes: a randomised trial. Journal of physiotherapy, 64(1), 33–40. https://doi.org/10.1016/j.jphys.2017.11.014
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. https://doi.org/10.1016/j.midw.2011.02.004
Grenvik, J. M., Rosenthal, E., Wey, S., Saccone, G., De Vivo, V., De Prisco Lcp, A., Delgado García, B. E., & Berghella, V. (2021). Birthing ball for reducing labor pain: a systematic review and meta-analysis of randomized controlled trials. The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 1–10. Advance online publication. https://doi.org/10.1080/14767058.2021.1875439
Henrique, A. J., Gabrielloni, M. C., Rodney, P., & Barbieri, M. (2018). Non-pharmacological interventions during childbirth for pain relief, anxiety, and neuroendocrine stress parameters: A randomized controlled trial. International journal of nursing practice, 24(3), e12642. https://doi.org/10.1111/ijn.12642
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. https://doi.org/10.1016/j.nwh.2019.04.004
Jones, L. E., Whitburn, L. Y., Davey, M. A., & Small, R. (2015). Assessment of pain associated with childbirth: Women's perspectives, preferences and solutions. Midwifery, 31(7), 708–712. https://doi.org/10.1016/j.midw.2015.03.012
Karlsdottir, S. I., Halldorsdottir, S., & Lundgren, I. (2014). The third paradigm in labour pain preparation and management: the childbearing woman's paradigm. Scandinavian journal of caring sciences, 28(2), 315–327. https://doi.org/10.1111/scs.12061
Leung, R. W., Li, J. F., Leung, M. K., Fung, B. K., Fung, L. C., Tai, S. M., Sing, C., & Leung, W. C. (2013). Efficacy of birth ball exercises on labour pain management. Hong Kong medical journal = Xianggang yi xue za zhi, 19(5), 393–399. https://doi.org/10.12809/hkmj133921
Lopes, G. D. C., Gonçalves, A. de C., Gouveia, H. G., & Armellini, C. J. (2019). Atenção ao parto e nascimento em hospital universitário: comparação de práticas desenvolvidas após Rede Cegonha. Revista Latino-Americana de Enfermagem, 27. https://doi.org/10.1590/1518-8345.2643-3139
Mascarenhas, V. H. A., Lima, T. R., Silva, F. M. D. e, Negreiros, F. dos S., Santos, J. D. M., Moura, M. Á. P., Gouveia, M. T. de O., & Jorge, H. M. F. (2019).
Evidências científicas sobre métodos não farmacológicos para alívio a dor do parto. Acta Paulista de Enfermagem, 32(3), 350- 357.
https://doi.org/10.1590/1982-0194201900048
Makvandi, S., Latifnejad Roudsari, R., Sadeghi, R., & Karimi, L. (2015). Effect of birth ball on labor pain relief: A systematic review and meta-analysis. The journal of obstetrics and gynaecology research, 41(11), 1679–1686. https://doi.org/10.1111/jog.12802
Melo, P. de S., Barbieri, M., Westphal, F., Fustinoni, S. M., Henrique, A. J., Francisco, A. A., & Gabrielloni, M. C. (2020). Parâmetros maternos e perinatais após intervenções não farmacológicas: um ensaio clínico randomizado controlado. Acta Paulista de Enfermagem, 33. https://doi.org/10.37689/actaape/2020ao0136
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & The PRISMA Group. (2009). Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the
PRISMA Statement. PLoS Medicine, 6(7). https://doi.org/10.1371/journal.pmed.1000097
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. https://doi.org/10.1097/NMC.0000000000000232
Shilling, T., Romano, A. M., & Difranco, J. T. (2007). Care practice #2: freedom of movement throughout labor. The Journal of perinatal education, 16(3), 21–24. https://doi.org/10.1624/105812407X217101
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. https://doi.org/10.1111/j.1542-2011.2010.00013.x
Taavoni, S., Sheikhan, F., Abdolahian, S., & Ghavi, F. (2016). Birth ball or heat therapy? A randomized controlled trial to compare the effectiveness of birth ball usage with sacrum-perineal heat therapy in labor pain management. Complementary therapies in clinical practice, 24, 99–102. https://doi.org/10.1016/j.ctcp.2016.04.001
Thomson, G., Feeley, C., Moran, V. H., Downe, S., & Oladapo, O. T. (2019). Women's experiences of pharmacological and non-pharmacological pain relief methods for labour and childbirth: a qualitative systematic review. Reproductive health, 16(1), 71. https://doi.org/10.1186/s12978-019-0735-4
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. https://doi.org/10.1891/1058-1243.24.1.16
Whitburn, L. Y., Jones, L. E., Davey, M. A., & Small, R. (2017). The meaning of labour pain: how the social environment and other contextual factors shape women's experiences. BMC pregnancy and childbirth, 17(1), 157. https://doi.org/10.1186/s12884-017-1343-3
Wu, N., Huang, R., Shan, S., Li, Y., & Jiang, H. (2022). Effect of the labour roadmap on anxiety, labour pain, sense of control, and gestational outcomes in primiparas. Complementary therapies in clinical practice, 46, 101545. https://doi.org/10.1016/j.ctcp.2022.101545
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Carolina Irene Rabelo Mendes; Flávia Divina da Silva; Dayane Maria de Jesus Teixeira; Kelly Aline Rodrigues Costa
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.