Effectiveness of pelvic rocking exercise on length and pain in delivery women: A Meta-Analysis

Zesika Intan Navelia, Heru Subaris Kasjono, Mahindria Vici Virahaju

Abstract


Background: Anxiety about prolonged and painful labor processes encourages the mother to do a section cesarean SC ), which is becoming one of the indications SC incidents increase globally. Pelvic rocking exercise using a birth ball has several benefits in helping mothers give birth, especially in the first stage. The movement by sitting on the ball and rocking using gravity can increase the release of endorphins that provide comfort and enhance duration in labor.

Objectives: To analyze the effectiveness of the pelvic rocking exercise using a birth ball on the duration of labor and reducing pain in the first stage of labor.

Methods: A systematic review and meta-analysis by conducting an article search strategy using an electronic database according to the PICO method by eliminating articles according to the inclusion criteria includes articles with a period of 2011 – 2021, in Indonesian or English, using the RCT or Quasy experimental method, and the respondents used are pregnant women with gestational age of 30 weeks and above..

Results: PRE using birth ball obtained statistically proven results to shorten the length and reduce labor pain than the control group. The experimental group had a significant effect in reducing labor duration and pain after intervention -1.13 [95% CI: -1.57, -0.09] p<0.00001 and -1.19 [95% CI: -1.48, -0.90] p <0.00001.

Conclusions: There is an effect of pelvic rocking exercise using a birth ball on decreasing length of labor and pain in the first stage phase. It is expected that this research can be a complementary therapy option with good benefits and easy procedures for independent and collaborative midwifery practice in providing comprehensive midwifery care

Keywords


pelvic rocking; pain; length of labor

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References


Ilmiah WS. Buku Ajar Asuhan Persalinan Normal. Yogyakarta: Nuha Medika; 2017. 284 p.

Gupta M, Saini V. Cesarean section: Mortality and morbidity. Journal of Clinical and Diagnostic Research. 2018;12(9):QE01–6.

Maureen R, Marshall J, Jackson K. Midwifery Practice: Critical Illness, Complications And Emergencies. 1st ed. New York: Open University Press; 2012. 258 p.

Menkes RI. Keputusan Menteri Kesehatan Republik Indonesia Tentang Standar Profesi Bidan. Keputusan Menteri Kesehatan Republik Indonesia Nomor HK0107/MenKes/320/2020. 2020;2507:1–9.

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 [Internet]. 2011;27(6):e293–300. Available from: http://dx.doi.org/10.1016/j.midw.2011.02.004

Raidanti D, Mujianti C. Birthing Ball (Alternatif dalam Mengurangi Nyeri Persalinan). Wahidin, Fitri Amir E, editors. Vol. 1. Makassar: Ahlimedia Press; 2021. 103–111 p.

Leung RWC, Li JFP, Leung MKM, Fung BKY, Fung LCW, Tai SM, et al. Efficacy of birth ball exercises on labour pain management. Hong Kong Medical Journal = Xianggang yi xue za zhi. 2013 Oct;19(5):393–9.

Begum R, Hossain MA. Validity and Reliability of Visual Analogue Scale (VAS) for Pain Measurement. Journal of Medical Case Reports and Reviews [Internet]. 2019;2:394–402. Available from: http://www.jmccr.info

Makvandi S, Kh M, Tehranian N, Mirteimouri M, Sadeghi R. The Impact of Birth Ball Exercises on Mode of Delivery and Length of Labor: A Systematic Review and Meta-Analysis. Journal of Midwifery and Reproductive Health. 2019;7(3):1841–50.

Grenvik JM, Rosenthal E, Wey S, Saccone G, De Vivo V, De Prisco Lcp A, et al. Birthing ball for Reducing Labor Pain: a Systematic Review and Meta-Analysis of Randomized Controlled Trials. Journal of Maternal - Fetal and Neonatal Medicine. 2021 Jan;1–10.

Aprillia Y. Gentle Birth Balance: Persalinan Holistik Mind Body and Soul. Bandung: Qanita; 2014. 293 p.

Mathew A, Nayak S, K. V. A Comparative Study On Effect Of Ambulation And Birthing Ball On Maternal And Newborn Outcome Among Primigravida Mothers In Selected Hospitals In Mangalore. Nitte University Journal of Health Science. 2012 Jun 1;02:2–5.

Zaky NH. Effect of pelvic rocking exercise using sitting position on birth ball during the first stage of labor on its progress. IOSR Journal of Nursing and Health Science. 2016;05(04):19–27.

Taavoni S, Charkamyani F, Hashemdabaghian F. Effect of Pelvic Movements Using Birth Ball and Listening to Nature Sounds and Honey Syrup Consumption on Labor Pain in Nulliparous Women : A Randomized Clinical Trial. World Family Medicine Journal/Middle East Journal Family Medicine. 2018;16(4):97–102.

Peraturan Menteri Kesehatan RI. Pelayanan Kesehatan Tradisional Terintegrasi. Indonesia: Menteri Kesehatan Republik Indonesia; 2017.

WHO. WHO recommendations non-clinical interventions to reduce unnecessary caesarean sections. 1st ed. WHO; 2018.

Kurniawati A, Dasuki D, Kartini F. Efektivitas Latihan Birth Ball terhadap Penurunan Nyeri Persalinan Kala I Fase Aktif pada Primigravida Effectiveness of Birth Ball Exercise to Decrease Labor Pain in The Active Phase of The First Stage of Labor on The Primigravida Women. Jurnal Ners dan Kebidanan Indonesia [Internet]. 2017;5:2–3. Available from: https://ejournal.almaata.ac.id/index.php/JNKI/article/view/341/378

Simkin P, Bolding A. Update on Nonpharmacologic Approaches to Relieve Labor Pain and Prevent Suffering. Journal of Midwifery and Women's Health. 2017 Nov 1;49:489–504.

Reeder SJ. Maternity Nursing: Family, Newborn, and Womens Healthcare. III. Philadelphia: J. B. Lippincott; 2017.




DOI: http://dx.doi.org/10.21927/jnki.2022.10(4).292-302

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