EFFECT OF BIRTHING BALL USE ON THE PROGRESS OF THE ACTIVE PHASE OF THE FIRST STAGE OF LABOR AT AN INDEPENDENT MIDWIFERY PRACTICE IN GALANGGANG VILLAGE

Indria Astuti; Rika Nurhasanah; Neneng Trisnawati

Indria Astuti Midwifery Study Program, Faculty of Health Science and Technology, Jenderal Achmad Yani University, Cimahi, West Java, Indonesia
Rika Nurhasanah Midwifery Study Program, Faculty of Health Science and Technology, Jenderal Achmad Yani University, Cimahi, West Java, Indonesia
Neneng Trisnawati Midwifery Study Program, Faculty of Health Science and Technology, Jenderal Achmad Yani University, Cimahi, West Java, Indonesia

Abstract

Childbirth represents a natural physiological process experienced by women, yet suboptimal management can hinder smooth progression and prolong labor duration. This study examined the impact of birthing ball usage on advancing active phase of the first stage of labor among mothers at the Galanggang Village Midwifery Practice. Employing a quantitative quasi-experimental posttest-only control group design, we recruited 30 parturients via accidental sampling. Sample were selected based on inclusion criteria, consisting of normal pregnant women at Midwife N’s and Midwife L’s clinics who were willing to participate, with a gestational age of 37–42 weeks, in the active phase of the first stage of labor, with the fetal head already engaged in the pelvic inlet, and with intact membranes. The intervention group was treated with the use of a birthing ball from 4 cm to 10 cm dilation, while the control group only performed light walking activities in the room, labor progression data were captured through observation sheets and partographs, then analyzed using independent T-test. The intervention group using birthing balls averaged 205.67 minutes for active first stage labor 55 minutes shorter than the control group's 260.67 minutes with a p-value of 0.002 (<0.05). These findings confirm birthing balls effectively accelerate first stage labor advancement in this setting.

Keywords: active phase, birthing ball, first stage of labor, labor progress

DOI: 10.35990/mk.v9-ISGH.p25-35

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