TY  - BOOK
AU  - Burgos, Marion Ariadne C., MD.
AU  - Co, Jennifer T., MD.
AU  - Reyes, Lylah D., MD.
TI  - The Effect of birthing ball usage during the active stage of labor on plain control and on birth outcome /  
AV  - OB 2019 0003 
PY  - 2019///
CY  - Fairview, Quezon City
PB  - Department of Obstetrics and Gynecology, FEU-NRMF
KW  - birthing ball
KW  - active stage of labor
KW  - pain control
KW  - birth outcome
N1  - Includes appendices and bibliographical references; RESDOG
N2  - Abstract: Threshold of labor pain during the active stage of parturition differ among primigravidas. Non pharmacologic measures such as use of birthing ball may be employed. Studies showed that it improves pain control, decreases duration of labor and caesarean section rates, and yields to higher Apgar score.  To determine the effect of usage of birthing ball on pain control during the active stage of labor and birth outcome as well as on patient's satisfaction.  A prospective single blind randomized-controlled trial was performed on 90 primigravidas during their active stage of labor at a tertiary Medical Center. They were equally randomized to intervention and non-intervention groups upon admission at the labor room. Labor and delivery outcomes were compared between two groups which include labor pain score, duration of labor, mode of delivery, and apgar score on the 1st and 5th minute. Patient satisfaction was also compared using a five-point scale.  The mean pain scale during the active labor among the birthing ball group was significantly lower with a mean visual analog score of 5.5 as compared to the non-intervention group with a mean of visual analog score of 7.0 (p <0.001). The spontaneous delivery rate was slightly higher in the birthing ball group (54.4%). Primary indication of caesarean section was cephalopelvic disproportion (72.7%) followed by fetal distress (27.3%). However, no statistically significant difference (p=0.14) between the two groups was noted in terms of mode of delivery. All neonates delivered with a good outcome. The participants in the birthing ball group were significantly very satisfied (82.2%) with the modality (p <0.001).
ER  -