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Jul 2018, Vol 6, Issue 3
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Original Article
Effect of Pelvic Rocking Exercise Using Birth Ball on Fetal Lie, Attitude and Presentation
Supriatiningsih1, Herlina2, Lusia Asih Wulandari3, Sri Nowo Retno3, Mohammad Kanedi4
1Department of Midwifery, MoH Health Polytechnic of Tanjung Karang, Lampung, Indonesia
2Azizah Hospital, Kota Metro, Lampung, Indonesia
3Midwifery Academy of Patriot Bangsa Husada, Lampung Tengah, Lampung, Indonesia
4Department of Biology, Faculty of Mathematics and Sciences, University of Lampung, Bandar Lampung, Indonesia


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Keywords : Pregnancy exercise, Pelvic rocking,Birthing ball, Fetal presentation
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Abstract

Objectives: For decades the benefits of exercise during pregnancy are debatable.  Among antenatal exercises commonly done by pregnant women in Indonesia, birthing ball exercise is the latest. Current study aimed to find out whether pelvic rocking exercise using birth ball has efficacy in correcting fetal lie, presentation, and attitude in late third trimester of pregnancy.

aterials and Methods: Pregnant women (n=114) fulfilled inclusion criteria were randomly grouped into intervention (assigned to perform pelvic rocking using birth ball) and control (without exercise). Fetal lie, attidute and presentation in both groups, before and after trials, were determined by performing abdominal palpation of Leopold’s maneuver.

Results: The results are as follows: compared to control group, intervention group showed a higher proportion of fetus with flexed attitude (P<0.001);  49.1% of intervention group indicated longitudinal lie compared to 29.8% of the control (P<0.001); 56 of 57 participants in intervention group showing head presentation, whereas only 45 of 57 of the control showing the same presentation (P<0.01).

Conclusion: It is suggested therefore that pelvic rocking exercises using birth balls are useful for maintaining lies, fetal attitudes and presentations, and it is therefore worth recommended for pregnant women.

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