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Jul 2019, Vol 7, Issue 3
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Original Article
Experience of Child Birth with Birth Ball: A Randomized Controlled Trial
Morvarid GhassabShirazi, Shahnaz Kohan, Firoozeh Firoozehchian1, Elham Ebrahimi
1Department of Midwifery and Reproductive Health, Nursing and Midwifery School , Guilan University of Medical Sciences, Rasht, Iran
2Department Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, University of Medical Sciences, Isfahan, Iran
3School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran

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Keywords : Birth ball, Labour pain, Self efficacy
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Objectives: Childbearing is considered as a great event in the lives of many women but the effect of pain on this event is undeniable. Thus, the think of pain and how to overcome it has engaged the minds of women and their family and their health-care providers. One of the non- invasive methods of pain control is the birth ball. This study aimed to evaluate the effect of birth ball on the pain and self efficacy of pregnant women during childbirth process.

Materials and Methods : This study was a randomized clinical trial. Our participants (178 participants) were selected based on the specific selection criteria. The allocation of study population to both groups(control and intervention) were  randomly. In the intervention group, we asked the women to join a planned exercise with birth ball (comprised   a 20 minutes well -defined exercise three times a week for a period of 6–8 weeks at home).The women in the control group followed up the routine prenatal cares. At the four centimeters and eight centimeters cervical dilations, the questionnaires were completed by the participants.

Results: This study showed that birth ball exercises can significantly improve child birth self-efficacy and pain. So that, labour pain was lower than the other group.( p˂0.001 in both cervical dilatations) .In addition, the score of self-efficacy in invention group was higher than the control group (p˂0.001)

The result of generalized estimating equations model showed that birth ball exercise can decrease the childbirth pain. But part of this effect may relate to the increasing of patients self-efficacy (30 -40%)

Conclusions :  This study showed that birth ball exercise can decrease the childbirth pain. But part of this effect may relate to the increasing of patients self-efficacy (30 -40%)

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