Somayeh Makvandi1, Robab Latifnejad Roudsari2, Ramin Sadeghi3, Leila Karimi1. 1. Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran. 2. Evidence-Based Care Research Centre, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran. 3. Nuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Abstract
AIM: To critically evaluate the available evidence related to the impact of using a birth ball on labor pain relief. METHODS: The Cochrane library, Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE/PubMed and Scopus were searched from their inception to January 2015 using keywords: (Birth* OR Swiss OR Swedish OR balance OR fitness OR gym* OR Pezzi OR sport* OR stability) AND (ball*) AND (labor OR labour OR Obstetric). All available randomized controlled trials involving women using a birth ball for pain relief during labor were considered. The search resulted in 341 titles and abstracts, which were narrowed down to eight potentially relevant articles. Of these, four studies met the inclusion criteria. Pain intensity on a 10 cm visual analogue scale was used as the main outcome measure. Risk of bias was assessed using the Cochrane Risk of Bias tool. Comprehensive Meta-Analysis Version 2 was used for statistical analysis. RESULTS: Four RCTs involving 220 women were included in the systematic review. One study was excluded from the meta-analysis because of heterogeneous interventions and a lack of mean and standard deviation results of labor pain score. The meta-analysis showed that birth ball exercises provided statistically significant improvements to labor pain (pooled mean difference -0.921; 95% confidence interval -1.28, -0.56; P = 0.0000005; I(2) = 33.7%). CONCLUSION: The clinical implementation of a birth ball exercise could be an effective tool for parturient women to reduce labor pain. However, rigorous RCTs are needed to evaluate the effect of the birth ball on labor pain relief.
AIM: To critically evaluate the available evidence related to the impact of using a birth ball on labor pain relief. METHODS: The Cochrane library, Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE/PubMed and Scopus were searched from their inception to January 2015 using keywords: (Birth* OR Swiss OR Swedish OR balance OR fitness OR gym* OR Pezzi OR sport* OR stability) AND (ball*) AND (labor OR labour OR Obstetric). All available randomized controlled trials involving women using a birth ball for pain relief during labor were considered. The search resulted in 341 titles and abstracts, which were narrowed down to eight potentially relevant articles. Of these, four studies met the inclusion criteria. Pain intensity on a 10 cm visual analogue scale was used as the main outcome measure. Risk of bias was assessed using the Cochrane Risk of Bias tool. Comprehensive Meta-Analysis Version 2 was used for statistical analysis. RESULTS: Four RCTs involving 220 women were included in the systematic review. One study was excluded from the meta-analysis because of heterogeneous interventions and a lack of mean and standard deviation results of labor pain score. The meta-analysis showed that birth ball exercises provided statistically significant improvements to labor pain (pooled mean difference -0.921; 95% confidence interval -1.28, -0.56; P = 0.0000005; I(2) = 33.7%). CONCLUSION: The clinical implementation of a birth ball exercise could be an effective tool for parturient women to reduce labor pain. However, rigorous RCTs are needed to evaluate the effect of the birth ball on labor pain relief.
Authors: Veerandra Koyyalamudi; Gurleen Sidhu; Elyse M Cornett; Viet Nguyen; Carmen Labrie-Brown; Charles J Fox; Alan D Kaye Journal: Curr Pain Headache Rep Date: 2016-02
Authors: May Pui Shan Yeung; Katrina Wai Kay Tsang; Benjamin Hon Kei Yip; Wing Hung Tam; Wan Yim Ip; Florence Wai Lei Hau; Margaret Kit Wah Wong; Judy Wai Ying Ng; Sau Ha Liu; Sophia Shu Wing Chan; Chi Kin Law; Samuel Yeung Shan Wong Journal: BMC Pregnancy Childbirth Date: 2019-05-06 Impact factor: 3.007