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The purpose of this study was to evaluate the effect of using peanut balls during labor on labor memory, labor satisfaction, labor length, and neonatal APGAR scores.
The purpose of this study was to evaluate the effect of using peanut balls during labor on labor memory, labor satisfaction, labor length, and neonatal APGAR scores.
This randomized, controlled, single-blind trial was conducted in 156 primiparous pregnant women (peanut ball group n=78, control group n=78) who delivered between March 2024 and October 2024. Pregnant women in the peanut ball group were instructed to perform movements with the peanut ball after cervical dilation reached 4 cm. The control group received only standard intrapartum midwifery care. Data were collected by personal information form, labor and postpartum follow-up form (APGAR score, etc.), Birth Memory and Recall Scale 4 hours after delivery, and Birth Satisfaction Scales.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Peanut Ball Group | Experimental | When the cervical dilation reached 4 cm, the peanut ball was first applied to the pregnant women in the side-lying position (right side/left side) for 20 minutes, and then the pregnant women were allowed to rest for 10 minutes. Second, the semi-seated position was applied for 20 minutes and the pregnant women were allowed to rest for 10 minutes. Third, the supine position was applied for 20 minutes followed by 10 minutes of rest. Fourth, the hand-knee position was applied for 20 minutes and rested for 10 minutes. Finally, the squatting position was practiced for 20 minutes and then the pregnant women rested for 10 minutes. Each position was practiced with the peanut ball for 20 minutes and rested for 10 minutes. Each position was performed once during the procedure. A pregnant woman who wished to remain in a position longer was allowed an additional 10 minutes without interrupting the flow of the intervention and then rested for 10 minutes. |
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| Control Group | No Intervention | Control Group (CG) No intervention other than routine intrapartum midwifery care was provided to primiparous pregnant women in the control group. After admission to the hospital for delivery, the pregnant women in the control group were informed about the study, written informed consent was obtained, routine practices and care in the delivery room were performed (taking history, taking vital signs, demonstrating correct breathing techniques, ensuring freedom of movement), vaginal examination and cervical changes were recorded on the partograph, EFM (electronic fetal monitoring) was performed when the time came according to the doctor's order, fetal heart rate (FHR) was listened to every half hour and recorded on the partograph. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| The Effect of Peanut Ball Use on Labor Memory, Labor Satisfaction, Delivery Length, and Neonatal APGAR Score: A Randomized Controlled Trial | Other | The Effect of Peanut Ball Use on Labor Memory, Labor Satisfaction, Delivery Length, and Neonatal APGAR Score: A Randomized Controlled Trial |
| Measure | Description | Time Frame |
|---|---|---|
| Comparison of sociodemographic of pregnant women. | Sociodemographic of pregnant women will be collected through surveys and compared and reported. | 6 months |
| Comparison of obstetric characteristics of pregnant women | Obstetric of pregnant women will be collected through surveys and compared and reported. | 6 months |
| Comparison of postpartum characteristics of pregnant women | Postpartum characteristics of pregnant women will be collected through surveys and compared and reported. | 6 months |
| Comparison of duration of 1st and 2nd stage of labor by group | The 1st and 2nd stages of the birth of pregnant women will be followed by the midwife and notes will be taken in the survey. | 6 months |
| Comparison of 1st and 5th minute APGAR scores of newborns by group | The 1st and 5th minute APGAR scores of newborns will be noted in the survey. | 6 months |
| Comparison of the mean scores of the Pregnant Women's Birth Memory and Recall Questionnaire (BirthMARQ) and its subscales by groups | BirthMARQ scale will be applied to pregnant women. BirthMARQ ranges from 1 to 147 points (min-max), with higher scores indicating poor mood and more frequent involuntary recall. | 6 months |
| Comparison of pregnant women's Birth Satisfaction Scale (BSS) mean scores by groups |
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Inclusion Criteria:
Pregnant women were included if they had indications for vaginal delivery,
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Selcuk University | Konya | 42250 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40396494 | Derived | Cankaya S, Alan Dikmen H, Atas A. The effect of peanut ball use on labor memory, labor satisfaction, delivery length, and neonatal APGAR score: a randomized controlled trial. Postgrad Med. 2025 Jun;137(5):368-378. doi: 10.1080/00325481.2025.2510198. Epub 2025 May 26. |
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| ID | Term |
|---|---|
| D011248 | Pregnancy Complications |
| ID | Term |
|---|---|
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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BSS scale will be applied to pregnant women.BSS is 0-40 points (min-max), and as the score increases, the level of birth satisfaction increases.
| 6 months |