The current study aimed to assess the effectiveness of peanut ball during first stage of labor on maternal and neonatal outcomes.

Labor, the climax of pregnancy, involves specialized care that covers women's social, physiological, anatomical, and emotional demands. Comfort must always come first throughout labor, and supportive techniques are essential from the prodromal to the expulsive phases.

The painful uterine contractions that precede the entire cervical dilatation characterize the 1st stage of labor. The 1st stage of labor consists of three stages: the latent phase, the active phase, and the transition period. The uterine tissues' distension and the cervix's dilatation are the causes of the cramp-like contraction discomfort at this stage, which is transmitted to the abdomen and lumbosacral regions by spinal nerves.

Stress brought on by labor pain might result in an excess of stress chemicals like catecholamines and steroids. This hormone can increase blood vessel vasoconstriction and smooth muscle tension, which can halt uterine contractions, lower uteroplacental circulation, and reduce the uterus's blood supply and oxygen, all of which exacerbate pain perceptions. The blood concentration of catecholamines rises with prolonged delivery.

The appropriate management of labor pain continues to be one of the most important aspects of intrapartum care. Therefore, enhancing the comfort of mothers giving birth is one of the most important responsibilities of nurses and other healthcare professionals. Women might feel comfort and control during childbirth if health issues are less common. Many efforts have been made to improve the outcomes of mother and newborn births and to reduce the duration of labor.

Changes in posture and freedom of mobility are useful strategies to lessen the impact of labor pain. During the prenatal period, posture changes and techniques to control labor pain should be taught. Pregnant women who were not educated throughout the prenatal period should be informed about the importance of movement and position changes during the latent phase of labor and when pain is at its lowest and communication is at its highest.

Numerous physiological measures were implemented to shorten the length of labor including pelvic rocking, deep breathing exercises, pregnancy exercises, and birthing ball exercises. Frequent position adjustments and movements during labor are recommended by the World Health Organization (WHO) as a way to reduce prolonged labor and avoid cesarean sections. To address these issues and put WHO recommendations into practice, the peanut birth ball could be a useful tool for routine position modifications without interfering with labor procedures.

Peanut balls are presented as a new strategy for improving women's labor and delivery outcomes. Although women have used birthing balls to advance labor for many years, the peanut ball is available in different sizes to make sure that women will find it comfortable. Furthermore, for women who have had an epidural, the peanut ball may be utilized in four different postures depending on the fetal station and stage of labor. Furthermore, it has the advantages of being affordable, reusable, and noninvasive.

Because the elasticity of the ball stimulates endorphin receptors in the pelvis, sitting and swinging on it makes the woman feel more at ease and encourages the release of endorphins. Additionally, the expansion and relaxation of pelvic muscles and bones, as well as the process of delivery, are aided by gravity, which improves fetal descent.

Maternity nurses play a crucial role in ensuring safe and normal childbirth. They need to closely monitor the progress of labor to facilitate a smooth delivery. Furthermore, satisfying the woman's emotional requirements following her physical demands will enable a happy delivery experience and contribute to the safe commencement of mother-infant bonding..

Inclusion Criteria:

• Low-risk primipara in active phase of labor, aged 20 -35 years with single living fetus in cephalic presentation and full-term pregnancy which lasts between 37-42 weeks

Exclusion Criteria:

• Women with medical or obstetric complications were excluded from the study.

Parturient women