The Effect of Peanut Ball Use on the Labour Process and Maternal—Neonatal Outcomes in Parturient Women With High Maternal Body Mass Index: A Randomized Controlled Trial
International Journal of Nursing Practice, cilt.32, sa.2, 2026 (SCI-Expanded, SSCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 32 Sayı: 2
- Basım Tarihi: 2026
- Doi Numarası: 10.1111/ijn.70144
- Dergi Adı: International Journal of Nursing Practice
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, CINAHL, EMBASE, MEDLINE, Psycinfo, Academic Search Ultimate (EBSCO), Biomedical Reference Collection: Corporate Edition (EBSCO), Health Research Premium Collection (ProQuest)
- Anahtar Kelimeler: childbirth, labour, obesity, obstetrics, pain, patient satisfaction, peanut ball
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Aim: The aim of this study was to determine the effect of using a peanut ball in different positions on the labour process, maternal and neonatal outcomes for parturient women with high maternal body mass index. Methods: This randomized controlled trial was conducted between March 2022 and August 2023 with 59 parturient women. The intervention group (n = 29) was positioned with a peanut ball for 30 min every hour until cervical dilatation reached 5–10 cm. No intervention was made for the control group (n = 30). Data collection tools included the Birth Satisfaction Scale and pain assessment using the visual analogue scale. Results: The mean body mass index was 36.2 and 35.9 kg/m2 in the intervention and control group, respectively. There was no significant difference between the groups in terms of active phase duration (p = 0.522). Pain intensity at the end of the active phase was significantly lower in the intervention group (p = 0.001). Perineal trauma, Apgar score, and need for neonatal intensive care did not differ significantly between the groups (p = 0.706, p = 0.366 and p = 1.000, respectively); however, the Birth Satisfaction Scale score was significantly higher in the intervention group (p = 0.001). Conclusion: Increasing use of peanut balls in parturient women with high maternal body mass index may decrease labour pain and improve satisfaction with the labour process. Trial Registration: It was registered at ClinicalTrials.gov in March 2022 (NCT05276947). The trial protocol and statistical analysis plan can be accessed through the registry entry.