ArticleThe Journal of perinatal education2015
Reducing Length of Labor and Cesarean Surgery Rate Using a Peanut Ball for Women Laboring With an Epidural.
Article in The Journal of perinatal education, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 15 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Do Peanut Shaped Birthing Balls Reduce the Length of Labor in Patients With Epidural Analgesia?
The Effect of Using a Birthing Ball During Labor on the Labor Process
The Effect of the Use of a Peanut Ball on Labor Time and "Pushing" After Epidural Anesthesia in Nulliparous Women.
Quantifying the Impact of the Peanut Ball on the Duration of the Active Stage of Labor
CIRCUIT: Maternal Maneuvers During Prolonged Labor, A Pilot Randomized Control Trial
Who cites it
15 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Use of the peanut ball during labour: A systematic review and meta-analysis.Nursing open · 2021Pooled it
- Non-clinical interventions for reducing unnecessary caesarean section.The Cochrane database of systematic reviews · 2018Pooled it
- Relaxation techniques for pain management in labour.The Cochrane database of systematic reviews · 2018Pooled it
- 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 · 2026Trial
- Randomized controlled trial on the effect of the peanut ball devices on the duration of active labor, labor pain and comfort.BMC pregnancy and childbirth · 2026Trial
- Effects of peanut ball use on perceived labor pain, fatigue, and mother's perception of childbirth: a randomized controlled trial.Archives of gynecology and obstetrics · 2025Trial
- Effectiveness of a physical therapy program using peanut ball positions during the first stage of labor on maternal and neonatal outcomes: randomized clinical trial.Brazilian journal of physical therapyTrial
- Effect of spinning babiesBMC pregnancy and childbirth · 2026Article
- Peanut ball during labor to reduce pain and anxiety: A single-blind randomized clinical trial.European journal of midwifery · 2026Article
- Investigation of the effects of peanut ball during labor: An updated systematic review and meta-analysis.European journal of midwifery · 2025Article
- [Effect of the Spinning Babies Program on Birth Outcomes and Satisfaction during Labor: A Non-Randomized Controlled Trial].Journal of Korean Academy of Nursing · 2024Article
- Effectiveness of a peanut ball device during labour on maternal and neonatal outcomes: protocol for a randomised controlled trial.F1000Research · 2022Article
- Reduction in Cesarean Delivery Rates Associated With a State Quality Collaborative in Maryland.Obstetrics and gynecology · 2021Article
- Intrapartum Nurse Perception of Labor Support After Implementation of the Coping With Labor Algorithm.The Journal of perinatal education · 2018Article
- Using a peanut ball during labour versus not using a peanut ball during labour for women using an epidural: study protocol for a randomised controlled pilot study.Pilot and feasibility studies · 2018Article
Corrections and comments
- Commented on by
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
One strategy for reducing the primary cesarean surgery rate and length of labor is using a peanut-shaped exercise ball for women laboring under epidural analgesia. A randomized, controlled study was conducted to determine whether use of a "peanut ball" decreased length of labor and increased the rate of vaginal birth. Women who used the peanut ball (n = 107) versus those who did not (n = 91) demonstrated shorter first stage labor by 29 min (p = .053) and second stage labor by 11 min (p < .001). The intervention was associated with a significantly lower incidence of cesarean surgery (OR = 0.41, p = .04). The peanut ball is potentially a successful nursing intervention to help progress labor and support vaginal birth for women laboring under epidural analgesia.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.