Trial reportBrazilian journal of physical therapy
Effectiveness of a physical therapy program using peanut ball positions during the first stage of labor on maternal and neonatal outcomes: randomized clinical trial.
Trial report in Brazilian journal of physical therapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTherapeutic exercises with the peanut ball may support the progress of vaginal birth.
objectiveTo evaluate the effectiveness of a physical therapy program using peanut ball positioning during the first stage of labor on maternal and neonatal outcomes.
methodsRandomized clinical trial involving women aged 18-40 years, in the first stage of active labor with low-risk pregnancies and singleton cephalic presentations. Participants were allocated to using 126 black, opaque, sealed, and sequentially numbered envelopes. Randomization was based on a computer-generated list. The intervention group used peanut ball positions, while the control group received standard care. Maternal fatigue was measured by the Maternal Perception of Fatigue in Labor Questionnaire (MCFQ), and maternal anxiety was measured by the State-Trait Anxiety Inventory (STAI).
resultsCompared with the control group, positioning with the peanut ball reduced maternal fatigue by 4.15 points (95% CI -7.08, -1.23), total labor duration by 188.2 min (95% CI -208.8, -95.6), and maternal anxiety by 3.56 points (95% CI -5.69, 1.43). It increased the incidence of vaginal birth (RR: 1.73, 95% CI 1.09, 2.28, Number needed to treat: 12).
conclusionsA physical therapy program using peanut ball positioning reduces labor time, increases vaginal birth rates, and reduces caesarean section rates.
trial registrationBrazilian Registry of Clinical Trials (ReBEC): RBR-7z7f5s. Registered on 11 February 2020.
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