ArticleEuropean journal of midwifery2026
Peanut ball during labor to reduce pain and anxiety: A single-blind randomized clinical trial.
Article in European journal of midwifery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06811584 (Peanut Ball in Labor to Reduce Anxiety and Pain), which is not on this map. Not yet cited in PubMed.
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Peanut Ball in Labor to Reduce Anxiety and Pain: Single-blind Randomized Clinical Trial
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5 authors.
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Abstract
introductionPain and anxiety are common during labor. Evidence on non-pharmacological tools like the peanut ball from public hospital settings in Honduras is limited. This study evaluated its efficacy in reducing pain and anxiety.
methodsA parallel-group, randomized, single-blind clinical trial was conducted at Hospital Escuela, Honduras, February to July 2025. Nulliparous women in active labor (cervical dilation ≥4 cm) were assigned to an intervention group (standard care + intermittent peanut ball use, n=83) or to a control group (standard care alone, n=80). Primary outcomes were pain and anxiety (Visual Analog Scales). Secondary outcomes included labor duration and oxytocin use. Pre-planned subgroup (no oxytocin) and adjusted analyses were performed.
resultsNo significant between-group differences were found in pain (p=0.45), anxiety (p=0.62), or maternal well-being. The active phase duration was shorter in the intervention group, mean=162 minutes (SD=78), compared with the control, mean=252 minutes (SD=138) (mean difference= -90.0 min, 95% CI: -172.37-7.7; p=0.03). This effect persisted in the subgroup without oxytocin (p=0.012) and after adjustment. Oxytocin use was higher in the intervention group (67.5% vs 38.8%; risk ratio, RR=1.74; 95% CI: 1.25-2.42; p=0.001). Cesarean birth and other outcomes were similar.
conclusionsThe peanut ball shortened active labor but did not reduce maternal pain, anxiety, or oxytocin use within our setting. CLINICAL
trial registrationThe study is registered on the official website of ClinicalTrials.gov. IDENTIFIER: NCT06811584.
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