Birth ball for pregnant women in labour - a multi-centre randomised controlled trial
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AbstractBackground: Evidence of effectiveness of birth ball from large and scientifically rigorous RCT during labour is lacking to guide clinical practice.

Objective: To evaluate the effectiveness and safety of birth ball use by women in labour.
Study design and method: This is a multi-centre, two-arm, stratified block-randomised controlled trial. Women with low-risk singleton pregnancy at term admitted for labour and vaginal birth in three Hong Kong public hospitals are invited to join this study. The intervention group receives instructions on birth ball exercises by midwives while control group subjects simply receive usual midwifery care.

Outcome measures: Outcome measures include 1) pain intensity by visual analogue scale (VAS), 2) pain relief satisfaction, 3) sense of control in labour, 4) childbirth experience satisfaction, 5) mother-baby interactions, 6) mode of delivery and 7) adverse delivery outcome.

Preliminary result: 76 subjects have been recruited between March and May 2016, of which 37 and 39 subjects were allocated to intervention and control group respectively. Intention-to-treat analysis was adopted. Intervention group subjects had shorter duration of first (p = 0.028) and second stage (p = 0.031) of labour. There were no statistically significant differences in pain intensity on admission, satisfaction in pain relief, childbirth experience; and sense of control in labour between two groups.

Conclusion: Subjects in the intervention group had shorter duration of first and second stage of labour. No statistically significant differences were recorded in other outcome measures. This is likely due to small sample size and a lot of missing data.
Acceptance Date04/11/2016
All Author(s) ListPui Shan May YEUNG, Katrina TSANG, Hon Kei Benjamin YIP, Wing Hung TAM, Wan Yim IP, Wai Lei Florence HAU, Kit Wah WONG, Judy NG, Sau Ha LIU
Name of ConferenceInternational Conference on Medical and Health Sciences; “Celebrating mother and Child health”
Start Date of Conference04/11/2016
End Date of Conference06/11/2016
Place of ConferenceThimphu
Country/Region of ConferenceBhutan
LanguagesEnglish-United Kingdom
Keywordsbirth ball, non-pharmacological, pain relief, pregnant women, RCT

Last updated on 2018-23-01 at 03:23