Study on the effect of birthing ball combined with free position on improving the pregnancy experience and outcomes of primiparas

Abstract

This research explores how using a birthing ball alongside free positioning enhances the childbirth experience and outcomes for first-time mothers. A randomized controlled trial was conducted involving 200 nulliparous women, equally divided into an intervention group utilizing both birthing balls and free positions, and a control group following conventional supine delivery methods. Findings revealed that the intervention group experienced a notably shorter first stage of labor, averaging 5.8 hours compared to the control group's 7.2 hours. Additionally, the incidence of perineal injuries was reduced to 25% versus 41% in the control group. Pain levels, measured by VAS scores, were significantly lower at 6.2 points compared to 7.5 points in the control group. Maternal satisfaction rates also improved, reaching 82% in the intervention group against 65% in the control group. These results demonstrate that integrating birthing balls with free positioning effectively shortens labor duration, decreases perineal trauma, alleviates pain, and boosts maternal satisfaction, highlighting its clinical applicability. The study offers valuable scientific evidence and practical insights for optimizing delivery experiences among nulliparous women.