Effectiveness of Pelvic Rocking Exercise with Birth Ball on the Duration of Third Stage of Labor

  • Karningsih Poltekkes Kemenkes Jakarta III, Bekasi, Indonesia
  • Mardeyanti Poltekkes Kemenkes Jakarta III, Bekasi, Indonesia
  • Fauziah Yulfitria Poltekkes Kemenkes Jakarta III, Bekasi, Indonesia
  • Dewi Nirmala Sari Poltekkes Kemenkes Jakarta III, Bekasi, Indonesia
  • Dwi Purwanti Poltekkes Kemenkes Surabaya, Indonesia
Keywords: Pelvic Rocking Exercise, Acupressure SP6, Birth Ball, Third Stage of Labor.

Abstract

The method involving pelvic rocking exercises using a birth ball combined with acupressure represents a strategy in midwifery aimed at easing tension in the pelvic muscles, beneficial for shortening the length of labor, particularly in its third stage. This approach significantly enhances uterine contractions by prompting the pituitary gland to release oxytocin, thereby aiding in the swift expulsion of the placenta. The objective of this study is to evaluate the comparative effectiveness of pelvic rocking exercises with a birth ball and SP6 acupressure on shortening the third stage of labor. The Research design was Quasi-Experimental with Two Group Comparison, and the research was conducted in a maternity clinic in East Jakarta. The Respondents of this study were women in the active phase of the first stage of Labor. Participants and Sampling Technique: The total sample size was 64 respondents, divided into two groups of 32 each. The initial group underwent an intervention involving pelvic rocking exercises using a birth ball, whereas the second group was treated with SP6 acupressure. The method of selection used was purposive sampling, enabling the investigators to choose subjects according to predefined eligibility criteria. The Results were analyzed using bivariate analysis with the Mann-Whitney U test, as all variables were found to have non-normal distributions. The study findings indicated a statistically significant difference in the duration of the third stage of labor between the group that received the pelvic rocking exercise with a birth ball and the group that underwent the Acupressure SP6 intervention, as shown by a p-value of 0.005 (< 0.05). The data analysis demonstrated that the group participating in the pelvic rocking exercise with a birth ball experienced a quicker third stage of labor, with an average rank of 26.38, in contrast to the acupressure SP6 group, which had an average rank of 38.63. Therefore, it can be concluded that employing the pelvic rocking exercise with a birth ball is an effective method for reducing the length of the third stage of labor, proving to be a safe option for expecting mothers.

References

Anwar, K. K., Yustiari, Y., Naningsi, H., & Asi, M. (2023). The Effect of Counter Pressure and Birthball on The Time of The First Stage of Labor and Prevention of Perineal Rupture. Poltekita: Jurnal Ilmu Kesehatan, 17(3), 647-654.

Avşar, T. S., McLeod, H., & Jackson, L. (2021). Health outcomes of smoking during pregnancy and the postpartum period: an umbrella review. BMC pregnancy and childbirth, 21, 1-9.

Barakat, R. (2021). An exercise program throughout pregnancy: Barakat model. Birth Defects Research, 113(3), 218-226.

Chang, K. J., Seow, K. M., & Chen, K. H. (2023). Preeclampsia: Recent Advances in Predicting, Preventing, and Managing the Maternal and Fetal Life-Threatening Condition. International Journal of Environmental Research and Public Health, 20(4), 2994.

Clayton, H. M., MacKechnie-Guire, R., & Hobbs, S. J. (2023). Riders’ Effects on Horses—Biomechanical Principles with Examples from the Literature. Animals, 13(24), 3854.

de Souza Ferraz, V., Peixoto, C., Resstel, A. P. F., de Paula, Y. T. C., & de Souza Pegorare, A. B. G. (2023). Effect of the pilates method on pain and quality of life in pregnancy: A systematic review and meta-analysis. Journal of Bodywork and Movement Therapies.

Grenvik, J. M., Rosenthal, E., Wey, S., Saccone, G., De Vivo, V., De Prisco LCP, A., ... & Berghella, V. (2022). Birthing ball for reducing labor pain: a systematic review and meta-analysis of randomized controlled trials. The Journal of Maternal-Fetal & Neonatal Medicine, 35(25), 5184-5193.

Karningsih, K., Purwanti, D., Yulfitria, F., Sari, G. N., & Nuraenah, E. (2022). The Effect of Pelvic Rocking Exercise with a Birth Ball and SP6 Acupressure on Duration of the First and Second Stage of Labor. Nurse Media Journal of Nursing, 12(3), 380-389.

Kim, B., & Yim, J. (2020). Core stability and hip exercises improve physical function and activity in patients with non-specific low back pain: a randomized controlled trial. The Tohoku journal of experimental medicine, 251(3), 193-206.

Mazzarino, M., Morris, M. E., & Kerr, D. (2021). Pilates for low risk pregnant women: Study protocol for a randomized controlled trial. Journal of Bodywork and Movement Therapies, 25, 240-247.

Michaeli, A. (2020). Treating low back pain–Bridging the gap between manual therapy and exercise. Journal of Bodywork and Movement Therapies, 24(4), 452-461.

O’Connell, M. A., Khashan, A. S., & Leahy-Warren, P. (2021). Women's experiences of interventions for fear of childbirth in the perinatal period: A meta-synthesis of qualitative research evidence. Women and Birth, 34(3), e309-e321.

Rizki, L. K., & Anggraini, F. D. (2020). Efektivitas Pelvic Rocking Exercise terhadap Kemajuan Persalinan dan Kejadian Robekan Perineum di PMB Mei Kurniawati. Midwifery Journal: Jurnal Kebidanan UM Mataram, 5(1), 9-12.

Roberts, A., Harris, K., Outen, B., Bukvic, A., Smith, B., Schultz, A., ... & Mondal, D. (2022). Osteopathic manipulative medicine: a brief review of the hands-on treatment approaches and their therapeutic uses. Medicines, 9(5), 33.

Selman, R., Early, K., Battles, B., Seidenburg, M., Wendel, E., & Westerlund, S. (2022). Maximizing recovery in the postpartum period: A timeline for rehabilitation from pregnancy through return to sport. International Journal of Sports Physical Therapy, 17(6), 1170.

Shah, D., Yang, B., Kriegman, S., Levin, M., Bongard, J., & Kramer‐Bottiglio, R. (2021). Shape changing robots: bioinspiration, simulation, and physical realization. Advanced Materials, 33(19), 2002882.

Tang, Y., Guo, X., Wang, Y., Liu, Z., Cao, G., Zhou, Y., ... & Yuan, M. (2022). Rumba dance combined with breathing training as an exercise intervention in the management of stress urinary incontinence in postmenopausal women: a randomized controlled trial. International Journal of Environmental Research and Public Health, 20(1), 522.

TD, C. H. (2019). Pengaruh Teknik Pelvic Rocking Dengan Birthing Ball Terhadap Lama Persalinan Kala I. Bhamada: Jurnal Ilmu dan Teknologi Kesehatan (E-Journal), 10(1), 59-64.

Ulfa, R. M. (2021). Effect of the use of birth balls on the reduction of pain and duration of labor during the first stage of active and second stage of labor in primigravida maternity. Science Midwifery, 9(2), 418-430.

Vincent, H. K., Brownstein, M., & Vincent, K. R. (2022). Injury prevention, safe training techniques, rehabilitation, and return to sport in trail runners. Arthroscopy, sports medicine, and rehabilitation, 4(1), e151-e162.

Wang, Y., Liu, L., Chen, Q., Gao, K., Wang, H., Xu, N., ... & Lam, W. K. (2023). Modified lumbo-pelvic exercise to alleviate mild stress urinary incontinence in middle-aged females. Scientific Reports, 13(1), 7142.

Wu, N., Huang, R., Shan, S., Li, Y., & Jiang, H. (2022). Effect of the labour roadmap on anxiety, labour pain, sense of control, and gestational outcomes in primiparas. Complementary therapies in clinical practice, 46, 101545.

Wu, W. R., Lee, L. C., & Yu, P. J. (2023). Better safe than sorry: Exploring the collective sensemaking process in pregnancy virtual communities through thematic analysis. Nursing & Health Sciences, 25(3), 381-388.

Wulandari, R. C. L., & Wahyuni, S. (2019). Efektivitaspelvic Rocking Exercise Pada Ibu Bersalin Kala I Terhadap Kemajuan Dan Lama Persalinan. Intan Husada: Jurnal Ilmiah Keperawatan, 7(1), 67-78.

Zhu, H., Zhang, D., Gao, L., Liu, H., Di, Y., Xie, B., ... & Sun, X. (2022). Effect of pelvic floor workout on pelvic floor muscle function recovery of postpartum women: Protocol for a randomized controlled trial. International Journal of Environmental Research and Public Health, 19(17), 11073.

Published
2024-02-14
How to Cite
Karningsih, Mardeyanti, Yulfitria, F., Sari, D. N., & Purwanti, D. (2024). Effectiveness of Pelvic Rocking Exercise with Birth Ball on the Duration of Third Stage of Labor. International Journal of Science and Society, 6(1), 887-898. https://doi.org/10.54783/ijsoc.v6i1.1078