Effectiveness of counterpressure technique with a birth ball on cervical dilatation and reduction of labour pain and uterine contractions: A prospective cohort study

Autor: Egam Adriana, Abdullah Vera Iriani, Isir Mariana, Duhita Fitra, Cherry Mustamu Alva
Jazyk: English<br />Serbian
Rok vydání: 2024
Předmět:
Zdroj: Scripta Medica, Vol 55, Iss 3, Pp 297-305 (2024)
Druh dokumentu: article
ISSN: 2490-3329
2303-7954
DOI: 10.5937/scriptamed55-50565
Popis: Background/Aim: Non-pharmacological interventions play a crucial role in managing labour pain and facilitating labour progression. The counter-pressure technique is a commonly utilised method purported to alleviate pain and enhance cervical dilation during childbirth. However, its effective-ness remains a subject of debate, necessitating further investigation. This study aimed to evaluate the efficacy of the counterpressure technique in managing labour pain and influencing labour progression among women in labour. Method: A randomised controlled trial was conducted involving participants in active labour. The intervention group received the counterpres-sure technique, while the control group received standard care. Pain levels, uterine contractions and cervical dilation were assessed and compared between the two groups. Results: Analysis revealed no significant difference in pain levels or uterine contractions between the intervention and control groups. However, there was a significant increase in cervical dilation in the intervention group compared to the control group (p = 0.034, Cohen's d = -0.586). Conclusion: Despite the counterpressure technique's limited impact on pain relief and uterine contractions, it significantly facilitated cervical dilation during labour. These findings contribute to understanding of non-phar-macological interventions in childbirth and underscore the importance of evidence-based approaches to labour management. Further research is warranted to elucidate the underlying mechanisms of the counterpressure technique and optimise its implementation in clinical practice.
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