title: Reducing Length of Labor and Cesarean Surgery Rate Using a Peanut Ball for Women Laboring With an Epidural.
abstract: One strategy for reducing the primary cesarean surgery rate and length of labor is using a peanut-shaped exercise ball for women laboring under epidural analgesia. A randomized, controlled study was conducted to determine whether use of a "peanut ball" decreased length of labor and increased the rate of vaginal birth. Women who used the peanut ball (n = 107) versus those who did not (n = 91) demonstrated shorter first stage labor by 29 min (p = .053) and second stage labor by 11 min (p < .001). The intervention was associated with a significantly lower incidence of cesarean surgery (OR = 0.41, p = .04). The peanut ball is potentially a successful nursing intervention to help progress labor and support vaginal birth for women laboring under epidural analgesia.
authors.forename: Christina Marie
authors.initials: CM
authors.lastname: Tussey
authors.forename: Emily
authors.initials: E
authors.lastname: Botsios
authors.forename: Richard D
authors.initials: RD
authors.lastname: Gerkin
authors.forename: Lesly A
authors.initials: LA
authors.lastname: Kelly
authors.forename: Juana
authors.initials: J
authors.lastname: Gamez
authors.forename: Jennifer
authors.initials: J
authors.lastname: Mensik
keywords: cesarean birth; epidural; first stage labor; peanut ball; second stage labor