A quasi experimental study to assess the effectiveness of ambulation versus birthing ball on the fetomaternal outcome during first stage of labour among primigravida mothers admitted in maternity ward of GGSMCH, Faridkot, Punjab

Abstract

Aim: To assess the effectiveness of ambulation versus birthing ball on the fetomaternal outcome during first stage of labour among primigravida mothers admitted in maternity ward of GGSMCH, Faridkot, Punjab. The study was conducted in maternity ward of GGSMCH, Faridkot, Punjab. Quasi experimental research design was used. The study comprised 60 primigravida mothers, with first stage of labour. 30 in Group 1 (Control group) and 30 in Group 2 (Experimental group) who fulfilled the inclusion criteria by using Convenience Sampling Technique. WHO modified partograph was used to assess the effectiveness of ambulation and birthing ball on the fetomaternal outcome. After pre test, subjects in group 1 were encouraged to walk for 15 minutes per hour with a period of 45 minutes rest and continue this for 4 times and subjects in group 2 were encouraged to sit with legs bend at 90 degree and remain in the upright position for 15 minutes per hour with a period of 45 minutes rest and continue this for 4 times and post test was done. Data analysis was done by using descriptive and inferential statistics. Results: The results revealed that birthing ball was effective in improving fetomaternal outcome concerning Intensity of uterine contraction (χ2value 10.947 and p value 0.004) and duration of first stage of labour (χ2value 9.785 and p value 0.020) as statistically significant difference at p<0.05 has been found between two groups. Conclusion: The study concluded that birthing ball was effective in improving fetomaternal outcome among primigravida mothers when compared with ambulation.