@article {Tussey:2015:1058-1243:16,
title = "Reducing Length of Labor and Cesarean Surgery Rate Using a Peanut Ball for Women Laboring With an Epidural",
journal = "The Journal of Perinatal Education",
parent_itemid = "infobike://springer/jpe",
publishercode ="springer",
year = "2015",
volume = "24",
number = "1",
publication date ="2015-01-01T00:00:00",
pages = "16-24",
itemtype = "ARTICLE",
issn = "1058-1243",
eissn = "1548-8519",
url = "https://www.ingentaconnect.com/content/springer/jpe/2015/00000024/00000001/art00004",
doi = "doi:10.1891/1058-1243.24.1.16",
keyword = "second stage labor, cesarean birth, epidural, first stage labor, peanut ball",
author = "Tussey, Christina Marie and Botsios, Emily and Gerkin, Richard D. and Kelly, Lesly A. and Gamez, Juana and Mensik, Jennifer",
abstract = "
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.",
}