Quantifying the Impact of the Peanut Ball on the Duration of the Active Stage of Labor

NCT ID: NCT05489315

Last Updated: 2022-09-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

400 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-07-26

Study Completion Date

2023-05-19

Brief Summary

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Prolonged labor is associated with adverse maternal and fetal outcomes including infection, postpartum hemorrhage and increased NICU admission. One of the most common indications for cesarean section in the US is prolonged labor. Maternal positioning through labor facilitated by birthing balls is believed to help facilitate labor. Current data is inconclusive on whether or not the use of birthing balls is advantageous in a statistically significant manner.

In this prospective randomized controlled trial, participants will be randomly selected to receive either the experimental intervention (repositioning peanut ball during labor) or the control intervention (the standard therapy of traditional repositioning during labor).

Primary outcome: Time of active labor to delivery with and without use of the peanut ball.

Secondary outcome: Cesarean section frequency.

Detailed Description

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Conditions

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Labor Onset and Length Abnormalities Prolonged Labor Labor Long Labor; Poor

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Traditional Positioning

Participants who are randomly assigned to NOT receive a peanut ball will undergo placement on a wedge pillow and/or traditional positioning during their labor progression at 6cm cervical dilation.

Group Type OTHER

Traditional positioning

Intervention Type OTHER

If participants are randomly selected to NOT receive a peanut ball, the intent is for the patient to undergo traditional positioning/use wedge pillows during their labor progression.

Peanut Ball Positioning

Participants who are randomly assigned to receive a peanut ball will be positioned with a peanut ball at 6cm cervical dilation.

Group Type EXPERIMENTAL

Positioning with peanut ball

Intervention Type DEVICE

If participants are randomly selected to receive a peanut ball, the intent is for the patient to remain on the peanut ball during their labor progression.

Interventions

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Positioning with peanut ball

If participants are randomly selected to receive a peanut ball, the intent is for the patient to remain on the peanut ball during their labor progression.

Intervention Type DEVICE

Traditional positioning

If participants are randomly selected to NOT receive a peanut ball, the intent is for the patient to undergo traditional positioning/use wedge pillows during their labor progression.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Fetus must be vertex in position at the time of admission to L\&D
* Pregnant patients age 16 years old and above
* Singleton pregnancy (ie. one fetus)
* Patients who receive induction and augmentation of labor may be included
* Include both nulliparous and multiparous women
* Patients with HTN, diabetes, and obesity at any point in their pregnancy may be included
* Patients may be included in the study regardless of whether or not they received an epidural
* Patients who have been randomly assigned to receive a peanut ball must be placed on the peanut ball at 6cm dilation, not earlier.
* Patients who present to L\&D dilated to 4cm may be included

Exclusion Criteria

* TOLACs and VBACs will be excluded
* Multiple gestation will be excluded
* Category 3 fetal tracing will be excluded
* Chorioamnionitis will be excluded
* Patients who present to L\&D at 6cm cervical dilation will be excluded
* Patients placed on the peanut ball before 6cm cervical dilation will be excluded
* Patients with fetal malpresentation will be excluded
Minimum Eligible Age

16 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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University of Tennessee

OTHER

Sponsor Role lead

Responsible Party

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Rachel Nelson

Co-Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Regional One Health Outpatient Center

Memphis, Tennessee, United States

Site Status RECRUITING

Regional One Health

Memphis, Tennessee, United States

Site Status RECRUITING

Regional One Health - Hollywood Clinic

Memphis, Tennessee, United States

Site Status RECRUITING

Regional One Health - Kirby Primary Care Clinic

Memphis, Tennessee, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Rachel Nelson, MD, PhD

Role: CONTACT

6155875832

Facility Contacts

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Mary Butts, MD

Role: primary

901-515-3000

Mary Butts, MD

Role: primary

901-275-3725

Ramona Phinehas

Role: backup

(901) 275-3725

Mary Butts, MD

Role: primary

901-515-5500

Mary Butts

Role: primary

901-515-5350

References

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Tussey CM, Botsios E, Gerkin RD, Kelly LA, Gamez J, Mensik J. Reducing Length of Labor and Cesarean Surgery Rate Using a Peanut Ball for Women Laboring With an Epidural. J Perinat Educ. 2015;24(1):16-24. doi: 10.1891/1058-1243.24.1.16.

Reference Type BACKGROUND
PMID: 26937158 (View on PubMed)

Roth C, Dent SA, Parfitt SE, Hering SL, Bay RC. Randomized Controlled Trial of Use of the Peanut Ball During Labor. MCN Am J Matern Child Nurs. 2016 May-Jun;41(3):140-6. doi: 10.1097/NMC.0000000000000232.

Reference Type BACKGROUND
PMID: 26859467 (View on PubMed)

Mercier RJ, Kwan M. Impact of Peanut Ball Device on the Duration of Active Labor: A Randomized Control Trial. Am J Perinatol. 2018 Aug;35(10):1006-1011. doi: 10.1055/s-0038-1636531. Epub 2018 Mar 6.

Reference Type BACKGROUND
PMID: 29510425 (View on PubMed)

Grenvik JM, Rosenthal E, Saccone G, Della Corte L, Quist-Nelson J, Gerkin RD, Gimovsky AC, Kwan M, Mercier R, Berghella V. Peanut ball for decreasing length of labor: A systematic review and meta-analysis of randomized controlled trials. Eur J Obstet Gynecol Reprod Biol. 2019 Nov;242:159-165. doi: 10.1016/j.ejogrb.2019.09.018. Epub 2019 Sep 20.

Reference Type BACKGROUND
PMID: 31600716 (View on PubMed)

Provided Documents

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Document Type: Informed Consent Form

View Document

Other Identifiers

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21-08072-FB

Identifier Type: -

Identifier Source: org_study_id

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