{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T14:19:01Z","timestamp":1790086741339,"version":"4.0.1"},"update-to":[{"DOI":"10.12688\/f1000research.109537.1","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2022,11,21]],"date-time":"2022-11-21T00:00:00Z","timestamp":1668988800000}}],"reference-count":29,"publisher":"F1000 Research Ltd","license":[{"start":{"date-parts":[[2022,11,21]],"date-time":"2022-11-21T00:00:00Z","timestamp":1668988800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001411","name":"Indian Council of Medical Research","doi-asserted-by":"publisher","award":["5\/7\/58\/MH\/Adhoc\/2019-0146\/RBMCH"],"award-info":[{"award-number":["5\/7\/58\/MH\/Adhoc\/2019-0146\/RBMCH"]}],"id":[{"id":"10.13039\/501100001411","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["f1000research.com"],"crossmark-restriction":false},"short-container-title":["F1000Res"],"abstract":"<ns4:p>Frequent positional changes and movements during labour is one of the recommendations by the World Health Organization (WHO) to prevent prolonged labour, thereby avoiding cesarean sections. However, labour induction, continuous fetal monitoring in supine position and immobilising the women during labour are standard practices in most private hospitals. To combat these problems and to implement WHO recommendations, the peanut ball is an effective device through which frequent positional changes will be achieved without disrupting the labour procedures.\u00a0The current study aims to evaluate the effectiveness of the peanut ball device during labour on maternal and neonatal outcomes and assess the stress response induced by labour in terms of maternal and neonatal cortisol in low-risk primigravid women. The study is a prospective, block randomised controlled trial with parallel arms. A total of 768\u00a0study participants will be randomised to the peanut-ball group (intervention) and standard care group (control). The intervention group will receive different peanut ball positions during labour at or after 4 cm of cervical dilatation.\u00a0The\u00a0primary outcomes of the study are\u00a0maternal\u00a0outcome that includes measurement of\u00a0duration of the active and the second stage of labour, stress level as measured by serum cortisol level at 3\u20134 cm and at 10 cm of cervical dilatation, mode of delivery, perception of pain, behavioural response during the active stage of labour\u00a0and neonatal outcomes, which includes the pattern of fetal heart rate, APGAR score, birth injuries, and umbilical serum and salivary cortisol level. The collected data will be compared between the\u00a0intervention\u00a0and control groups.\u00a0<\/ns4:p>\n                  <ns4:p\/>\n                  <ns4:p>\n                    <ns4:bold>Trial Registration:<\/ns4:bold>\n                    This research is registered under the CTRI (Clinical Trials Registry of India) (\n                    <ns4:ext-link xmlns:ns5=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" ns5:href=\"http:\/\/www.ctri.nic.in\/Clinicaltrials\/showallp.php?mid1=36116&amp;EncHid=&amp;userName=CTRI\/2019\/08\/020802\">CTRI\/2019\/08\/020802<\/ns4:ext-link>\n                    ) (21\/8\/2019).\n                  <\/ns4:p>","DOI":"10.12688\/f1000research.109537.2","type":"journal-article","created":{"date-parts":[[2022,11,21]],"date-time":"2022-11-21T10:55:05Z","timestamp":1669028105000},"page":"717","update-policy":"https:\/\/doi.org\/10.12688\/f1000research.crossmark-policy","source":"Crossref","is-referenced-by-count":7,"title":["Effectiveness of a peanut ball device during labour on maternal and neonatal outcomes: protocol for a randomised controlled trial"],"prefix":"10.12688","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4673-5104","authenticated-orcid":false,"given":"Pratibha","family":"Kamath","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muralidhar","family":"Pai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8475-4824","authenticated-orcid":false,"given":"Revathi","family":"Shenoy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9709-196X","authenticated-orcid":false,"given":"Sushmitha","family":"Karkada","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3842-2650","authenticated-orcid":false,"given":"Sonia","family":"D\u2019souza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4194-588X","authenticated-orcid":false,"given":"Judith","family":"Noronha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2560","published-online":{"date-parts":[[2022,11,21]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"2345-2353","DOI":"10.1002\/nop2.844","article-title":"Use of the peanut ball during labour: A systematic review and meta-analysis.","volume":"8","author":"P Ahmadpour","year":"2021","journal-title":"Nurs. 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With Warm Regards  Pratibha PI of the project","URL":"https:\/\/f1000research.com\/articles\/11-717\/v2#referee-comment-8952","order":2,"name":"referee-comment-8952","label":"Referee Comment","group":{"name":"article-reports","label":"Article Reports"}},{"value":"This study is funded by the Indian Council of Medical Research, Department of Health Research, Ministry of Health and Family Welfare, Government of India (File No 5\/7\/58\/MH\/Adhoc\/2019-0146\/RBMCH). The grant was assigned to Mrs. Pratibha Kamath, Primary investigator. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.","order":3,"name":"grant-information","label":"Grant Information"},{"value":"This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.","order":0,"name":"copyright-info","label":"Copyright"}]}}