{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T20:41:17Z","timestamp":1786653677406,"version":"build-2736575974"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 4","license":[{"start":{"date-parts":[[2024,12,1]],"date-time":"2024-12-01T00:00:00Z","timestamp":1733011200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>A woman\u2019s pregnancy might be challenging because there are so many changes happening at the time. Most women who give birth have severe labor pain. Women typically use a number of coping strategies, including both pharmaceutical and non-pharmacological, or more natural, techniques, to minimize labor discomfort. \u201cNon-pharmacological coping strategies\u201d refers to methods other than using medications to alleviate labor pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The present study was conducted to correlate birthing ball exercise and sacral massage on maternal and fetal well-being among prim parturient women<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A quasi-experimental design was adopted. A total of 300 primigravidae with 150 each in the experimental and control groups were selected by purposive sampling. Primigravidae in the experiment group underwent birthing ball exercises and sacral massage during their active phase of labor. The control group received routine hospital standard care. The Visual Analog Pain Scale, GAD-7 Anxiety Severity Scale, Apgar score, and Rating scale on Satisfaction were used to collect the data. Descriptive and inferential statistics were used to analyze the collected data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The findings of the study showed that the mutual correlation coefficients of the level of satisfaction, pain perception, anxiety, cervical dilatation, uterine contraction, and fetal heart rate of the control group post-test-2 are given.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>As a non-pharmacological intervention, the birthing ball technique and sacral massage are necessary to decrease pain perception and reduce anxiety level, which will increase cervical dilatation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jpbs.jpbs_1295_24","type":"journal-article","created":{"date-parts":[[2024,12,27]],"date-time":"2024-12-27T00:03:45Z","timestamp":1735257825000},"page":"S3868-S3870","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["A Correlation Study of Birthing Ball Technique and Sacral Massage on Maternal and Fetal Well-being Among Parturient Women: A Non-Randomized Clinical Trail"],"prefix":"10.4103","volume":"16","author":[{"given":"Sundaram","family":"Madavan","sequence":"first","affiliation":[{"name":"PhD Scholar, Department of OBG Nursing, Saveetha College of Nursing, Saveetha Institute of Medical and Technical Science, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhuvaneswari","family":"Gopalakrishnan","sequence":"additional","affiliation":[{"name":"Department of Community Health Nursing, Saveetha College of Nursing, Saveetha Institute of Medical and Technical Science, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chandrika","family":"Anand","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Padmashree Institute of Clinical Research, Bangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Thenmozhi","sequence":"additional","affiliation":[{"name":"Department of Medical and Surgical Nursing, Saveetha College of Nursing Saveetha Institute of Medical and Technical Science, Chennai, TamilNadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,12,27]]},"reference":[{"key":"R1-20241227","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1016\/j.wombi.2016.02.003","article-title":"Women's experience of childbirth\u2013A five year follow-up of the randomised controlled trial \u201cReady for Child Trial\u201d","volume":"29","author":"Maimburg","year":"2016","journal-title":"Women Birth"},{"key":"R2-20241227","doi-asserted-by":"crossref","first-page":"14","DOI":"10.31290\/jiki.v(3)i(1)y(2017).page:14-22","article-title":"Distance, travel time and the availability of services with antenatal visits","volume":"3","author":"Supliyani","year":"2017","journal-title":"J Inform Kesehat Indones"},{"key":"R3-20241227","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1016\/j.wombi.2018.03.004","article-title":"The nature of labour pain:An updated review of the literature","volume":"32","author":"Whitburn","year":"2019","journal-title":"Women Birth"},{"key":"R4-20241227","doi-asserted-by":"crossref","first-page":"755","DOI":"10.1016\/j.mehy.2011.02.018","article-title":"Proposed biological linkages between obesity, stress, and inefficient uterine contractility during labor in humans","volume":"76","author":"Lowe","year":"2011","journal-title":"Med Hypotheses"},{"key":"R5-20241227","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/j.jpainsymman.2005.05.015","article-title":"Symptom cluster research:Conceptual, design, measurement, and analysis issues","volume":"31","author":"Barsevick","year":"2006","journal-title":"J Pain Symptom Manage"},{"key":"R6-20241227","doi-asserted-by":"crossref","first-page":"S160","DOI":"10.1016\/S0002-9378(02)70189-0","article-title":"Pain and women's satisfaction with the experience of childbirth:A systematic review","volume":"186","author":"Hodnett","year":"2002","journal-title":"Am J Obstet Gynecol"},{"key":"R7-20241227","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1186\/s12884-019-2305-8","article-title":"Birth ball for pregnant women in labour research protocol:A multi-centre randomised controlled trial","volume":"19","author":"Yeung","year":"2019","journal-title":"BMC Pregnancy Childbirth"},{"key":"R8-20241227","first-page":"e115","article-title":"Adolescence:A crucial transitional stage in human life","volume":"4","author":"Zaky","year":"2016","journal-title":"J Child Adolesc Behav"},{"key":"R9-20241227","doi-asserted-by":"crossref","first-page":"246","DOI":"10.3889\/oamjms.2022.7697","article-title":"The effect of combination of pelvic rocking exercise and back massage to pain and duration of labor in primigravidae","volume":"10","author":"Sulistianingsih","year":"2022","journal-title":"Open Access Maced J Med Sci"},{"key":"R10-20241227","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1111\/jog.15460","article-title":"The effect of sacral massage on meconium-stained amniotic fluid and the duration of fetal descent in labor:A randomized controlled trial","volume":"49","author":"Ulubasoglu","year":"2023","journal-title":"J Obstet Gynaecol Res"},{"key":"R11-20241227","doi-asserted-by":"crossref","first-page":"46","DOI":"10.14235\/bas.galenos.2020.3898","article-title":"Effect of birth ball exercising for the management of childbirth pain in Turkish women","volume":"9","author":"Akta\u015f","year":"2021","journal-title":"Bezmialem Sci"},{"key":"R12-20241227","doi-asserted-by":"crossref","first-page":"11330","DOI":"10.12998\/wjcc.v9.i36.11330","article-title":"Birthing ball on promoting cervical ripening and its influence on the labor process and the neonatal blood gas index","volume":"9","author":"Shen","year":"2021","journal-title":"World J Clin Cases"},{"key":"R13-20241227","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1002\/ijgo.14045","article-title":"Effect of birth ball abdominal core training on pregnancy fatigue, waist pain and delivery outcomes","volume":"158","author":"Zhang","year":"2022","journal-title":"Int J Gynecol Obstet"},{"key":"R14-20241227","first-page":"47","article-title":"Effect of birthing ball exercises during pregnancy on the first stage progress of labor","volume":"7","author":"Sheishaa","year":"2019","journal-title":"Int J Nurs"},{"key":"R15-20241227","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1007\/s00404-018-4742-4","article-title":"Non-obstetrical indications for cesarean section:a state-of-the-art review","volume":"298","author":"Rania","year":"2018","journal-title":"Archives of Gynecology and Obstetrics"},{"key":"R16-20241227","first-page":"QC12","article-title":"Effect of massage therapy on duration of labour:A randomized controlled trial","volume":"10","author":"Bolbol-Haghighi","year":"2016","journal-title":"J Clin Diagn Res"}],"container-title":["Journal of Pharmacy and Bioallied Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_1295_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:40:45Z","timestamp":1786650045000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_1295_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12]]},"references-count":16,"journal-issue":{"issue":"Suppl 4","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/jpbs.jpbs_1295_24","relation":{},"ISSN":["0976-4879","0975-7406"],"issn-type":[{"value":"0976-4879","type":"print"},{"value":"0975-7406","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12]]},"assertion":[{"value":"2024-09-13","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-28","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}