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Effectiveness of the Combination Gym Ball and Peanut Ball Techniques on The Duration of Active Phase I Labor in Primigravida
Prolonged parturition is one of the causes of increased mortality and morbidity in the mother and
fetus. Mothers with prolonged labor have a higher risk of bleeding due to uterine atony, tearing of the birth
canal, infection, shock and fatigue, while the fetus has an increased risk of cerebral trauma, severe asphyxia,
infection and injury. Several physiological efforts that can be made to prevent prolonged labor include
pregnancy exercise, breathing techniques and birthing ball techniques (Gym ball and Peanut Ball). The gym
ball and peanut ball help the baby's head rotate to the optimal position during the first stage of labour. The
aim of the research was to determine the effectiveness of the gym ball and peanut ball technique on the
length of labor in the first stage of the active primigravida phase. The research method used the Quasy
Experiment method with the Nonequivalent Control Group Design. The population of this study were
mothers giving birth in Depok City, a sample of 105 primigravida mothers who were divided into
experimental and control groups. The sample technique uses purposive sampling. The statistical test used
is the two mean dependent difference test or the dependent T test (paired T test). The results of the study
showed that the average difference in length of labor during the first stage of the active phase in
primigravida using the gym ball and peanut ball technique lasted 3 hours 39 minutes. The results of the
hypothesis test obtained a p value of 0.0001, which means that there is a difference in the average length of
labor between the experimental group and the control group. The conclusion is that the gym ball and peanut
ball techniques are effective in reducing the duration of the first stage of labor in primigravida.
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