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CTRI Number  CTRI/2024/10/075718 [Registered on: 23/10/2024] Trial Registered Prospectively
Last Modified On: 17/10/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Preventive
Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effectiveness of Walking Vs Birthing Ball to Check the Progress of Labor among First time Pregnant Mothers. 
Scientific Title of Study   Effectiveness Of Perambulate Vs Birthing Ball on Progress of First Stage of Labour in Terms of Level of Pain and Satisfaction among Primi Parturient Mothers 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Thenesha k 
Designation  Research Scholar 
Affiliation  Bhaarath Institute of Higher Education and Research 
Address  Faculty of Nursing Bhaarath Institute of Higher Education and Research 173 Agaram Main Road Selaiyur Chennai Tamilnadu 600073

Chennai
TAMIL NADU
600073
India 
Phone  9003538616  
Fax    
Email  thenesha.vino@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR S Vasantha 
Designation  Principal and Guide 
Affiliation  Bhaarath College of Nursing 
Address  Faculty of Nursing Bhaarath College of Nursing Bhaarath Institute of Higher Education and Research 173 Agaram Main Road Selaiyur Chennai Tamilnadu 600073

Chennai
TAMIL NADU
600073
India 
Phone  9444172674  
Fax    
Email  vasanthishanju@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Thenesha k 
Designation  Research Scholar 
Affiliation  Bhaarath Institute of Higher Education and Research 
Address  Faculty of Nursing Bhaarath Institute of Higher Education and Research 173 Agaram Main Road Selaiyur Chennai Tamilnadu 600073

Chennai
TAMIL NADU
600073
India 
Phone  9003538616  
Fax    
Email  thenesha.vino@gmail.com  
 
Source of Monetary or Material Support  
THIRUVALLUR GOVERNMENT MEDICAL COLLEGE AND HOSPITAL SH57 HARIRAM NAGAR POONGA NAGAR KAKKALUR TAMILNADU 602001 
 
Primary Sponsor  
Name  THENESHA  
Address  Faculty of Nursing Bhaarath Institute of Higher Education and Research 173 Agaram Main Road Selaiyur Chennai Tamilnadu 600073 
Type of Sponsor  Other [SELF] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
THENESHA  THIRUVALLUR GOVERNMENT HOSPITAL  Thiruvallur Government hospital Department of Obstetrics SH57 HARIRAM NAGAR POONGA NAGAR KAKKALUR TAMILNADU 602001
Thiruvallur
TAMIL NADU 
9003538616

thenesha.vino@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Bhaarath Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Primi Para Mothers 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Birthing Ball and Ambulation  The investigator will conduct the study by selecting 200 primi Parturient mothers (100 in group I and 100 in group II) who fulfill the sample selection criteria by Simple Random Sampling Technique using lottery method. Based on that 20 Primi parturient mothers per day will be selected for the study. The parturient mothers who who will take No.1 (Ambulation) and assign to group A and parturient mothers who will take No.2 (Birthing Ball) will be assigned to group B Like this 200 samples will be selected. After selecting the samples the investigator will give a brief introduction about self and purpose of the study to both groups of parturient mothers and maintained good rapport to ensure that the mother is wide awake. They will be made to lie comfortably, explain the procedure and assured the confidentiality regarding data to win their cooperation during data collection. Informed written consent was obtained from the parturient mothers after clear explanation about the intervention • After getting the consent, the intervention will be given to both group A and group B. The group A parturient mothers will be encouraged to walk for 10 to 15 minutes with a period of 10 minutes rest in left lateral position and continue till full cervical dilatation. The group B Parturient mothers who will be in the active phase of the first stage of labor (i.e., 4 cm cervical dilatation) were encouraged to practice in birthing ball for 15 minutes with a period of 10 minutes rest in left lateral position till full cervical dilatation. The exercises will be pelvic rocking forward and backward, ball bouncing and ball hip circle in a sitting position, and hugging the ball in a kneeling position for 15 minutes. Two, 15-minute exercise sessions with a subsequent gap of one hour during the active phase of labor will be given. Progress of Labour will be assessed using modified WHO Partograph. The labour pain level will be assessed by the Numerical pain intensity scale. The level of satisfaction on use of birthing ball and Ambulation will be assessed in the both the groups of primiparturient women using rating scale after delivery.  
Comparator Agent  Birthing Ball Vs Ambulation  Birthing ball and ambulation will be compared 
 
Inclusion Criteria  
Age From  19.00 Year(s)
Age To  34.00 Year(s)
Gender  Female 
Details  admitted during the First stage of labour.
Post dated mothers
between the age group of 19 to 34 years.
with gestational age between 37 to 40 weeks .
with True labour to 4 cm dilatation
with singleton viable fetus with cephalic presentation
with intact membranes
who attain full cervical dilatation between 8am and 8pm.
who understands Tamil or English
 
 
ExclusionCriteria 
Details  This study excludes primi Parturient mothers:
Who conceived by artificial reproductive technique.
Forewater rupture
Who have already received any information or attended any classes on Birthing ball.
Who are not giving consent to participate in the study.
Who are posted for Lower segmental caesarean section
with high-risk pregnancy such as Pregnancy induced hypertension, Gestational diabetes mellitus, Antepartum hemorrhage, Multiple pregnancy, Cephalo pelvic disproportion, Malposition, Malpresentation, Cord prolapse, Cord presentation 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Birthing ball will be effective  12 to 24 hours 
 
Secondary Outcome  
Outcome  TimePoints 
Practicing birthing ball during labour will ease the delivery of the mothers.

 
12 to 24 hours 
 
Target Sample Size   Total Sample Size="200"
Sample Size from India="200" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2/ Phase 3 
Date of First Enrollment (India)   28/10/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="2"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   This Quazi experimental study , Randomized parallel control trial aims to assess the EFFECTIVENESS OF PERAMBULATE Vs BIRTHING BALL ON PROGRESS OF FIRST STAGE OF LABOUR IN TERMS OF LEVEL OF PAIN AND SATISFACTION AMONG PRIMI PARTURIENT MOTHERS.  A total of 200 mothers will be included in the study. Based on that 20 Primi parturient mothers per day will be selected for the study. The parturient mothers who who will take No.1 (Ambulation) and assign to group A and parturient mothers who will take No.2 (Birthing Ball) will be assigned to group B Like this 200 samples will be selected. The labour pain level will be  assessed by the Numerical pain intensity scale. The level of satisfaction on use of birthing ball and Ambulation will be assessed in the both the groups of primiparturient women using rating scale after delivery. 
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