2. PROBLEM STATEMENT
• “Evaluate the impact of birthing ball exercises for management
of pain and progress of labour among primigravida women
admitted in labour ward at tertiary care teaching hospital.”
3. OBJECTIVE OF THE STUDY
1.To assess the pre-interventional scores of pain and progress
of labour among primigravida women.
2.To evaluate the impact of birthing ball exercises for pain and
progress of labour among primigravida women in experimental
group.
3.To compare pre-test and post- test scores of experimental and
control group among primigravida women.
4. RESEARCH HYPOTHESES
• HYPOTHESES:
H1: Mean post-interventional pain scores in experimental group among
primigravida women will be significantly lower than pre-interventional
scores at 0.05 level of significance.
H2: Mean post-interventional progress of labour scores among
primigravida women in the experimental group will be significantly
higher than control group at 0.05 level of significance.
H3: Mean post interventional scores of pain among primigravida
women in experimental group will be significantly lower than control
group at 0.05 level of significance.
H4: Mean post interventional scores of progress of labour among
primigravida women in experimental group will be significantly higher
than control group at 0.05 level of significance.
5. • H01: There is no significant difference between experimental and control
groups with post-test scores of pain among primigravida women.
• H02: There is no significance difference between experimental and control
groups with post-test scores of progresses of labour among primigravida
women.
• H03: There is no significant difference between pre-test and post-test
scores of pain among primigravida women in experimental and control
groups.
• H04: There is no significant difference between pre-test and post-test
scores of progress of labour among primigravida women in experimental
and control groups.
6. INCLUSION CRITERIA
•The study includes primigravida women who will be:
Registered at Tertiary care hospital
In the age group of 21-30 years.
In the Gestational age of 37-40 weeks
With Cervical dilatation of 2 cm.
7. EXCLUSION CRITERIA
• Exclusion criteria:
• The study excludes primigravida women who will be::
Posted for Lower segmental caesarean section
With underline disease such as pregnancy induced
hypertension, Diabetes mellitus and others.
At term with no pain and high-risk condition
8. STUDY INSTRUMENT
• The tool is constructed and consists of following
parts-
• Part–I: Demographic profile.
• Part-ii: Modified numerical pain intensity scale
• Part–iii: WHO partograph
9. SOCIO-DEMOGRAPHIC VARIABLES:-
The question in this is ask about age, educational status, occupation,
type of work, area of residence, type of family, Family income per
month in Rupees, Previous information received about birthing ball and
Source of information.
Socio demographic variable of primigravida women in Shri
Dharmasthala Manjunatheshwara college of medical sciences and
hospital, Dharwad.
TOOLS
10. 1. Age in years
2. Educational Status
a) Informal
b) Primary Education
c) High School
d) Higher secondary education
12. 5. Area of residence
a) Urban
b) Rural
c) Semi-urban
6. Type of family
a) Nuclear
b) Joint
13. 7. Family income per month in Rupees
a) ≤ Rs.5000
b) Rs.5001-7000
c) Rs.7001-9000
d) ≤Rs.9001
8. Previous information received about birthing ball
a) Yes
b) No
14. 9. Source of information
a) Media
b) Neighbor’s
c) Health professionals
d) Family members
15. MODIFIED PAIN INTENSITY SCALE
1 2 3 4 5 6 7 8 9 10
Mild Pain
Moderate
Pain
Severe Pain
The modified pain intensity scale will be used to measure the intensity of the pain
among primigravida women before and after the use of birthing ball during labour.
Instruction:
The researcher will access the level of pain felt by the participant by asking
Them.
0 1 2 3 4 5 6 7 8 9 10
Mild pain Moderate pain Sever pain Worst possible pain
16. Level of pain SIGNS AND SYMPTOMS Score
Mild pain
Moderate pain
Severe pain
Facial grimace, restlessness and
agitation
Feeling uneasy and tense, constant
shifting in bed, Weakness.
Burning, numbness, Sharp pain,
angry, anxious, chills, pale skin.
1-3
4-6
7-10
17. Purpose:
This partograph will be used to record the information like
cervical dilatation and uterine contractions to note the
progress of labor before and after the use of birthing ball during labor.
.
PART-III: WHO PARTOGRAPH
19. Experts Name
Comments
Tool Adequacy
of tool to
measure
objectives
Organi
sation
of tool
Feasibilit
y of the
tool
Experts
Comment
s
Section
A
Section
B
Section
C
1. Dr. Asha Neravi,
Professor, HOD,
Dept. of OBG, SDM
Medical College and
Hospital.
√ √ √ Adequate Adequ
ate
Adequate Adequate
2. Mrs. Asha Bhat
Asso. Professor
Dept. Of Obstetric &
Gynaecological
Nursing, KAHER
Institute of Nursing
JNMC Campus, Nehru
Nagar, Belgaum-10
√ Need
improv
ement
√
Need
improvem
ent
Need
impro
vemen
t
Feasible Need
improve
ment
20. Experts Name
Comments
Tool Adequacy
of tool to
measure
objectives
Organi
sation
of tool
Feasibil
ity of
the tool
Experts
Comments
Section
A
Section
B
Section
C
3. Mrs. Manisha
Bijapurkar
Asso. Professor and
HOD
Dept. of Obstetric &
Gynecology
Nursing,
D. Y Patil Collage of
Nursing Kolhapur.
√ √ √ Yes Well
organi
zed
Feasibl
e
Good
4. Dr. Mayur S S
Professor
Dept of Community
Medicine
SDM Medical
College
Sattur, Dharwad-09
√
change
the
score
√ Relevant Releva
nt
Releva
nt
Adequate
