Childbirth is a natural process.Discomfort, fear and pain is a problem for mothers in labor. Pain in the first stage of the active phase of labor is severe pain with a longer time, therefore it is necessary to pay attention to handling to overcome pain in the first stage of labor. This study aims to determine the effect of the use of birth balls on the intensity of labor pain in the active phase of the first stage of primigravida mothers in PMB Bekasi City 2022. This study uses a quasi-experimental approach. The sample in this study was 30 respondents, namely 15 mothers in the control group and 15 mothers in the intervention group. The instrument used is an observation sheet on the implementation of the use of a birth ball. The analysis used is univariate analysis and bivariate analysis using Independent T test and Paired T - Test. HThe results of the univariate analysis showed that in the intervention group the average level of pain before the birth ball was done the average pain level was 7.46 and after it was done it was 4.46. The mean level of pain in the control group on examination 1 was 7.06 and on examination 2 was 6.80. The results of the bivariate analysis showed that there was an effect of using a birth ball on the pain of labor in the first stage of the active phase in primigravida mothers with a p value of 0.000. There is no effect of not using a birth ball on the pain of labor in the first stage of the active phase of primigravid mothers with a p value of 3.64. There was a difference in the decrease in pain level in the first stage of the active phase in primigravida mothers in the intervention group and the control group with a p value of 0.000. The results of this study can be concluded that the use of birth balls is effectively used to reduce labor pain in the first stage of the active phase of primigravida mothers
Hertiwi. (2020). Know the types of pain scales and how to assess them.
Hidayat. (2014). Nursing research methods and technical data analysis.Jakarta : Salemba Medika
Indonesian Ministry of Health. (2019). Indonesia Health Profile 2019. Ministry of Health Republic of Indonesia
Kurniarum. (2016). Maternity and Newborn Midwifery Care.Jakarta: Ministry of Health RI.
Kurniawati. (2017). The Effectiveness of Birth Ball Exercise on Reduction of Labor Pain in Active Phase I in Primigravida. Indonesian Journal of Nursing and Midwifery.5(1) : 1-10
Kustari, Oktifa, et al. (2012). Effect of Birth Ball Therapy on Labor Pain. Malang: Faculty of Medicine, Universitas Brawijaya, Nursing Science Study Program
Mahmud. (2011). Educational Research Methods. Bandung: Faithful Library.
malak. (2017). Suggested Birthing Ball Protocol. International Journal of Childbirth Education
Morvarid et al. (2019.) Experience of Childbirth With Birth Ball international. Journal of Women's Health and Reproduction Sciences, Volume 7, No. 3, July 2019.
Mutoharoh, et al. (2019). The Effectiveness of Birth Ball During Pregnancy Against the Length of Labor. Yogyakarta: Leutikaprio
Notoatmodjo. (2016). Health Research Methodology. Jakarta: Creative creations
ondeck. (2014). Healthy Birth Practice #2: Walk, movearound, and change position Troughout Labor. The Journal of Perinatal Education. 23(4): 188-193
Raidanti and Mujianti. (2021). Birthting Ball (Alternative in Reducing Labor Pain). Malang City : Ahlimedia Press
Rania & Omar. (2018). Its Effect on the Progress of Labor and Outcome among Nulliparous Women. International Journal of Nursing Didactics
Riyanto. (2017). Health Research Methodology Application. Yogyakarta:Nuha Medika
Spiritual, et al. (2014). Midwifery Care During Childbirth. Jakarta: Salemba Medika.
Please, Sofar. (2018). Social Research Methodology for Thesis and Thesis Writing. Bandung: In Media
Simkin and Katie. (2018). The Birth Partner: A Complete Guide To the Childbirth for dads, doulas and all other labor companions. The Harvard Common Press, an imprint of the Quarto Group: USA
Sugiyono. (2019). Research Methods Quantitative, Qualitative, R & D. Bandung: CVAlphabet.
Surtiningsih, et al. (2016). The Effectiveness of Pelvic Rocking Exercises on the Length of Labor Time in Primipara Mothers at the Banjarnegara District Health Center. Sudirman Journal of Nursing, Volume 11, No.2, July 2016.
Suryani & Hardika. (2020). The Effectiveness Of Birthing Ball Therapy On The Duration Of The First Stage Of Labor And The Intensity Of Labor Pain In Primigravid Mothers Giving Births. STRADA Scientific Journal of Health.https://doi.org/10.30994/sjik.v9i2.404
Taavoni, et al. (2016). Effect of Birth Ball Usage on Pain in the Active Phase of Labor: A Randomized Controlled Trial. World Family Medicine/Middle East Journal of Family Medicine, 16(4), 137-140. Accessed fromhttp://www.ncbi.nlm.nih.gov/pubmed/2142907
Utami and Fitriahadi. (2019). Textbook of Childbirth Care & Management of Labor Pain. Yogyakarta: UNISA
Wulandari & Wahyuni. (2019). The Effectiveness of Pelvic Rocking Exercise in First Stage Maternity on Progress and Length of Labor. Scientific Journal of Nursing.
Yulia, et al. (2020). Technique Active Birth (Birth Ball And Hypnobirthing). Padang: Stikes Syedza Saintika