PENGARUH PEMBERIAN INTERVENSI BIRTHBALL TERHADAP KEMAJUAN PERSALINAN KALA 1 FASE AKTIF

Annisa Ramadhani; Fania Nurul Khoirunnisa; Nor Asiyah

doi:10.59003/nhj.v5i9.1912

Authors

Annisa Ramadhani Universitas Muhammadiyah Kudus
Fania Nurul Khoirunnisa Universitas Muhammadiyah Kudus
Nor Asiyah Universitas Muhammadiyah Kudus

DOI:

https://doi.org/10.59003/nhj.v5i9.1912

Keywords:

Active Phase, Birthball Intervention, First Stage of Labor

Abstract

Prolonged labor in the first stage is defined as an extended latent phase and an extended active phase. The latent phase is considered prolonged when cervical dilation remains less than 4 cm after 8 hours of regular uterine contractions (more than two contractions within 10 minutes). Meanwhile, a prolonged active phase refers to inadequate cervical dilation progress after the diagnosis of the active phase of the first stage has been established, characterized by cervical dilation of less than 1 cm per hour for at least 2 hours despite ongoing labor progress, and a total duration exceeding 12 hours from 4 cm dilation to complete cervical dilation. Women experiencing prolonged labor are at increased risk of postpartum hemorrhage due to uterine atony, birth canal lacerations, infection, maternal exhaustion, and shock. For the fetus, prolonged labor elevates the risk of severe asphyxia, cerebral trauma, infection, and injury resulting from obstetric interventions. This study aimed to determine the effect of the birth ball intervention on the progress of labor during the active phase of the first stage. A quasi-experimental research design was employed, assessing the duration of the active phase of the first stage of labor using an observation sheet. The study utilized a two-group posttest-only design. The intervention group received the birth ball method, while the control group engaged in light ambulation within the room. Data analysis was conducted using univariate and bivariate approaches. Normality was assessed using the Shapiro–Wilk test, and hypothesis testing was performed using the independent samples t-test. The results of the bivariate analysis using the t-test revealed a p-value of 0.005 (< 0.05), indicating a statistically significant difference between the intervention and control groups in terms of progress during the active phase of the first stage of labor. The mean duration of the active phase in the control group tended to be longer than that in the intervention group. This study demonstrates that the birth ball intervention has a significant effect on the progress of labor during the active phase of the first stage.

Downloads

Download data is not yet available.

References

Ari. (2024). Faktor-Faktor Yang Mempengaruhi Persalinan Pervaginam dan Caesarean Section. Jurnal Pandu Husada, 5 (2), 6-15.

Aisyah, N., Indrianingrum, I., Nabila, N., & Khoirun Nisak, F. N. (2023). Upaya Menurunkan Kepala Janin Saat Persalinan Dengan Dance Labor Ataupun Rebozo. Jurnal Indonesia Kebidanan, 7, 29-41.

Amelia Prameswari Pitaloka. (2022). Literature Review : Faktor - Faktor Yang Mempengaruhi Burnout Syndrome Pada Perawat Yang Menangani Pasien Covid-19. Professional Health Journal, 4(1), 51–61. https://doi.org/10.54832/phj.v4i1.283

Antika, E., Mastina, Riski, M., & Handayani, S. (2022). Faktor-faktor yang Berhubungan dengan Kejadian Preeklampsia pada Ibu Hamil Trimester III di RSUD Prof. Dr.H.M.Chatib Quzwain Kabupaten Sarolangun. Jurnal Kesehatan Saintika Meditory, 4 (4657), 78-84.

Anuhgera, D. E., Ritonga, N. J., Sitorus, R., & Simarmata, J. M. (2021). Penerapan Birth Ball Dengan Teknik Pelvic Rocking Terhadap Lama Persalinan Pada Kala I Fase Aktif. 4 (1).

Darma, I., Idaman, M., Zaimy, S., & Handayani, R. Y. (2021). Perbedaan Penggunaan Active Birth dengan Metode Birthball Dan Hypnobirthing terhadap Lama Inpartu Kala I. 21 (2), 900-903.

Darma, I. Y., & Abdillah, N. (2020). Penerapan Teknik Active Birth Menggunakan Birth Ball Terhadap Kemajuan Persalinan Kala I pada Ibu Bersalin. Jurnal Ilmu Kesehatan, 4 (2), 160.

Desyanti, H. H., & Widad, S. (2023). The Effect Of Birth Ball Use On Labor Progress : A Literature Review. 4.

Egam, A., Abdullah, V. I., Isir, M., Duhita, F., & Mustamu, A. C. (2024). Effectiveness of Counterpressure Technique With a Birth Ball on Cervical Dilatation and Reduction of Labour Pain and Uterine Contractions : A Prospective Cohort Study. 55 (3), 297-305.

Emily F Hamilton, Tilekbek Zhoroev, Philip A Warrick, Adi L Tarca, Thomas J Garite, Aaron B Caughey, Jason Melillo, Mona Prasad, Duncan Neilson, Peter Singson, Kimberlee McKay, R. R. (2024). New labor curves of dilation and station to improve the accuracy of predicting labor progress.

Fatmawati, & Sari, C. F. (2023). Perbandingan Lama Persalinan antara Pernikahan Usia Dini dan Usia Ideal dengan Outcome Bayi. 5(2), 104-112.

Gina Conley, M. (2024). Creating Room for Baby: Techniques to Help Baby Engage in the Pelvic Inlet. Mamastefit.

Harahap, N., Harahap, I., Siregar, R., Arfah, N., Di, R., & Padangsidimpuan, K. (2024). Jurnal Kesehatan Ilmiah, 9 (1), 109-112.

Hutchison, Julia, Heba Mahdy, Suzanne M. Jenkins, J. H. (2025). Normal Labor: Physiology, Evaluation, and Management. StatPearls.

Ijabah, N., Achyar, K., & Kusuma, I. R. (2023). Efektifitas Pemberian Perlakuan Posisi Miring Kiri dan Upright Position terhadap Percepatan Kemajuan Persalinan Kala I Fase Aktif pada Ibu Inpartu.

Indonesia, P. K. (2023). Profil Kesehatan Indonesia 2023.

Jha, S., Vyas, H., Nebhinani, M., Singh, P., & T, D. (2023). The Effect of Birthing Ball Exercises on Labor Pain and Labor Outcome Among Primigraviade Parturient Mothers at a Tertiary Care Hospital. Cureus.

Khoirunnisa, F. N., Tristanti, I., & Indrianingrum, I. (2020). The Effectiveness of Circular Hip Massage and Knee Press Massage toward Intensity Change of Labor Pain. 15 (1), 44-52.

Kissler, K., & Hurt, K. J. (2023). The Pathophysiology of Labor Dystocia: Theme with Variations. Reproductive Sciences, 30 (3), 729-742.

Lesmana, W., Prastyoningsih, A., & Ernawati, E. (2025). Pengaruh Teknik Birthing Ball Terhadap Kemajuan Persalinan Kala I Primigravida Di PMB Sri Mulyatun Kabupaten Murung Raya. Jurnal Ilmu Kedokteran Dan Kesehatan, 11 (12), 2331-2336.

Maria Kritstanti, N., Asiyah, N., & Indrianingrum, I. (2025). Analisis Faktor Yang Berkorelasi Terhadap Persalinan Induksi. 10 (2).

Ni’mah, J., Satria, R. P., Indrastuti, A., & Risnanto. (2024). Pengaruh Pendidikan Kesehatan Terhadap Pengetahuan Siswa Smp Tentang Pencegahan Tuberculosis Paru (TBC). Jurnal Ners, 8 (16), 2101-2105.

Ningsih I, D.A., Oklaini, S.T., Oktarina, M., Subani, P., & Sari, R.D. (2023). Pengaruh Birthing Ball Terhadap Lama Persalinan Kala I. Journal Of Midwifery, 11 (1), 8-15.

Nofita, R., Alamsyah, C. M., & Nurhikmah, I. (2025). Terapi Birthball Terhadap Kemajuan Persalinan Kala 1 Pada Ibu Bersalin Di Puskesmas Suradita. Jurnal Penelitian Keperawatan Kontemporer, 5 (2), 32-38.

Nor Asiyah, Islami, N. (2021). Pengaruh Batuk Provokasi pada Fase Ekspulsi Janin. 5, 24-29.

Puspitasari, I., & Indrianingrum, I. (2020). Perilaku Pencegahan Adanya Tanda Bahaya Kehamilan pada Ibu Hamil. 666-672.

Puteri, I., Mustafa, R., Wulansari, I., & Mursyidah, A. (2025). Pengaruh Birth Ball Terhadap Kemajuan Persalinan Kala I Pada Ibu Bersalin Primigravida Di Rsia Sitti Khadijah Gorontalo. Jurnal Keperawatan, 8, 1-11.

Putri Lia Prasetyani, Qomariyah, & Resa Nirmala Jona. (2023). Pengaruh Pelvic Rocking Exercise Dengan Birthing Ball Terhadap Kemajuan Persalinan Pada Ibu Primipara. Detector: Jurnal Inovasi Riset Ilmu Kesehatan, 1 (1), 187-197.

Ramadhani, A. M., Ariningtyas, N., Widarti, S., & Husna, F. (2022). Gambaran Kemajuan Persalinan dengan Penggunaan Birthing Ball pada Ibu Inpartu Kala I di PMB Tutik Purwani, Sleman Yogyakarta. Jurnal Ilmu Kesehatan Mulia Madadi Yogyakarta, 3 (2).

Reale, D. J. (2020). 5 Exercises to Move Better During Pregnancy. Jessicarealept.

Reffita, L. I., Mayasari, S. I., & Halfida, U. (2021). Literature Review : Efektifitas Pelvic Rocking Exercise Menggunakan Birthing Ball Terhadap Kemajuan Persalinan Pada Ibu Primipara. 1-5.

Retia Mufti, I. (2024). Kemajuan Persalinan Dengan Menggunakan Birth Ball Pada Ibu Bersalin Primigravida Di Pmb Renny Indah Sari. Al-Insyirah Midwifery: Jurnal Ilmu Kebidanan (Journal of Midwifery Sciences), 13 (1), 8-15.

Sasmitha, Sinaga, K., Surbakti, I. S., Sinaga, A., & Aksari, R. (2025). Pengaruh Terapi Birth Ball terhadap Kemajuan Persalinan Kala I di Klinik Putri May Sarah Menurut World Health Organization ( WHO ) Menyatakan bahwa untuk mencapai target AKI Global di bawah 70 pada tahun 20230 , di perlukan penurunan tahunan sebesar singk. Jurnal Siti Rufaidah, 3 (1), 09-20.

Setyorini, D., & Azzahroh, P. (2021). Pengaruh Pelvic Rocking Exercise Terhadap Persalinan Kala I Fase Aktif Di UPT Puskesmas Cimanggu Pandeglang Banten. 4 (2), 152-159.

Shen, J., Song, J., Zeng, F., & Sun, J. (2022). The effect of maternal age and duration of labor on perinatal and neonatal outcomes : a retrospective cohort study. 10 (20).

Siregar, W. W., Anuhgera, D. E., Hidayat, S., Maharani, S., Rohana, J., Tjut, U., & Dhien, N. (2021). Pengaruh Pelaksanaan Teknik Birth Ball. 3 (1), 76-83.

Sun, C., Su, S., Song, W., & Jiang, H. (2024). Use Of The WHO Partograph And Zhang ’ S Guideline For Labor And Delivery In China : Implications For Clinical Practice.

Wigati, A., Puspitasari, I., Kulsum, U., Astuti, D., Kudus, U. M., No, J. G., & Email, I. (2023). Tingkat Kecemasan Ibu Menjelang Persalinan. 14 (2), 354-360.

Wouter Bakker, Elisabeth van Dorp, Misheck Kazembe , Alfred Nkotola, Jos van Roosmalen, T. van den A. (2021). Management of prolonged first stage of labour in a low-resource setting: lessons learnt from rural Malawi.

Yulieti, P.R.M. (2022). Efektifitas Birth Ball Terhadap Kemajuan Persalinan Pada Ibu Bersalin Di Klinik Permata Bunda Kota Serang. Journal Of Midwifery, 10 (1), 77-82.