Questioning Medicine

Episode 279: 278. Does a Swiss Ball Help During Labor and Delivery?


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primary outcome was Duration of the first stage of labor was the primary outcome.

 

AND It was 179 minutes shorter (95% CI 146 - 213) in the intervention group than in the control group (392 minutes; standard deviation [SD] 122 vs 571 minutes; SD 188). 


Intensity of pain, was reported on a visual analog scale of 0 to 10 at several points in time, was on average 2.0 to 2.7 points lower in the intervention group.

 

The absolute rate of cesarean delivery was reduced by 14 percentage points in the intervention group (26 vs 12; absolute risk reduction = 14; 3 - 25; number needed to treat = 7).


Main limitation here was that those in the intervention group were trained and had a professional physiotherapist with them at all times. This is not reasonable. 

https://www.clinicalkey.com/#!/content/playContent/1-s2.0-S1836955323001212?returnurl=https:%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS1836955323001212%3Fshowall%3Dtrue&referrer=https:%2F%2Fpubmed.ncbi.nlm.nih.gov%2F

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