Main Article Content
Abstract
Labor pain remains a distressing experience that can negatively affect both mothers and babies. According to the Indonesian Ministry of Health (2019), around 15% of mothers in Indonesia experience labor complications accompanied by pain, while 22% report severe pain during childbirth. Excessive labor pain may lead to frustration, anxiety, and emotional distress. One non-pharmacological method considered safe, simple, and comfortable for pain management is the use of a birthing ball. This study aimed to determine the effectiveness of the birthing ball method in reducing labor pain intensity. The study used a quantitative approach with a quasi-experimental one-group pretest–posttest design without a control group. A total of 45 maternity mothers who met the inclusion criteria at the Kemayoran Health Center participated in the study and received a 30-minute birthing ball intervention. Labor pain intensity was measured using the Numerical Rating Scale (NRS). The statistical analysis showed a significant reduction in labor pain intensity after the intervention, with a p-value of <0.001 and a Z-score of -5.798b. These findings indicate that the birthing ball method is effective in reducing labor pain intensity. Therefore, healthcare workers are encouraged to optimize the use of birthing balls as a non-pharmacological pain management method during labor. Proper technique, along with responsive and empathetic support during childbirth, is important to maximize the benefits of this intervention.
Keywords
Article Details

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-ShareAlike License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
References
Jannah M, Sartini T, Fitri AY. Penerapan Metode Birth Ball Terhadap Intensitas Nyeri Persalinan Pada Ny X Di Puskesmas Tanjung Balai Karimun: Penerapan Metode Birth Ball Terhadap Intensitas Nyeri Persalinan Pada Ny X Di Puskesmas Tanjung Balai Karimun. Zona Kebidanan: Program Studi Kebidanan Universitas Batam. 2024 Apr 23;14(2). doi:10.37776/zkeb.v14i2.1367
Maryuni. Hubungan Karakteristik Ibu Bersalin dengan Nyeri Persalinan. Journal of Health Science and Physiotherapy. 2020 Jan 23;2(1):116–22. doi:10.35893/jhsp.v2i1.42
Juwita D, Sofiah Ks, Alysa Rismalia Zahra, Robiatul Adawiyah Harahap. Efektivitas Hypnobirthing dalam Menurunkan Kecemasan dan Nyeri pada Persalinan Kala I Fase Aktif di PMB Siska Tiara, S.Tr.Keb Tahun 2025. Midwife Care Journal. 2025 Nov 30;35–41. doi:10.65344/micare.v2i2.169
Luh Putu Citrawati N, Widiantari K, Made Dewianti N. The Effect of Birthing Ball on the Active Phase I of Labor Pain Scale for Mothers in the Work Area of the UPTD Public Health Center I of East Denpasar District. Jurnal Genta Kebidanan. 2024 Jun 24;13(2):12–9. doi:10.36049/jgk.v13i2.237
Sitawati. Pengaruh Abdominal Lifting Dan Counter Pressure Terhadap Penurunan Tingkat Nyeri Persalinan Kala I : Literature Review. Citra Delima Scientific journal of Citra Internasional Institute. 2023 Nov 29;6(2):81–9. doi:10.33862/citradelima.v6i2.326
Purnama Y, Dewiani K. Pengaruh Posisi Tegak Terhadap Intensitas Nyeri Persalinan Pada Primipara Di Bidan Praktik Mandiri (Bpm) Kota Bengkulu [Internet]. 2019 [cited 2026 Mar 17]. Available from: http://localhost:8080/xmlui/handle/123456789/1893
Irawati A, Susianti, Haryono I. Mengurangi Nyeri Persalinan dengan Teknik Birthing Ball. Jurnal Bidan Cerdas. 2019 Dec 30;2(1):15–22. doi:10.33860/jbc.v2i1.78
Dini Farhani DH. Pengaruh Birth ball Terhadap Nyeri Persalinan di Praktik Mandiri Bidan Wilayah Bandung Raya. Jurnal Penelitian Sains dan Kesehatan Avicenna [Internet]. 2024 Nov [cited 2026 Mar 17];3(3). Available from: https://mail.jurnal.itk-avicenna.ac.id/index.php/jkma/article/view/96/88
Gusti N, Ayu M, Supliyani E. Karakteristik Ibu Bersalin Kaitannya Dengan Intensitas Nyeri Persalinan Kala 1 Di Kota Bogor. JKM (Jurnal Kebidanan Malahayati). 2017;3(4):204–10. doi:10.33024/JKM.V3I4.629
Wulandari P, Kustriyani M, Chasanah U. Pengaruh Pemberian Kompres Hangat terhadap Intensitas Nyeri pada Ibu Bersalin Kala I Fase Aktif di Rb. Mardi Rahayu Semarang. Seminar Nasional Hasil Penelitian dan Pengabdian Masyarakat UNIMUS 2017 [Internet]. 2017 [cited 2026 Mar 17]. Available from: https://www.neliti.com/publications/170260/
Lubis DH, Ginting L, Kaban NB, Tinggi S, Flora IK, Medan UN. Faktor – Faktor Yang Memengaruhi Persepsi Ibu Hamil Tentang Nyeri Persalinan Di Klinik Pratama Khadijah Medan. Excellent Midwifery Journal [Internet]. 2024 May 21 [cited 2026 Mar 17];7(1):29–38. Available from: https://jurnal.mitrahusada.ac.id/emj/article/view/274
Mutiah C, Lismawati L, Putri I, Dewita D, Abdurrahman A. The Pengaruh Pendamping Persalinan terhadap Penurunan Intensitas Nyeri pada Ibu Primigravida. Jurnal Kebidanan. 2022 Apr 12;12(1):16–25. doi:10.35874/jib.v12i1.1012
Carolin BT, Julia Rifiana A, Komariah D. The Effect of The Use of Birthball on The Intensity of First Stage Active Phase Labor Pain. Health and Technology Journal (HTechJ). 2023 Dec 23;1(6):635–40. doi:10.53713/htechj.v1i6.125
Nuraini, Karo MBK, Pangaribuan M. Pengaruh Penggunaan Birthing Ball Terhadap Intensitas Nyeri Pada Ibu Bersalin Kala I Fase Aktif : The Effect Of Use Of Birthing Ball On Pain Intensity In Particular Women In The 1st Active Phase. Binawan Student Journal. 2023 Dec 30;5(3):91–6. doi:10.54771/bsj.v5i3.989
Dina Raidanti, Cicik Mujianti. Birthting Ball (Alternatif Dalam Mengurangi Nyeri Persalinan) [Internet]. Ahlimedia Press; 2021. Available from: www.ahlimediapress.com
Nova Avianti Rahayu J, Ayu Septiani. Efektivitas Penggunaan Birth Ball Terhadap Intensitas Nyeri Persalinan : Systematic Literature Review | As-Shiha: Jurnal Kesehatan. As-Shiha : Jurnal Kesehatan [Internet]. 2021 [cited 2026 Mar 17];1(2). Available from: https://ejurnal.umri.ac.id/index.php/JKU/article/view/4731
Erkal Aksoy Y, Dereli Yilmaz S, Çelimli Ş. Effect of using a birth ball on birth satisfaction and pain in pregnant women during labor: a randomized controlled trial. Arch Gynecol Obstet. 2024 Dec 1;310(6):2999–3007. doi:10.1007/s00404-024-07825-3 PubMed PMID: 39585392.
Kurniawati A, Dasuki D, Kartini F. Efektivitas Latihan Birth Ball Terhadap Penurunan Nyeri Persalinan Kala I Fase Aktif pada Primigravida. JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery). 2017 May 16;5(1):1–10. doi:10.21927/jnki.2017.5(1).1-10