<![CDATA[Labor pain arises from uterine contractions that push the baby's head, causing cervical dilation and effacement. If not managed effectively, labor pain can lead to complications such as prolonged labor. One therapeutic intervention for first-stage labor pain is the use of a birth ball-an inflatable rubber ball designed to help reduce labor pain. Research Objective: To examine the application of birth balls regarding pain intensity during the first stage of labor. This study employed a literature review method; the article selection process followed PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, comprising four stages: identification, screening, eligibility assessment, and inclusion. Articles were obtained by searching the Google Scholar database using the keywords "birth ball," "pain," and "labor." Subsequently, duplicate articles were removed, screening was conducted based on titles and abstracts, and eligibility was assessed through full-text review. Articles meeting the inclusion criteria were then evaluated for methodological quality using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist. Articles that passed the quality assessment were included in the final synthesis to analyze the effect of birth ball use on reducing pain intensity during the first stage of labor. Based on the literature review results, it can be concluded that birth balls are effective in reducing pain intensity during the first stage of labor.]]>
