<![CDATA[Background: Labor pain is physiological, with different intensities in each individual, and intermittent. Birth-ball exercises are more comfortable and safer in labor. The birth ball promotes maternal delivery by assisting the mother's posture and assisting the fetus's position to be optimal in order to facilitate the birth process under normal circumstances. This study aimed to define the effect of birth ball therapy on reducing pain intensity in spontaneous labor. Methods: The method of determining the framework uses PICO. Google Scholar, Pubmed, Science Direct, and Sage Journal were used to search for literature. The inclusion criteria were an original experiment study published in English in 2017–2021. The terms "birth ball" and "labor pain" were used. The database was filtered using the PRISMA method until the relevant articles were obtained, then a content review and discussion were carried out. Results: There were a total of 5 articles regarding the effect of birth ball therapy on spontaneous labor pain. This article mainly carried out birth ball therapy in first-time mothers. The assessment process used to measure pain intensity in this study used the Visual Analog Scale (VAS). Conclusion: Giving birth ball therapy for 10–20 minutes three times a week can lower pain intensity in mothers with spontaneous labor.]]>
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