<![CDATA[Normal childbirth was recommended due to its cost-effectiveness, shorter hospital stays, absence of anesthesia, and lower risks of infection and bleeding. However, most laboring women experienced pain that triggered fear and anxiety, potentially leading to complications. This study aimed to determine the effectiveness of birthing ball exercises in reducing pain intensity and anxiety in laboring mothers at independent midwifery practices in the Kubu Raya District. A quasi-experimental design with two groups was used. A total of 60 participants were selected using consecutive sampling and divided into an intervention group (birthing ball exercise) and a control group (routine breathing exercises). Pain and anxiety levels were measured after the intervention using the Visual Analogue Scale (VAS), Face Pain Rating Scale (FPRS), and Numerical Analogue Scale (NAS), all of which had been validated and shown to be reliable. Data were analyzed using correlation tests, paired t-tests, and the Wilcoxon test. The characteristics of respondents were homogeneous, with most having basic education and being multigravida. Results showed significant differences between the intervention and control groups in reducing pain and anxiety levels (p < 0.05). In conclusion, birthing ball exercises were effective in reducing pain and anxiety during the first stage of normal labor.]]>
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