<![CDATA[Background: Labor pain is a major concern for women, especially during the first stage, which is often intense and long. It is caused by both physical and emotional factors, like anxiety and fear. Proper pain management can improve the birth experience. A birthing ball is a non-drug method that helps reduce pain, support cervical dilation, and widen the pelvis, making labor shorter and aiding vaginal delivery. It also helps women feel more in control during labor. This study aims to examine the effect of using a birthing ball on pain intensity during the active phase of the first stage of labor.Method: This study is quantitative research using a quasi-experimental approach with a one-group pre-test-post-test design. The sample consisted of 30 respondents selected through purposive sampling, using the Visual Analogue Scale (VAS) observation sheet. Data analysis was conducted using the paired t-test.Results: The study found that the average pain intensity during the active phase of the first stage of labor before using the birthing ball was 7.29 (severe pain), and after using the birthing ball, it was 6.06 (moderate pain). The paired t-test showed that there is a significant effect of using a birthing ball on labor pain intensity during the active phase of the first stage of labor with a p-value of 0.000 (p < 0.005).Conclusion: There is an effect of using birthing ball on labor pain intensity in active phase of the first stage of labor. Therefore, we need to encourage collaboration between midwives and doctors in the use of birthing balls to ensure a holistic and comprehensive approach to labor pain management.]]>
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