Evidence Based Research on Peanut Balls

Research Articles on the Peanut Ball

Mercier, R.J. & Kwan. M. (2018). Impact of Peanut ball device on the duration of active labor: A randomized control trial.  American Journal of Perinatology, 2018 March 6. doi: 10.1055/s-0038-1636531.

Roth, C., Dent, S., Parfitt, S. E., Hering, S.  & Bay, R. (2016). Randomized controlled trial of use of the peanut ball during labor. MCN: The Journal of Maternal Child Nursing. 41(3), 140-146. ISSN: 0361-929X doi: 10.1097/NMC.0000000000000232

Tussey, C. M., Botsios, E., Gerkin, R. D., Kelly, L. A., Gamez, J., & Mensik, J. (2015). Reducing length of labor and cesarean surgery rate using a peanut ball for women laboring with an epidural. The Journal of Perinatal Education, (24) 1), 16-24. Doi:10.1891/1058-1234.24.1.16

Articles on the Peanut Ball

Grant, C. & Clutter, L. B. (2015). Peanut Balls: Improving Options for Women Laboring with an Epidural. Australian Midwifery News, 15(3). 36-37.

Grant, C. B., Craig, B., & Rice, A. (2014). Length of labor reduced through use of peanut ball: A retrospective study. Unpublished manuscript.

Grant, C. B. & Clutter, L. B. (2014). The peanut ball: A remarkable labor support tool. International Doula, 22(4), 12-15.

Grant, C. (2015) Premier Birth Tools Peanut Ball Informational Nurse and Doula Packet.

Lee & Crawford (2018) Peanut Ball Use by Women Labor: A review of Literature

Lythgoe, A. (2014). Peanut balls for labor—A valuable tool for promoting progress? A Research Blog About Healthy Pregnancy, Birth & Beyond. Lamaze International.

Payton, Carol L., (2015). Use of the Peanut Ball to Decrease First and Second Stages of Labor Graduate Theses, Dissertations, and Capstones, Paper 14.

How do Peanut Balls Support Labor?

by Grant, Cheri (Sept. 26, 2018) | Evidence Based Birth EBB 45

Articles and Tool kit Mentioning the Peanut Ball

Bell, Amy D. & Joy, Saju & Gullo, Susan, More. (2017). Implementing a Systematic Approach to Reduce Cesarean Birth Rates in Nulliparous Women. Journal of Obstetrics, Gynecology, American College of Obstetricians and Gynecologists (ACOG), 130(5):1082-1089.

Smith H & Peterson N & Lagrew D & Main E. (2016) Toolkit to support vaginal birth and reduce primary cesareans: a quality improvement toolkit. Stanford (CA) Maternal Quality Care Collaborative CMQCC- Updated (2018)

Poster Presentations on the Peanut Ball

Alvarado, Yolanda, Outland, Lauren,,Menchaca, Angelica, Strong, Niki. (2017). Promoting the Progress of Labor With the Peanut Ball. Journal of Obstetric, Gynecologic & Neonatal Nursing, Volume 46 (Issue 3), Supplement

DeOliveira, E. (2016). EBP Poster Presentation: Can the use of peanut balls reduce the length of labor?

 Bell, Catherine (2018) Effectiveness of Using the Peanut Ball to shorten the first and Second Stage of labor

Bookwalter, Amy. (2016). Peanut Ball Positions. Pictorial Home Birth Poster Presentation at 2017 DONA International Convention

Clutter, L. B. (2016) The Peanut Ball: A useful Tool for Labor & Delivery Support  2016 Family Nursing International Conference

Evans, Sarah J, & Cremering, Michelle M. Use of Peanut Labor Ball for Pelvic Positioning for Nulliparous Women Following Epidural Anesthesia. Journal of Obstetric, Gynecologic, & Neonatal Nursing, (2016)Volume 45, Issue 3, Page S47.

Schmidt, M. & Roach, A. (2015). A peanut and a pelvis: A simple change to facilitate labor and delivery. Science Internship Program: Nursing Care at Cleveland Clinic. Retrieved from and Poster

Tussey, C. & Botsios, E. (2011). Decrease the length of labor with the use of a labor ball with patients that receive an epidural. Journal of Obstetric, Gynecological, & Neonatal Nursing, 40(Supplement s1), S105-S106. DOI: 10.1111/j.1552-6909.2011.01243_25.x

Clinical Trials on the Peanut Ball

D’Angelo, R. & Harris, L. (2016). Do peanut shaped birthing balls reduce the length of labor in patients with epidural analgesia? ClinicalTrials.gov Identifier: NCT02539563. 

Bell, Catherine (2018) Effectiveness of Using the Peanut Ball to shorten the First and Second Stage of labor

Stulz, V., Campbell, D., Yin, B. et al. Pilot Feasibility Stud (2018) 4: 156. https://doi.org/10.1186/s40814-018-0346-9 using a peanut ball during labor versus not using a peanut ball during labor for women using an epidural: study protocol for a randomized controlled pilot study

Videos on the Peanut Ball

Assouline, Stephanie. (2017) Peanut Ball for labor. Authorized Peanut Ball Trainer

Duncan, Heidi. (2017). Peanut Ball Positions for Labor & Birth. Authorized Peanut Ball Trainer

Irby, Mandy (2017) Shorten labor faster with peanut ball. Authorized Peanut Ball Trainer

Using the peanut ball during labor & delivery. (2013).

The peanut ball. (2011).

Midwives demonstrating relaxation techniques for labor. (2012)

Scott, Marques. (2017). Labor With Peanut Balls. Authorized Peanut Ball Trainer

Turner, Heather. (2015) Four part video on how to sizing the peanut ball correctly for your client trainer. Authorized Peanut Ball Trainer

Whitlock, Emma. (2018) Peanut Ball Uses in Labor at home and in the hospital. Authorized Peanut Ball Trainer