Evidence Based Research on Peanut Balls

Peanut Ball Book

Grant, Cheri (2022) Peanut Ball: Basic and Advanced Techniques for Use During Labor and Delivery Also on Amazon available as an e-book in color or print black and white.

Research Articles on the Peanut Ball

Hickey, L., Savage, J.  (2019) Effect of Peanut Ball and Position Changes in Women Laboring with an Epidural.  NFWH: Nursing For Women’s Health AWHONN June 2019 Volume 23, Issue 3, Pages 245–252 DOI:

Logan, L, Stettler, S. (2019) “Reduction of Primary Cesarean Birth Rate in a Rural Hospital Driven By Nurse-Initiated Peanut Ball Use in Active Labor” JOGNN: Journal of Obstetric, Gynecologic & Neonatal Nursing June 2019 Volume 48, Issue 3, Supplement, Page S110 

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  

Palladino, Jena, Severi, Erica R., Bowman, Donna, “Nurse-Driven Labor Initiatives to Reduce Cesarean Rates” Journal of Obstetric, Gynecologic & Neonatal Nursing JOGNN June 2019 Volume 48, Issue 3, Supplement, Pages S28–S29 DOI: 

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:10.1891/1058-1243.24.1.16 

Podcasts

How do Peanut Balls Support Labor?

by Rebecca Dekker, PhD RN (Sept. 26, 2018) | Evidence Based Birth EBB 45

The Peanut Ball and The Pelvis

by Deb Flashenberg (Sept. 16, 2020) | Prenatal Yoga Center

Articles on the Peanut Ball

Ahmadpour , Parivash,  Mohammad-Alizadeh-Charandabi , Sakinah,   Doosti , Rana, Mirghafourvand, Mojgan  Use of the peanut ball during labour: A systematic review and meta-analysis Nurs Open . 2021 Mar 27. doi: 10.1002/nop2.844. 

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. 

Collaborative, C. M. Q. C. (2016). Supporting Vaginal Birth Toolkit. In. California Maternal Quality Care Collaborative- updated in 2018 with peanut ball section

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. (2021) Premier Birth Tools Peanut Ball Informational Nurse and Doula Packet

Grenvik JM, Rosenthal E, Saccone G, Della Corte L, Quist-Nelson J, Gerkin RD, Gimovsky AC, Kwan M, Mercier R, Berghella V. Peanut ball for decreasing length of labor: A systematic review and meta-analysis of randomized controlled trials. Eur J Obstet Gynecol Reprod Biol. 2019 Nov;242:159-165. doi: 10.1016/j.ejogrb.2019.09.018. Epub 2019 Sep 20 

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.

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 Size 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

Honaker, Megan (2020) Using the Peanut Ball to Promote Vaginal Birth – Nurse and Authorized Peanut Ball Trainer

Propp, Kelby  (2021) Peanut Ball Training Authorized Peanut Ball Trainer

Williams, Aubrey (2022) Peanut Ball 101 with Aubrey the Doula Authorized Peanut Ball Trainer

Fauver, Kathryn Buerkle (2022) Helping Moms Have a Shorter Labor & a Quicker Birth Using Peanut Balls Authorized Peanut Ball Trainer

Irby, Mandy (2019) What Does It Look Like to Push with Peanut Balls? // Peanut Balls in Labor Authorized Peanut Ball Trainer

Patrick, Brandi (2022) Peanut Ball Tutorial Authorized Peanut Ball Trainer

Proctor, Wendy (2023) Peanut Ball Videos