Fetal Reposition Using Ball Throwing Biomechanics and Body Mechanics For Pregnant Women

Wita Asmalinda(1*), Nurul Komariah(2)
(1) Poltekkes Kemenkes Palembang Jurusan Kebidanan
(2) Poltekkes Kemenkes Palembang
(*) Corresponding Author
DOI : 10.30604/jika.v8i1.1893


The risk to the mother and fetus will be increased in the case of a breech presentation than if the fetus is in a cephalic presentation. Intrauterine fetal repositioning is also influenced by physical forces acting on the fetus and uterus. This study aimed to determine the effect of the biomechanics of throwing the ball and body mechanics on the repositioning of the fetus in pregnant women. This type of research is an experimental study of benefit testing, with no comparison group (pre-test and post-test without control group design). This research was conducted in 5 Midwife Independent Practice Places in Palembang City for seven months. The length of treatment is for 14 days. The research sample was 30 third-trimester pregnant women with breech presentation, who met the inclusion and exclusion criteria. The statistical analysis used in this study is the Mc test. Nemar. There was a significant effect on fetal repositioning before and after treatment with ball-throwing biomechanics and body mechanics with a p-value of 0.0001. It was concluded that the biomechanics of throwing the ball and body mechanics affected the repositioning of the fetus from breech presentation to head presentation.


Abstrak: Resiko terhadap ibu dan janin akan mengalami peningkatan pada kasus presentasi bokong dibandingkan jika janin berada pada presentasi kepala. Reposisi janin intra uterin dipengaruhi juga oleh gaya fisik yang bekerja pada janin dan uterus. Tujuan penelitian ini adalah untuk mengetahui pengaruh biomekanik teknik lempar bola dan body mekanik terhadap reposisi janin pada ibu hamil. Jenis penelitian ini adalah penelitian eksperimental uji manfaat, dengan tanpa kelompok pembanding (pre-test and pos-test without control group design). Penelitian ini dilakukan di 5 Tempat Praktik Mandiri Bidan Kota Palembang selama 7 bulan. Lama perlakuan adalah selama 14 hari. Sampel penelitian adalah 30 ibu hamil trimester tiga dengan presentasi bokong, yang memenuhi kriteria inklusi dan eksklusi. Analisis statistik yang digunakan pada penelitian ini adalah uji Mc. Nemar. Ada pengaruh yang signifikan terhadap reposisi janin sebelum dan setelah diberikan perlakuan biomekanika lempar bola dan body mekanik dengan nilai P-value sebesar 0.0001. Disimpulkan bahwa Biomekanika lempar bola dan Body mekanik berpengaruh terhadap reposisi janin dari presentasi bokong menjadi presentasi kepala.


Biomechanics; Throw ball; Mechanical body; Fetal reposition


Age, G., Test, N., Profile, B., & History, F. (2018). Amniotic Fluid Index Approach to Fetal Well-Being Intrapartum Procedures.

Ardiyanto H. (2019). Principles of Qualitative Biomechanics: Efforts to Bridge Theory and Application in Sport Science. 9(3).54-62.

Berhan, Y., & Haileamlak, A. (2016). The risks of planned vaginal breech delivery versus planned caesarean section for term breech birth: A meta-analysis including observational studies. BJOG: An International Journal of Obstetrics and Gynecology, 123(1), 49–57. https://doi.org/10.1111/1471-0528.13524

Danang, AS., and Irwanto, E. (2018). Biomechanics Analysis Study of the Open Spike Footwork Step in Volleyball on the Power of the Limb Muscles. Journal of Sports Achievement, 14(1), 81-89.

DeCherney. (2013). Current Diagnosis dan Treatment: Obstetrics and Gynecology. Mc.GrawHill Medical.

Dewi, HN., Maryanto, S., Puspita D., & Riadini, AY. (2019). The Correct Body Mechanic Principle and Low Back Pain in The Third Trimester Pregnant Women. 2nd International Conference on Applied Science and Health, ICASH-A042, 269-272.

Dibah, F. (2012). The Relationship of Multiparity with the Incidence of Buttocks Presentation in the Obstetrics Section of Muhammadiyah Hospital Palembang. Thesis at the Faculty of Medicine, Muhammadiyah University of Palembang.

Fitria, Santoso, E.B. (2021) Effectiveness of Moxibustion and Knee Chest Position on Successful Rotation of Fetal Position with Breech Presentation in Third Trimester. Journal of Media Bina, 5(8); 4959-4964

Harjanti AI., and Miskiyah Z. (2017). Management of 34 weeks of pregnancy with breech location using the Knee-Chest Method. Journal of Nursing and Midwifery, 9(1), 107-109.

Kemenkes, RI (2014). Government Regulation of the Republic of Indonesia Number 97 of 2014 concerning Health Services for the Pre-pregnancy Period, Pregnancy, Childbirth, and Postnatal Periods, Implementation of Contraceptive Services, and Sexual Health Services

Kosim. MS. (2011). Amniotic fluid examination. Sari Pediatrics, 11(5), 379–384.

Lubis, D. S. (2018). Relationship of Mother's Knowledge with Sectio Caesarea (SC) Birth History at RSIA Norfa Husada Bangkinang 2018. Doppler, 2(2), 62–69. https://journal.universitaspahlawan.ac.id/ index.php /doppler/article/view/198

Mappaware NA, Syahril E, Latief S, et al. (2020). Obstetric Ultrasound in Medical Perspective, Bioethical And Islamic Rules. Wal'afiat Hosp J. 2020;1(1):1-14. doi:10.33096/whj.v1i1.2

News Letter, Integra.2016.Ultrasonografi (USG).www.integra.co.id.

Nurdiyana, S. (2020). Description of the Characteristics of Mothers in Labor with Breech Position at the Kesdam Jaya Hospital in 2018. Syntax Literate; Indonesian Scientific Journal, 5(1), 128. https://doi.org/10.36418/syntax-literate.v5i1.862.

Paryono. (2012). Posture in Pregnant Women. BALABA article, 8(1), 26-29.

Potter & Perry. 2011. Basic Nursing 7th. Published : Mosby Elsever. Inc. United State of America.

Pramana, C. Breech Delivery Management. https://www.researchgate.net/publication/335528808_ MANAJEMEN_PERSALINAN_SUNGSANG/link/5d6bee01a6fdcc547d71fd07/download.

Pratiwi, I. 2012. Application of Biomechanics in Human Movement System. National Seminar on Industrial Design, 23-24 October 2012.

Puspita L and Ernawati. 2020. Benefits of Body mechanics and Hamstring Exercise on Reduction of Waist Pain in Third trimester Pregnant Women. Journal of Midwifery Hope Ibu pakalongan. 7(1), 39-45.

Rahayu, N. A. P., Rafika, R., Suryani, L., & Hadriani, H. (2020). Body Mechanics Techniques Reducing Low Back Pain Levels in Third Trimester Pregnant Women. Journal of Smart Midwives, 2(3), 139–146. https://doi.org/10.33860/jbc.v2i3.89

Saifudin AB. (2008). Butt Presentation. In: Midwifery (4th ed). Jakarta: P.T. Bina Pustaka Sarwono Prawirohardjo.

Santoso, D. A. S., & Irwanto, E. (2018). Biomechanics Analysis Study of Open Spike Footwork Steps in Volleyball Against Limb Muscle Power. Jorpres (Journal of Achievement Sports), 14(1), 81–89. https://doi.org/10.21831/jorpres.v14i1.19985.

Silinaung, M.D.G. Kaeng, JJ and Suparman, E. (2016). The characteristics of breech delivery at Prof. Hospital. Dr. R.D. Kandou Manado. Journal of e-Clinic (eCl), 4(1), 365-368.

Suhartoyo, T, Kusuma, MNH., Budi DR and Listiandi, AD. 2020. Biomechanical-based aerobic and anaerobic exercise analysis Biomechanical-based aerobic and anaerobic exercises analysis SPORTIF Journal. Learning research journal. 6(1), 145-156

Sutrisminah, E. (2017). Factors that influence the success of the knee chest position in the third trimester of pregnancy with breech presentation. Factors Affecting the Success of Knee Cheest Position In Third Trimester Pregnancy With Buttocks Presentation, 41.

Wahyuni, N., Juhana, IV., Winaya, IMN., and Dewi AANTN. 2017. Biomechanics Study Guide Block. Physiology Study Program. Faculty of Medicine, Udayana University. Bali.

Warhana, E, (2017). Factors Affecting the Success of Knee Chest Position in Third Trimester Pregnancy with Buttocks Presentation, Thesis at the Graduate Program of Hasanudin University Makassar.

Wardhani, U. C. (2018). The Relationship between Body Mechanics and the Incidence of Lowback Pain in ICU and Hcu Nurses at Awal Bros Hospital Batam. TOWER of Science, XII(7), 105–110.

Widia, L. (2017) The relationship between parity and breech delivery. Journal of Midwifery and Nursing, Vol. 13(1), 13-18

Wijaya A. Badminton (A Review of Anatomy, Physiology, and Biomechanics). Indonesia Performance J. 2017;1(2):106–11.

Zulaikha, L. I. (2017). The Relationship of Maternal Parity with Breech Locations at BPS Suhartatik, Talang Health Center Work Area. Journal of the Midwifery Service Unit for the State, 1, 1-7.

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