IRCT20241110063652N2 IRCT 2025-03-26 Hamedan University of Medical Sciences The effect of birthing balls and hot showers on the intensity of pain in the active phase of labor in pregnant women A comparative study of the effects of birthing balls and hot showers on the intensity of pain during the active phase of labor in primiparous pregnant women. 2025-02-16 anticipated 96 Complete https://irct.ir/trial/82395 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: The samples are randomly assigned to three groups by a third party who is not involved in the research protocol. On three cards marked with the letters C-A-B, where card A represents the birthing ball group, card B represents the hot shower group, and card C represents the control group. The samples are randomly assigned to three groups .The first patient to enter the study is given three cards, chooses Wiki, and is placed in one of the groups. The second is given two cards and is placed in one of the groups, and finally the third is placed in the third group, and from then on the samples are randomly placed in the three groups. N/A Delivery. Intervention 1: 20 minutes of hot water shower with a temperature of 38-40 degrees at final dilation of 4 cm, 6 cm and 8 cm, which is a total of one hour, and is performed in the lumbar and sacral area. Intervention 2: Intervention group: 20 minutes of exercise with a birthing ball (sizes 55 and 65) at dilations of 4 cm, 6 cm, and 8 cm, for a total of one hour. Intervention 3: Control group: Routine care in the delivery room. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is It is under review