Objective:- To assess the maternal outcome of the first stage of labor among primigravida mothers after birthing ball exercise experimental group, To assess the maternal outcome of the first stage of labor among primigravida mothers of control group,To find out the effectiveness of birthing ball exercise on maternal out come among in experimental group,To compare the maternal outcome of the first stage of labor between experimental and control group, To find out the association between experimental group of the primigravida mothers with their selected demographic variables.

Result: Birth ball exercise was found to be effective in reducing labour pain and improving vaginal births among women in labour, so this new practice was chosen as the topic of this dissertation. In this paper, an EBP clinical guideline of birth ball exercise program was developed according to critical appraisal of seven selected studies. The transferability, feasibility and cost-benefit ratio of the programme was fully examined to be worth while and practical to set up in target labour room. In addition, communication plans among different stakeholders, pilot testing of the guideline and evaluation plan of the program were outlined in details to facilitate clinical implementation in the target setting.

Conclusion : In summary. It is proposed that this translational research can provide recommendations for midwives to enhance women in using the birth ball for labour pain management effectively and safely.