https://research.adra.ac.id/index.php/health <p style="text-align: justify;"><strong>Journal of World Future Medicine, Health and Nursing</strong> is a leading international journal focused on the global exchange of knowledge in medicine, health, and nursing, as well as advancing research and practice across health disciplines. The journal provides a forum for articles reporting on original research, systematic and scholarly reviews focused on health science, clinical practice and education from around the world. <strong>Journal of World Future Medicine, Health and Nursing</strong> publishes national and international research in an attempt to present a reliable and respectable information source for the researchers. <br /><br /><strong>Journal of World Future Medicine, Health and Nursing</strong> has been published since 2023, published three times a year January, May and September,. The articles submitted for publication are subjected to double-blind reviewing process. The journal publishes original articles in English.</p> Yayasan Adra Karima Hubbi en-US Journal of World Future Medicine, Health and Nursing 2988-0459 https://research.adra.ac.id/index.php/health/article/view/3746 <p>The process of labor is often accompanied by physical discomfort and emotional stress, which can influence its progression and the overall experience of childbirth. Birth ball exercises and spousal support have been identified as effective interventions to alleviate labor-related discomfort and anxiety. However, the combined effect of these interventions remains underexplored, particularly in the Indonesian context. This study aimed to assess the effectiveness of combining birth ball exercises and spousal support on labor progression and maternal anxiety during the first stage of labor in Balikpapan. A quasi-experimental design with a pre-test and post-test approach was used, involving 60 first-time mothers who were randomly assigned to either an experimental group (birth ball exercises and spousal support) or a control group (standard care). Data on cervical dilation, contraction frequency, and labor duration were collected, alongside anxiety levels measured by the State-Trait Anxiety Inventory (STAI). The results indicated that the experimental group experienced faster labor progression and significantly lower anxiety levels compared to the control group. The study concluded that combining birth ball exercises with spousal support can effectively improve labor outcomes and reduce maternal anxiety. These findings suggest the integration of these interventions into routine prenatal care to enhance maternal well-being and labor efficiency.</p> Nila Trisna Yulianti Murat Arslan Copyright (c) 2026 Nila Trisna Yulianti, Murat Arslan https://creativecommons.org/licenses/by-sa/4.0 2026-06-03 2026-06-03 4 3 345 357 10.70177/health.v4i3.3746