Immersion in water during labour and birth

Cluett, Elizabeth R.; Burns, Ethel; Cuthbert, Anna

doi:10.1002/14651858.cd000111.pub4

Cited by 139 publications

(203 citation statements)

References 90 publications

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“…36 The present study was not designed to analyze postpartum hemorrhage, and the questionnaire in the study did not assess postpartum hemorrhage prophylaxis after birth. 40 Our findings indicating that water birth may prevent perineal tears are in line with results from a recently published Swedish study. This topic needs further investigation.…”

Section: Discussionsupporting

confidence: 92%

“…38,39 A recent systematic review about the immersion in water during labor and birth did not report on any studies assessing perineal tear outcomes. 40 Our findings indicating that water birth may prevent perineal tears are in line with results from a recently published Swedish study. 41 There are few studies such as ours that assess perinatal outcomes for women that chose a birth team specifically for their use of the RMC model of assistance.…”

Section: Discussionsupporting

confidence: 92%

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The role of the respectful maternity care model in São Paulo, Brazil: A cross‐sectional study

Giordano

Surita

2019

Birth

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Introduction The promotion of a positive birth experience has been a main goal of the World Health Organization’s (WHO) recent work on improving maternity care. The purpose of this study was to assess the cesarean rates, the prevalence of birth practices, perinatal outcomes, and maternal satisfaction, in women involved with the respectful maternity care (RMC) support groups in Sao Paulo, Brazil. Methods This was a cross‐sectional study of women with low‐risk pregnancies who were assisted by professionals recommended by the RMC groups. An online questionnaire was administered. Variables to assess birth practices were classified as positive, negative, or unspecified according to the WHO guidelines. The Pearson chi‐square tests and odds ratios (ORs) with their corresponding 95% confidence intervals (CIs) were computed to assess differences between the groups. Results Five‐hundred and eighty women completed the questionnaire. The cesarean rate was 14.7%, and the operative vaginal birth rate was 9.5%. The VBAC rate was 87.1%, and there was no significant difference in risk for cesarean between women with or without a prior cesarean. Of all women, 83.1% had a midwife's assistance and 75.5% hired a doula; 81.4% gave birth in a nonlithotomic position. The practices of enema, fasting and episiotomy were all under 2%. All 5‐minute Apgar scores were ≥7. Most (83.1%) women reported having a positive birth experience. Conclusions Woman's engagement with the birth support groups and a transdisciplinary team focused on RMC are key elements to achieve positive perinatal outcomes and high women's satisfaction.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

The role of the respectful maternity care model in São Paulo, Brazil: A cross‐sectional study

Giordano

Surita

2019

Birth

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“…The infant died at 2.5 h after birth. After investigation the cause of death was determined to be intrauterine infection . The writing group recommends that the lack of safety evidence should be discussed with women living with HIV who are considering a water birth.…”

Section: Obstetric Managementmentioning

confidence: 99%

British HIV Association guidelines for the management of HIV in pregnancy and postpartum 2018

et al. 2019

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“…Esta técnica provoca estimulação cutânea por meio do calor superficial e da intensidade do jato produzido pela ducha, provocando a vasodilatação, o relaxamento da musculatura local e a redução de hormônios relacionados ao estresse que intensificam a sensação dolorosa das contrações e a liberação de endorfinas. Quando direcionado à região lombar, o banho quente de chuveiro produz efeito direto na diminuição da dor local, uma das principais queixas da maioria das parturientes 3 entre o TP na água e uma maior probabilidade de parto vaginal, especialmente por parte de mulheres nulíparas 12 . Além disso, evidenciouse que associar a estratégia do banho quente de chuveiro (ou imersão) com a bola de Bobath foi bastante efetivo para aumentar a dilatação cervical, proporcionando maior progressão da apresentação fetal, menor tempo entre as intervenções e menor tempo de nascimento 12 .…”

Section: Métodounclassified

“…Quando direcionado à região lombar, o banho quente de chuveiro produz efeito direto na diminuição da dor local, uma das principais queixas da maioria das parturientes 3 entre o TP na água e uma maior probabilidade de parto vaginal, especialmente por parte de mulheres nulíparas 12 . Além disso, evidenciouse que associar a estratégia do banho quente de chuveiro (ou imersão) com a bola de Bobath foi bastante efetivo para aumentar a dilatação cervical, proporcionando maior progressão da apresentação fetal, menor tempo entre as intervenções e menor tempo de nascimento 12 . Ainda sobre o uso da bola de Bobath, nota-se o fato de que esse recurso facilita a circulação sanguínea e aumenta a eficácia das contrações uterinas, otimizando o TP 13 .…”

Section: Métodounclassified

Uso dos métodos não farmacológicos durante o trabalho de parto: estudo observacional transversal

Romão¹,

Prudêncio²,

Fuzissaki³

2019

REFACS

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Esta pesquisa teve como objetivo descrever a frequência do uso dos métodos não farmacológicos de alívio da dor e suas características. Realizou-se um estudo quantitativo, transversal e descritivo no Alojamento Conjunto do Hospital de Clínicas de Uberlândia, entre janeiro e junho de 2017, com 82 puérperas. Das mulheres pesquisadas, 92,7% foram informadas sobre os métodos, sendo os mais utilizados: exercícios respiratórios em 93,9% dos casos, banho de chuveiro em 82,9% e deambulação em 81,7%; 93,3% tiveram a presença de um acompanhante, sendo que 81,7% participaram ativamente dos exercícios. Concluiu-se que, nesta instituição, a maioria das parturientes foram orientadas e utilizaram alguns dos métodos não farmacológicos de alívio da dor. Descritores: Parto humanizado; Dor do parto; Trabalho de parto; Enfermagem obstétrica; Analgesia obstétrica.This study aimed to describe the frequency of use of non-pharmacological methods for pain relief and its characteristics. A quantitative, cross-sectional, and descriptive study was carried out at the Maternity ward of the Uberlândia General Hospital, Minas Gerais, Brazil, between January and June 2017, with 82 women who had recently given birth. Of the women surveyed, 92.7% were informed about the methods, and the most used were: respiratory exercises in 93.9% of cases, showers in 82.9%, and walking in 81.7%; 93.3% had a companion and 81.7% participated actively in the exercises. It was concluded that in this institution most parturients were oriented, and one or more non-pharmacological methods for pain relief were used. Descriptors: Humanizing delivery; Labor pain; Labor, Obstetric; Obstetric nursing; Analgesia Obstetrical.Esta investigación tuvo como objetivo describir la frecuencia del uso de los métodos no farmacológicos de alivio del dolor y sus características. Se realizó un estudio cuantitativo, transversal y descriptivo en el Alojamiento Conjunto del Hospital de Clínicas de Uberlândia, Minas Gerais, Brasil, entre enero a junio de 2017, con 82 puérperas. De las mujeres investigadas 92,7% fueron informadas sobre los métodos, siendo los más utilizados: ejercicios respiratorios por 93,9%, baño de ducha por 82,9% y la deambulación por 81,7%; 93,3% tuvieron la presencia de un acompañante, siendo que 81,7% participaban activamente de los ejercicios. Se concluyó que en esta institución la mayoría de las parturientas fueron orientadas y utilizaron alguno de los métodos no farmacológicos de alivio del dolor. Descriptores: Parto humanizado; Dolor de parto; Trabajo de parto; Enfermería obstétrica; Analgesia obstétrica. Parto Humanizado 339 ISSN 2318-8413 http://seer.uftm.edu.br/revistaeletronica/index.php/refacs REFACS (online) 2019; 7(3):338-344

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Immersion in water during labour and birth

Abstract: Analysis 2.11. Comparison 2 Immersion in water versus no immersion during second stage of labour, Outcome 11 Perineal trauma (second degree tear

Cited by 139 publications

References 90 publications

The role of the respectful maternity care model in São Paulo, Brazil: A cross‐sectional study

The role of the respectful maternity care model in São Paulo, Brazil: A cross‐sectional study

British HIV Association guidelines for the management of HIV in pregnancy and postpartum 2018

Uso dos métodos não farmacológicos durante o trabalho de parto: estudo observacional transversal

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