Retrospective Cohort Study of Hydrotherapy in Labor

Vanderlaan, Jennifer

doi:10.1016/j.jogn.2016.11.018

Cited by 16 publications

(17 citation statements)

References 16 publications

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“…Although no other studies have documented the water immersion experience or provided the same detailed outcomes for a US hospital‐based population intending waterbirth, a few studies provide some data on tub exit . One study that took place in a US hospital documented hydrotherapy use during labor for births managed by nurse‐midwives and provided estimates of service demand for hospitals considering hydrotherapy services . However, not all women in this population intended a waterbirth, nor were waterbirth tubs always available for those who wanted one.…”

Section: Discussionmentioning

confidence: 99%

“…The comparability of these prior study populations to this current study is limited by a few factors. Although the randomized control trial included only women intending a waterbirth, the US hospital‐based study included a broader population of women intending only labor in the water as well as women intending waterbirth . The other studies from Italy and Australia are less clear, lacking a statement as to whether the sample was limited to women intending waterbirth .…”

Section: Discussionmentioning

confidence: 99%

“…The current study excluded women who only wanted hydrotherapy and did not intend to give birth in the water. Additionally, the other studies report exclusively on births attended only by midwives, whereas the current study includes births attended by CNMs, obstetrician‐gynecologists, and family physicians. Eligibility for waterbirth in at least 2 of the studies was broader than the criteria for the current study, indicated by the inclusion of women whose labors had been induced and twin gestations .…”

Section: Discussionmentioning

confidence: 99%

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Who Gives Birth in the Water? A Retrospective Cohort Study of Intended versus Completed Waterbirths

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Vacquier

Simon

et al. 2019

J Midwife Womens Health

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Introduction: Most waterbirth studies have been conducted outside the United States with a primary focus on birth outcomes. Studies to date provide limited information about how often women choosing waterbirth end water immersion before the birth and about the reasons for tub exit. This study examines a cohort of women intending a hospital-based waterbirth and documents the timing and reasons for tub exit. Demographic, clinical, and intrapartum care provider characteristics among women completing waterbirth were compared with those who exited the water prior to birth.Methods: This is a collaborative, multisite study from 2 health systems (8 hospitals) using retrospective electronic health records from August 2014 through December 2017. Results:Of 576 women who entered the waterbirth tub, 48% exited prior to the birth. The primary reasons for exit were maternal choice (50%), medical indication (32%), and provider decision (13%). Women exiting in the first stage did so primarily by choice (57%), whereas medical indication (42%) was the most common reason among women exiting in the second stage. Women who completed waterbirth did not differ from those who exited prior to birth with regard to age, race, ethnicity, country of origin, language, marital status, or intrapartum care provider specialty. Women completing waterbirth were more likely to have previously given birth (72% vs 47%) and to have a provider with more water immersion births during the study period (65% vs 55%). Discussion:Giving birth in the tub was associated with parity and intrapartum care provider experience. Half of the women intending waterbirth in this study exited the tub, with variation in exit reason by stage and provider type. It is important for women to understand that they or their provider may change the birth plan based on labor progress and maternal experience.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Who Gives Birth in the Water? A Retrospective Cohort Study of Intended versus Completed Waterbirths

Sidebottom

Vacquier

Simon

et al. 2019

J Midwife Womens Health

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“…A limitation in measuring birth experience among women having a waterbirth is the selected group, women who stay in the water are the ones who experience its benefits. An American study including 327 women, calculated how many of the women who initiated hydrotherapy discontinued before birth, finding that 9% left because they needed medical pain relief and 20.9% left because of complications, while the rest birthed in water (155). Another study observed that 48% of the 576 women who entered the waterbirth tub, exited the tub prior to birth, the most common reasons were maternal choice (50%) and medical indications (32%) (156).…”

Section: Childbirth Experiencementioning

confidence: 99%

Testing the waters — A cross-sectional survey of views about waterbirth among Swedish health professionals

2020

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“…The findings offer preliminary support for the therapeutic effects of bathing in labor for acute, short-term anxiety and pain reduction (11). In a retrospective cohort study in 2017; immersion in water during the first stage of labor reduces the pain and pain relief that your mother feels (12).…”

Section: Discussionmentioning

confidence: 85%

Immersion in Water During Active Labor Decreases Postpartum Hematocrit Fall Following Vaginal Delivery

Buyuk

Kahyaoğlu

Turgut

et al. 2019

Gynecol Obstet Reprod Med

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OBJECTIVE: The objective of the study was to investigate the effect of immersion in water strategy during labor on postpartum bleeding by calculating the postpartum reduction rates of the hematocrit values of the patients.STUDY DESIGN: The study groups consisted of 84 women undergoing vaginal delivery with immersion in water during labor (group 1) and the control group (group 2) of 84 women undergoing normal vaginal delivery. Patients who have received additional medical and surgical interventions for alleviation of postpartum hemorrhage, patients who have undergone an episiotomy and/or perineal trauma were not included in the study. All data were taken from patients who have delivered with spontaneous vaginal delivery. Postpartum hematocrit fall rates of the groups have been compared and the effect of immersion in water on postpartum hemorrhage has been evaluated.RESULTS: The study groups consisted of 84 women undergoing vaginal delivery with immersion in water during labor (Group 1) and the control group (Group 2) of 84 women undergoing vaginal delivery at the hospital. The women in the two groups were matched with respect to age, parity, birth weight and gestational age. The mean age of the women was 29.8±4.8 and 30.5±4.9 respectively. The mean hematocrit difference in the first group was 2.08 ± 1.88 and in the second group was 3.81 ± 1.55. The mean percentage of hematocrit reduction in the first group was 5.71% and in the second group 10.23%.CONCLUSION: Our data showed that mean hematocrit level decreases among women following vaginal delivery more than women who give birth vaginally within immersion in water during labor. The percentage of hematocrit reduction in the water birth group was lower than in the control group. Water birth seems to facilitate uterine contractions more efficiently following vaginal delivery.

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Retrospective Cohort Study of Hydrotherapy in Labor

Cited by 16 publications

References 16 publications

Who Gives Birth in the Water? A Retrospective Cohort Study of Intended versus Completed Waterbirths

Who Gives Birth in the Water? A Retrospective Cohort Study of Intended versus Completed Waterbirths

Testing the waters — A cross-sectional survey of views about waterbirth among Swedish health professionals

Immersion in Water During Active Labor Decreases Postpartum Hematocrit Fall Following Vaginal Delivery

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