The effect of water immersion delivery on the strength of pelvic floor muscle and pelvic floor disorders during postpartum period

Zhao, Yun; Xiao, Mei; Tang, Fei; Tang, Wan; Yin, Huanshun; Sun, Guoqiang; Lin, Yixiao; Zhou, Yong; Luo, Yan; Li, Lu-Man; Tan, Zhihua

doi:10.1097/md.0000000000008124

Cited by 14 publications

(26 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In China, episiotomy used to be a routine practice for vaginal delivery. 12 13 In the last decade, hospital data reported rates of 47.4%-84.7%, [14][15][16][17] and some multicentre studies reported hospital rates from 41.2% to 69.7%. 18 19 For China, where there were 17.23 million births in 2016, 20 there could be as many as 7.33 million episiotomies a year (given a vaginal birth rate of 61.0% and an episiotomy rate of 69.7% among vaginal births).…”

Section: Introductionmentioning

confidence: 99%

Women’s experience of episiotomy: a qualitative study from China

Jiang

Qian

et al. 2020

BMJ Open

View full text Add to dashboard Cite

ObjectiveTo describe women’s experience of episiotomy in urban China.DesignThis is a semistructured, indepth interview with women after episiotomy. We analysed transcriptions using thematic analysis in Chinese. Emerging themes were debated in English to finalise interpretation.SettingTwo community health centres and four hospitals in Shanghai, China.ParticipantsPurposive sampling of 30 postpartum women who had experienced episiotomy; 25 were primiparous and 4 had deliveries by forceps. We interviewed health providers to complement the data.ResultsWe identified four main themes: (1) women’s views of the procedure vary considerably; (2) pain interferes with daily life for weeks; (3) long-term anxiety is a consequence for some, described as a ‘psychological shadow’; and (4) societal norms assume women will not complain.ConclusionWomen receive little information in advance about episiotomy, yet the procedure has a wide range of physical and psychological consequences. This includes long-term anxiety about the damage done to them as women.

show abstract

Section: Introductionmentioning

confidence: 99%

Women’s experience of episiotomy: a qualitative study from China

Jiang

Qian

et al. 2020

BMJ Open

View full text Add to dashboard Cite

show abstract

“…After 10 years of efforts, this project has been supported by many nongovernment organizations from both America and China [7] . Before the use of NA, common services provided in our delivery room include midwives service, accompanying family members, and water immersion service [9] during the first stage of labor if patients had requirement(about 20% of them chose water immersion delivery). With the help of NPLD, NA has been regularly carried out in our hospital since May 1st, 2015.…”

Section: Introductionmentioning

confidence: 99%

The initiation of a neuraxial analgesia service on the rate of cesarean delivery in Hubei, China. a 1-year restrospective studyThe initiation of a neuraxial analgesia service on the rate of cesarean delivery in Hubei, China. a 1-year restrospective study

Zhao¹,

Gao²,

Sun³

et al. 2020

Preprint

Self Cite

View full text Add to dashboard Cite

Background No Pain Labor ＆Delivery (NPLD) is a nongovernmental project to increase access to safe neuraxial analgesia through specialized training. This study explores the change is overall cesarean delivery (CD) and maternal request CD(MRCD) rate in our hospital after the initiation of neuraxial analgesia service. Methods The neuraxial labor analgesia（NA） was initiated in May 1st 2015 by the help of NPLD. Since then, the application of NA became a routine operation in our hospital, and every parturient can choose to use NA or not according to her own requirement. The monthly rates of NA, CD, MRCD, multiparous women, intrapartum CD, episiotomy, postpartum hemorrhage (PPH), operative vaginal delivery and neonatal asphyxia of vaginal delivery were analyzed from May 1st 2015 to April 30th 2016. Results The rate of NA in our hospital was getting increasingly higher from 26.1% in May 2015 to 44.6% in April 2016 (p<0.001); the rate of CD was decreased from 50.4% in May 2015 to 36.3% in April 2016 ( p<0.001); the rate of MRCD was decreased from 10.8% in May 2015 to 5.7% in April 2016 (p<0.001), but the rate of multiparous women had no change (p＞0.05). There was a negative correlation between the rate of NA and that of overall CD, r=-0.803 (95%CI[-0.951, -0.642], p=0.002), and also a negative correlation between the utilization rate of NA and that of MRCD, r=-0.790 (95%CI[-0.971, -0.497], p=0.004). The rates of episiotomy, PPH, operative vaginal delivery and neonatal asphyxia in women underwent vaginal delivery as well as the rates of intrapartum CD, neonatal asphyxia, and PPH in women underwent CD remained unchanged from May 1st 2015 to April 30th 2016. Conclusions: Our study shows that the rates of CD and MRCD in our department significantly were decreased over a year period (2015. 05.01~2016. 04.30), which may be due to the increasing use of NA during vaginal delivery by the help of NPLD. Key Words: Neuraxial Labor Analgesia; Cesarean Delivery; Maternal Request Cesarean Delivery

show abstract

“…After 10 years of efforts, this project has been supported by many nongovernment organizations from both America and China [7] . Before the use of NA, common services provided in our delivery room include midwives service, accompanying family members, and water immersion service [9] during the rst stage of labor if patients had requirement (about 20% of them choose water immersion delivery). NA has been regularly carried out in our hospital since May 1st, 2015.…”

Section: Introductionmentioning

confidence: 99%

The effect of initiating neuraxial analgesia service on the rate of cesarean delivery in Hubei, China: A 16-month retrospective study

Zhao

GAO

Sun

et al. 2020

Preprint

Self Cite

View full text Add to dashboard Cite

Background No Pain Labor ＆Delivery (NPLD) is a nongovernmental project to increase access to safe neuraxial analgesia through specialized training. This study explores the change in overall cesarean delivery (CD) rate and maternal request CD(MRCD) rate in our hospital after the initiation of neuraxial analgesia service. Methods A neuraxial labor analgesia（NA） was initiated in May 1st 2015 by the help of NPLD. Since then, the application of NA became a routine operation in our hospital, and every parturient can choose to use NA or not according to her own requirement. The monthly rates of NA, CD, MRCD, multiparous women, intrapartum CD, episiotomy, postpartum hemorrhage (PPH), operative vaginal delivery and neonatal asphyxia of vaginal delivery were analyzed from January 1st 2015 to April 30th 2016. Results The rate of NA in our hospital was getting increasingly higher from 26.1% in May 2015 to 44.6% in April 2016 ( p< 0.001); the rate of CD was decreased from 50.4% in May 2015 to 36.3% in April 2016 ( p< 0.001); the rate of MRCD was decreased from 10.8% in May 2015 to 5.7% in April 2016 ( p< 0.001); but the rates of overall CD and MRCD remained stable at a high level from January to May 2015( p ＞0.05). At the same time, the rate of multiparous women remained unchanged during the 16 month of observation ( p ＞0.05). There was a negative correlation between the rate of NA and rate of overall CD, r=-0.803 (95%CI[-0.951, -0.642], p =0.002), and between the utilization rate of NA and rate of MRCD, r=-0.790 (95%CI[-0.971, -0.497], p =0.004).The rates of episiotomy, PPH, operative vaginal delivery and neonatal asphyxia in women who underwent vaginal delivery as well as the rates of intrapartum CD, neonatal asphyxia, and PPH in women who underwent CD remained unchanged from January 1st 2015 to April 30th 2016 . Conclusions: Our study shows that the rates of CD and MRCD in our department were significantly decreased from January 1st 2015 to April 30th 2016, which may be due to the increasing use of NA during vaginal delivery.

show abstract

The effect of water immersion delivery on the strength of pelvic floor muscle and pelvic floor disorders during postpartum period

Cited by 14 publications

References 28 publications

Women’s experience of episiotomy: a qualitative study from China

Women’s experience of episiotomy: a qualitative study from China

The initiation of a neuraxial analgesia service on the rate of cesarean delivery in Hubei, China. a 1-year restrospective studyThe initiation of a neuraxial analgesia service on the rate of cesarean delivery in Hubei, China. a 1-year restrospective study

The effect of initiating neuraxial analgesia service on the rate of cesarean delivery in Hubei, China: A 16-month retrospective study

Contact Info

Product

Resources

About