Water immersion during labor and birth: is there an extra cost for hospitals?

Poder, Thomas G.

doi:10.1111/jep.12636

Cited by 3 publications

(3 citation statements)

References 12 publications

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“…The next step will be to conduct a survey using a large sample of women of childbearing age to define their preferences for water birth in order to inform healthcare institutions whether or not they should adapt their services to provide this mode of labor and delivery. Indeed, this information about women's preferences is needed since there may be some barriers to implement water immersion in hospitals (e.g., logistics and medical culture) [5,7,27], although the extra costs may be considered relatively small as compared to the expected benefits [6].…”

Section: Discussionmentioning

confidence: 99%

“…The main criticisms of childbirth in water are the risks of the newborn inhaling water and of infection for mother and newborn. In addition, despite better clinical results, the costs of childbirth in water were greater by about CA$ 220 [6]. It is, therefore, important to explore women's preferences to determine whether or not this mode of childbirth should be implemented in hospital settings or elsewhere.…”

Section: Introductionmentioning

confidence: 99%

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A Discrete Choice Experiment on Women’s Preferences for Water Immersion During Labor and Birth: Identification, Refinement and Selection of Attributes and Levels

Poder

Carrier

Roy

et al. 2020

IJERPH

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Objectives: To identify attributes (i.e., characteristics describing a scenario) and levels (i.e., each characteristic may be defined by a different level) that would be included in a discrete choice experiment (DCE) questionnaire to evaluate women’s preferences for water immersion during labor and birth. Methods: A mixed-method approach, combining systematic reviews of the literature and patient focus groups to identify attributes and levels explaining women’s preferences. After the focus groups, preference exercises were conducted and led to the creation of the questionnaire, including the DCE. A qualitative validation of the questionnaire was conducted with women from the focus groups and with medical experts. Results: The literature reviews provided 26 attributes to be considered for childbirth in water, and focus groups identified 14 additional attributes. From these 40 attributes, preference exercises allowed us to select four for the DCE, in addition to the birth mode. Labor duration was also included, even if it was not well ranked, as it is the main clinical outcome in the literature. Validation with experts and women did not change the choice of attributes but slightly changed the levels selected. The final six attributes were: birth mode, duration of the labor phase, pain sensation, risk of severe tears in the perineum during the expulsion of the newborn, risk of death of the newborn, and general condition of the newborn (Apgar) score at 5 minutes. Conclusion: This study allowed us to detail all the stages for the design of a DCE questionnaire. To date, this is the first study of this kind in the context of women’s preferences for water immersion during labor and birth.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Discrete Choice Experiment on Women’s Preferences for Water Immersion During Labor and Birth: Identification, Refinement and Selection of Attributes and Levels

Poder

Carrier

Roy

et al. 2020

IJERPH

Self Cite

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“…У дослідженні H. Yuksel et al (2017) встановлено, що дихальні вправи з глибоким вдихом та видихом у вагітних ефективно сприяють зменшенню пологового болю та скороченню тривалості другого періоду пологів [33]. Використовують також інші неінвазивні і нефармакологічні методи купірування болю, наприклад, легкий гіпноз, музику, ароматерапію, дотики, масаж, душ або ванни [34,35].…”

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Modern views on the prevention of obstetric and perinatal complications in healthy pregnant women (Literature review)

Невишна

2021

RHW

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This review article provides information on the role of different methods for pregnant women to prepare for childbirth according to the data regarding both foreign and domestic practices in obstetrics. The article highlights the issue of partner support starting from when pregnancy is established and gestation, through to childbirth and the postpartum period. According to the research, it is clear that the physiological course of the pregnancy directly depends on the psycho-emotional state of a pregnant woman, which impacts not only the course of pregnancy and childbirth, but also the condition of the fetus and newborn.The results of the research show that the method of psychophysiological preparation and partner support undoubtedly has a positive influence on the consequent childbirth: the duration of childbirth and the frequency of anomalies during maternity activity are reduced; surgery is performed less; the frequency of cervical and perineum ruptures, as well as the amount of blood loss, are decreased; intrauterine hypoxia and birth asphyxia are less common; and the manifestation of obstetric aggression decreases. Furthermore, the technologies of prenatal preparation are aimed at the demedicalization of childbirth and the minimization of the use of pharmacological drugs which have an ambiguous influence on a parturient, a fetus and a newborn.Therefore, the data mentioned above reveal the role of prenatal preparation methods of married couples for childbirth not only in the reduction of obstetric and perinatal complications in relatively healthy, pregnant women, but also in the choice of anesthesia methods, taking safety and efficiency into account.Unfortunately, the decreased interest toward psychophysiological preparation for childbirth by pregnant women and their partners, as well as medical institutions in general, was revealed while studying the issue of preparation for childbirth.Consequently, prenatal preparation of married couples must be obligatory in the system of obstetric care in Ukraine at all medical levels.

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Women's preferences for water immersion during labor and birth: Results from a discrete choice experiment

Poder¹,

Carrier²,

Camden³

et al. 2022

Midwifery

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Water immersion during labor and birth: is there an extra cost for hospitals?

Abstract: While water immersion allows better clinical outcomes, implementation and other costs are higher than the savings generated, which leads to a small extra cost to allow women to potentially have more relaxation and less pain.

Cited by 3 publications

References 12 publications

A Discrete Choice Experiment on Women’s Preferences for Water Immersion During Labor and Birth: Identification, Refinement and Selection of Attributes and Levels

A Discrete Choice Experiment on Women’s Preferences for Water Immersion During Labor and Birth: Identification, Refinement and Selection of Attributes and Levels

Modern views on the prevention of obstetric and perinatal complications in healthy pregnant women (Literature review)

Women's preferences for water immersion during labor and birth: Results from a discrete choice experiment

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