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Labouring women who used a birthing pool in obsteric units in Italy: prospective observational study

BACKGROUND: For women at low risk of childbirth complications, water immersion during labour is a care option in many high income countries. Our aims were (a) to describe maternal characteristics, intrapartum events, interventions, maternal and neonatal outcomes for all women who used a birthing poo...

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Autores principales: Henderson, Jane, Burns, Ethel E, Regalia, Anna L, Casarico, Giovanna, Boulton, Mary G, Smith, Lesley A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3897991/
https://www.ncbi.nlm.nih.gov/pubmed/24423216
http://dx.doi.org/10.1186/1471-2393-14-17
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author Henderson, Jane
Burns, Ethel E
Regalia, Anna L
Casarico, Giovanna
Boulton, Mary G
Smith, Lesley A
author_facet Henderson, Jane
Burns, Ethel E
Regalia, Anna L
Casarico, Giovanna
Boulton, Mary G
Smith, Lesley A
author_sort Henderson, Jane
collection PubMed
description BACKGROUND: For women at low risk of childbirth complications, water immersion during labour is a care option in many high income countries. Our aims were (a) to describe maternal characteristics, intrapartum events, interventions, maternal and neonatal outcomes for all women who used a birthing pool during labour who either had a waterbirth or left the pool and had a landbirth, and for the subgroup of women who had a waterbirth in 19 obstetric units, and (b) to compare maternal characteristics, intrapartum events, interventions, and maternal and neonatal outcomes for women who used a birthing pool with a control group of women who did not use a birthing pool for whom we prospectively collected data in a single centre. METHODS: Prospective observational study in 19 Italian obstetric units 2002-2005. Participants were: (a) 2,505 women in labour using a birthing pool in 19 obstetric units; and (b) 114 women in labour using a birthing pool and 459 women who did not use a birthing pool in one obstetric unit. Descriptive statistics were calculated for the sample as a whole and, separately, for those women who gave birth in water. Categorical data were compared using Chi square statistics and continuous data by T-tests. RESULTS: Overall, 95.6% of women using a birthing pool had a spontaneous vertex delivery, 63.9% of which occurred in water. Half of nulliparas and three quarters of multiparas delivered in water. Adverse maternal and neonatal outcomes were rare. There were two cases of umbilical cord snap with waterbirth. Compared with controls, significantly more women who used a birthing pool adopted an upright birth position, had hands off delivery technique, and a physiological third stage. Significantly fewer nulliparas had an episiotomy, and more had a second degree perineal tear, with no evidence of a difference for extensive perineal tears. CONCLUSIONS: Birthing pool use was associated with spontaneous vaginal birth. The increase in second degree tears was balanced by fewer episiotomies. Undue umbilical cord traction should be avoided during waterbirth.
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spelling pubmed-38979912014-01-23 Labouring women who used a birthing pool in obsteric units in Italy: prospective observational study Henderson, Jane Burns, Ethel E Regalia, Anna L Casarico, Giovanna Boulton, Mary G Smith, Lesley A BMC Pregnancy Childbirth Research Article BACKGROUND: For women at low risk of childbirth complications, water immersion during labour is a care option in many high income countries. Our aims were (a) to describe maternal characteristics, intrapartum events, interventions, maternal and neonatal outcomes for all women who used a birthing pool during labour who either had a waterbirth or left the pool and had a landbirth, and for the subgroup of women who had a waterbirth in 19 obstetric units, and (b) to compare maternal characteristics, intrapartum events, interventions, and maternal and neonatal outcomes for women who used a birthing pool with a control group of women who did not use a birthing pool for whom we prospectively collected data in a single centre. METHODS: Prospective observational study in 19 Italian obstetric units 2002-2005. Participants were: (a) 2,505 women in labour using a birthing pool in 19 obstetric units; and (b) 114 women in labour using a birthing pool and 459 women who did not use a birthing pool in one obstetric unit. Descriptive statistics were calculated for the sample as a whole and, separately, for those women who gave birth in water. Categorical data were compared using Chi square statistics and continuous data by T-tests. RESULTS: Overall, 95.6% of women using a birthing pool had a spontaneous vertex delivery, 63.9% of which occurred in water. Half of nulliparas and three quarters of multiparas delivered in water. Adverse maternal and neonatal outcomes were rare. There were two cases of umbilical cord snap with waterbirth. Compared with controls, significantly more women who used a birthing pool adopted an upright birth position, had hands off delivery technique, and a physiological third stage. Significantly fewer nulliparas had an episiotomy, and more had a second degree perineal tear, with no evidence of a difference for extensive perineal tears. CONCLUSIONS: Birthing pool use was associated with spontaneous vaginal birth. The increase in second degree tears was balanced by fewer episiotomies. Undue umbilical cord traction should be avoided during waterbirth. BioMed Central 2014-01-14 /pmc/articles/PMC3897991/ /pubmed/24423216 http://dx.doi.org/10.1186/1471-2393-14-17 Text en Copyright © 2014 Henderson et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Henderson, Jane
Burns, Ethel E
Regalia, Anna L
Casarico, Giovanna
Boulton, Mary G
Smith, Lesley A
Labouring women who used a birthing pool in obsteric units in Italy: prospective observational study
title Labouring women who used a birthing pool in obsteric units in Italy: prospective observational study
title_full Labouring women who used a birthing pool in obsteric units in Italy: prospective observational study
title_fullStr Labouring women who used a birthing pool in obsteric units in Italy: prospective observational study
title_full_unstemmed Labouring women who used a birthing pool in obsteric units in Italy: prospective observational study
title_short Labouring women who used a birthing pool in obsteric units in Italy: prospective observational study
title_sort labouring women who used a birthing pool in obsteric units in italy: prospective observational study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3897991/
https://www.ncbi.nlm.nih.gov/pubmed/24423216
http://dx.doi.org/10.1186/1471-2393-14-17
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