Beliefs and Perspectives of Women and Obstetrical Providers in Northern Ontario on Water Births

Orrantia, Eliseo; Petrick, Carmen

doi:10.1016/j.jogc.2020.07.010

Cited by 4 publications

(11 citation statements)

References 14 publications

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“…Since that time, studies have documented the safety of water birth, the benefits, and the relative absence of risk in low-risk pregnancies without a revision of the ACOG statement 17–19. A Canadian study reveals the depth of the divide between interest in water birth and a broader implementation of the practice 20. A survey of 362 women found 81.8% thought water births were safe, 76.5% wanted the option of a water birth, and 40.9% were interested in a water birth.…”

Section: Discussionmentioning

confidence: 99%

“…[17][18][19] A Canadian study reveals the depth of the divide between interest in water birth and a broader implementation of the practice. 20 A survey of 362 women found 81.8% thought water births were safe, 76.5% wanted the option of a water birth, and 40.9% were interested in a water birth. Midwives and physicians were diametrically opposed.…”

Section: Discussionmentioning

confidence: 99%

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A Descriptive Study of Maternal Choices for Labor Pain Relief

Rhode

Murdock

Linares

et al. 2022

Journal of Perinatal &Amp; Neonatal Nursing

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Design:In a setting with a wider than usual variety of available labor pain relief methods, a prospective, descriptive study was conducted of labor pain relief methods desired by low-risk women prenatally, during labor, and at delivery. Subjects/Methods: Of all women registering for care between 2017 and 2020, a total of 2562 women were screened for low-risk status and then offered study participation, if eligible. Of 1185 eligible women, 512 remained at low risk until admission in labor and completed the study. Pain relief methods chosen were compared with the type of labor, type of delivery, and between delivery sites. Results/Conclusions: Hydrotherapy and a "none/unmedicated" labor were favored by a majority of subjects, regardless of ultimate method used. Multiple labor pain relief methods were used by 54.5% of subjects. Epidural analgesia most often occurred with augmented labor. Hydrotherapy was used more by those with spontaneous labors, water birth deliveries, and birth center

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Descriptive Study of Maternal Choices for Labor Pain Relief

Rhode

Murdock

Linares

et al. 2022

Journal of Perinatal &Amp; Neonatal Nursing

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“…Overall, 3898 records were obtained from the seven electronic databases and relevant citation searching. After the exclusion of 1288 duplicates and 2523 irrelevant titles/abstracts, 88 full texts were examined and 22 papers such as unpublished dissertations (n = 4) (Mercredi, 2020;Russell, 2016;Way, 2015;Woodward, 2012) and peer-reviewed journal articles (n = 18) (Al Moghrabi, 2023;Bolsoy et al, 2022;Cooper et al, 2018Cooper et al, , 2019Cooper et al, , 2021Kaur & Singh, 2019;Lewis, Hauck, Butt, et al, 2018;Meyer et al, 2010;Milosevic et al, 2019Milosevic et al, , 2020Newnham et al, 2015Newnham et al, , 2017Nicholls et al, 2016;Orrantia & Petrick, 2021;Plint & Davis, 2016;Russell et al, 2014;Stark & Miller, 2009;Ulfsdottir et al, 2020) were included in this review. Search outcomes are displayed using the PRISMA flow diagram (Figure 1).…”

Section: Search Outcomementioning

confidence: 99%

Insights of healthcare professionals regarding waterbirths and water immersion during labour: A mixed studies review

Chua,

Choolani,

Lalor

et al. 2023

Journal of Advanced Nursing

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AimTo consolidate healthcare professionals' insights about waterbirths and water immersion during labour.DesignMixed studies review.Data SourcesSeven electronic databases were searched from their inception dates till June 2023: PubMed, Embase, CINAHL, PsycINFO, Web of Science, Scopus, ProQuest Dissertations and Theses Global.MethodsThe Preferred Reporting Items for Systematic Reviews and Meta‐Analysis (PRISMA) guidelines and Pluye and Hong's mixed studies review framework guided this review. The quality of included studies was evaluated using the Mixed Methods Appraisal Tool. Findings were synthesized using the convergent qualitative synthesis method, and results were thematically analysed using Braun and Clarke's framework.ResultsThree main themes were identified from the 22 included studies: (1) believing in waterbirths, (2) opposing forces and (3) plotting the course ahead.ConclusionHealthcare professionals reported different views about waterbirths and water immersion practices; midwives were most likely to support these practices, followed by nurses and lastly, few physicians supported them. Reasons for opposing waterbirths include insufficient training and support from colleagues as well as concerns about work efficiency, waterbirth safety and litigation issues.ImpactThe available evidence suggests the need to provide waterbirth training for healthcare professionals, equip healthcare facilities with necessary waterbirth‐related infrastructure and develop appropriate waterbirth policies/guidelines. Healthcare professionals could also consider providing antenatal waterbirth education to women and obtain women's feedback to improve current policies/guidelines. Future research should explore the views of different types of healthcare professionals from more diverse cultures.Reporting MethodThe PRISMA guidelines.No Patient or Public ContributionSystematic review.

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“…This aligns with research of health practitioners' attitudes to waterbirth in Ontario, Canada. Within this research there was a universal finding that none of the obstetricians surveyed would consider assisting with or offering hospital-based water birth in the future, whereas 97% of midwives and half of general practitioners surveyed would consider this (Orrantia & Petrick, 2021). The obstetricians in this Canadian research had the perception of greater risks with water birth than consumers, midwives or general practitioners.…”

Section: Water Immersion In Labourmentioning

confidence: 82%

“…Pools for water immersion are less available within obstetric birth settings which maintains this lack of familiarity and confidence for staff and the literature supports that hospital staff, both midwives and obstetricians, operate as gate keepers to pool use (Milosevic et al, 2020;Russell, 2011). While some birthing suite midwives have indicated that they believe water immersion has an important role within obstetric birth settings this belief was not held by obstetricians who did not want to and were not confident in providing care for women using water immersion (Orrantia & Petrick, 2021;Plint & Davis, 2016).…”

Section: Institutional Views Of Risk and Water Birthmentioning

confidence: 99%

Seeking safe harbour: Water immersion for women with complex pregnancy

Kara¹

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Background: Water immersion is used by women, particularly within midwifery-led settings, as a strategy to manage the sensations of labour. Low-risk women who have used water immersion in labour express feelings of increased relaxation, support and control in their labour and birth experience. Being labelled ‘high risk’ can significantly impact both a woman’s experience of her pregnancy and her opportunity for experiencing a physiological birth. Women with complex pregnancies have reported an increase in anxiety and a feeling that their normal childbearing journey has been interrupted and subsumed by medical monitoring and risk management. Midwifery frameworks in Aotearoa New Zealand protect and promote the woman’s role as a decision maker within her experience and her right to make informed decisions about her care. Aims: The aim of this research was to develop an understanding of the influences, facilitators and barriers for women who chose to use water immersion for labour and birth, in a hospital setting, when they were labelled/identified as being clinically complex, as well as to explore their experience of using water immersion in labour. Methods: A qualitative descriptive inquiry, using semi-structured interviews was undertaken to explore seven women's experiences of using water immersion during their labour and/or birth after having a complex pregnancy. Inductive thematic analysis was used to analyse participant data. Findings: Thematic analysis identified four themes within the women’s experiences. Women use water immersion to resist the medicalisation of their birthing experience and protect themselves from the iatrogenic risks of birthing within a hospital setting. The desire to use water immersion is often driven by dissatisfaction with previous medicalised experiences of birth and the women’s desire to avoid repeating these experiences. Water provides a safe and protected space to labour which supports a sense of control and privacy. The LMC midwife is a vital ally and advocate in negotiating to use water immersion within the hospital setting. In this environment, staff can either facilitate or be barriers to using water immersion in labour with a complex pregnancy. Conclusions: Women use water immersion in labour to optimise their opportunity for physiological birthing, often in response to previous medicalised births. Water immersion is experienced positively as a strategy to manage labour. Individualised holistic midwifery care from a Lead Maternity Care midwife was valued by the women and viewed as a key support in negotiating for the choice of water immersion. Women needed to purposefully seek a midwife who was willing to support them in their choice to use water immersion.

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Beliefs and Perspectives of Women and Obstetrical Providers in Northern Ontario on Water Births

Cited by 4 publications

References 14 publications

A Descriptive Study of Maternal Choices for Labor Pain Relief

A Descriptive Study of Maternal Choices for Labor Pain Relief

Insights of healthcare professionals regarding waterbirths and water immersion during labour: A mixed studies review

Seeking safe harbour: Water immersion for women with complex pregnancy

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