Challenges to interdisciplinary consensus for evidence-based practice with water immersion for labor and birth: A systematic review of scholarly references

Vanderlaan, Jennifer; Kamanga, Foster C.; Garcia, Lorraine M.

doi:10.1016/j.hsr.2022.100013

Cited by 4 publications

(4 citation statements)

References 25 publications

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“…These conveyed strict exclusion criteria for those who could access a birthing pool, but with little to no underpinning evidence and were unduly risk focused, starkly different to those policies/guidelines written for pharmacological pain relief options. These issues were reflected in a systematic review of scholarly references exploring publications authored by multi-professionals that focused on water immersion for childbirth [ 60 ]. For example, authors of obstetric or neonatology water immersion publications were less likely to reference midwives and nurses research in this area, and more, those from the latter were more likely to cite commentaries and case studies, rather than primary research with robust research methodologies.…”

Section: Discussionmentioning

confidence: 99%

“…For example, authors of obstetric or neonatology water immersion publications were less likely to reference midwives and nurses research in this area, and more, those from the latter were more likely to cite commentaries and case studies, rather than primary research with robust research methodologies. Accordingly, the authors found barriers to the diffusion of midwifery or nursing water immersion research into obstetrics or neonatology [ 60 ], which may subsequently limit the composition of evidence that inform water policies/guidelines as we have found in this review.…”

Section: Discussionmentioning

confidence: 99%

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Understanding the barriers and facilitators related to birthing pool use from organisational and multi-professional perspectives: a mixed-methods systematic review

Cooper,

Madeley,

Burns

et al. 2023

Reprod Health

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Aims To identify and synthesize the evidence regarding the facilitators and barriers relating to birthing pool use from organizational and multi-professional perspectives. Design A systematic integrated mixed methods review was conducted. Data sources MEDLINE, CINAHL, PsychINFO, EMCARE, PROQUEST and Web of Science databases were searched in April 2021, March 2022 and April 2024. We cross-referenced with Google Scholar and undertook reference list searches. Review methods Data were extracted from studies meeting the inclusion criteria. Barriers and facilitators to birthing pool use were mapped and integrated into descriptive statements further synthesized to develop overarching themes. Results Thirty seven articles (29 studies) were included—quantitative (12), qualitative (8), mixed methods (7), and audits (2), from 12 countries. These included the views of 9,082 multi-professionals (midwives, nurses, obstetricians, neonatologists, students, physicians, maternity support workers, doulas and childbirth educators). Additionally, 285 institutional policies or guidelines were included over 9 papers and 1 economic evaluation. Five themes were generated: The paradox of prescriptiveness, The experienced but elusive practitioner, Advocacy and tensions, Trust or Trepidation and It’s your choice, but only if it is a choice. These revealed when personal, contextual, and infrastructural factors were aligned and directed towards the support of birth pool use, birthing pool use was a genuine option. Conversely, the more barriers that women and midwives experienced, the less likely it was a viable option, reducing choice and access to safe analgesia. Conclusion The findings demonstrated a paradoxical reality of water immersion with each of the five themes detailing how the “swing” within these factors directly affected whether birthing pool use was facilitated or inhibited.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Understanding the barriers and facilitators related to birthing pool use from organisational and multi-professional perspectives: a mixed-methods systematic review

Cooper,

Madeley,

Burns

et al. 2023

Reprod Health

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“…Considering the current motivation to reduce unnecessary interventions in childbirth, it is very important to better understand the effectiveness and the functions of the water birth process in order to reduce intervention and increase physiological childbirth rate 4. As for the conflicting views regarding the advantages and disadvantages of water birth interventions, the may be due to the lack of publication of interdisciplinary evidence in this regard 5…”

Section: Commentarymentioning

confidence: 99%

Fundamental role of intermittent fetal monitoring in the management of water births

Hamzehgardeshi

Ansari

2022

Evid Based Nurs

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“…It is becoming a popular choice in contemporary obstetrics because it moves the birthing women from a passive role compliant of authority to an active participant in the whole event, giving a sense of achievement and satisfaction. Both the Royal College of Obstetricians and Gynecologists and the American College of Nurse-Midwives support water immersion in a healthy term "uncomplicated pregnancies" 3 . The 2018 Cochrane review states moderate-to low-quality evidence concerning water immersion during the first stage of labor on the mode of birth (spontaneous, instrumental and cesarean section) and no evidence for adverse neonatal outcomes 4 .…”

Section: Introductionmentioning

confidence: 99%

Does dietary total antioxidant capacity relate to oxidative stress levels in water immersion during labor? A case-control study

Cömert,

Ergani,

Uğurlu

et al. 2024

Rev. Assoc. Med. Bras.

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OBJECTIVE:The aim of this study was to investigate the effect of water immersion during the first stage of labor on maternal and neonatal oxidative stress and the association between serum and dietary total antioxidant capacity. METHODS: Women were divided into two groups: those immersed in water during the first stage of labor (n=30) and those who had conventional birth (n=33). Total oxidative stress and total antioxidant status levels were examined in antepartum and postpartum maternal serum and neonatal cord blood samples. Dietary total antioxidant capacity was determined by the food frequency questionnaire. RESULTS: Vitamin C and dietary total antioxidant capacity consumption were found to be higher in the water immersion group (106.92 mg/day and 18.94 mmol/gün, respectively) than the conventional birth group (92.69 mg/day and 15.99 mmol/gün, respectively) (p<0.05). Women immersed in water during the first stage of labor had lower total oxidative stress levels in antepartum and postpartum maternal serum and neonatal cord blood samples than those who had conventional birth (5.43±2.42 mmol/L and 5.59±3.35 mmol/L vs. 8.58±5.53 mmol/L and 12.68±16.58 mmol/L; p<0.05). Dietary total antioxidant capacity was found to be negatively correlated with total oxidative stress levels in antepartum and postpartum maternal serum and neonatal cord blood samples (p=0.012, p=0.047, p=0.035, and p<0.05). CONCLUSION: Women immersed in water during the first stage of labor had lower total oxidative stress levels in their postnatal maternal serum and neonatal cord blood samples and dietary total antioxidant capacity was also a factor associated with low total oxidative stress levels.

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Challenges to interdisciplinary consensus for evidence-based practice with water immersion for labor and birth: A systematic review of scholarly references

Cited by 4 publications

References 25 publications

Understanding the barriers and facilitators related to birthing pool use from organisational and multi-professional perspectives: a mixed-methods systematic review

Understanding the barriers and facilitators related to birthing pool use from organisational and multi-professional perspectives: a mixed-methods systematic review

Fundamental role of intermittent fetal monitoring in the management of water births

Does dietary total antioxidant capacity relate to oxidative stress levels in water immersion during labor? A case-control study

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