Hydrotherapy in labor

Benfield, Rebecca D.; Herman, JoAnne; Katz, Vern L.; Wilson, Steven P.; Davis, James H.

doi:10.1002/1098-240x(200102)24:1<57::aid-nur1007>3.0.co;2-j

Cited by 45 publications

(55 citation statements)

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“…(12) The potential action of hydrotherapy is to reverse the negative effects such as anxiety and pain during labor by promoting relaxation response, by depressing the sympathetic nervous system, as a consequence the decrease in levels of catecholamine. (13) Overall, the intervention of warm bath is very well accepted by women during labor, as demonstrated in a study conducted in Belgium with 110 pregnant women, of which 90% requested the repetition of the intervention in their active phase. (14) In a Brazilian study conducted in Rio Grande do Norte with women hospitalized in a Humanized Birth Unit which also received non-pharmacological interventions during the active phase of labor, such as breathing exercises, muscle relaxation, massage lumbosacral in a combined manner, and aspersion bath in an isolated manner, when comparing the mean pain intensity pre and post-intervention, effectiveness was verified in pain relief.…”

Section: Discussionmentioning

confidence: 99%

“…(3) The use of the warm bath during labor promotes relaxation and reduces pain, anxiety and stress-related parameters, without the risks caused by other treatments. (1,(13)(14)(15) This phenomenon is explained by the fact that stimulation of pain receptors goes through the spine to the brain where the response is direct. The signals generated by the warm bath stimulate epidermal thermoreceptors to reach the brain faster than the pain receptor sent, effectively blocking transmission, thus the perception of pain.…”

Section: Discussionmentioning

confidence: 99%

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Banho quente de aspersão, exercícios perineais com bola suíça e dor no trabalho de parto

et al. 2013

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Objective: To evaluate, in an isolated and combined manner, the use of warm aspersion bath and perineal exercises performed with Swiss ball during labor, facing pain perception. Methods: This is a clinical or intervention study. We recruited 15 pregnant women at low obstetric risk who accepted the use of non-pharmacological interventions for pain relief and who also accepted being questioned about their perception of pain using a visual analogue scale. Results: When the interventions studied were associated, pain reduction was significant. There was no significant difference in pain scores, when interventions were isolated. Conclusion:The results indicate that the associated use of non-pharmacological methods for pain relief, warm aspersion bath and perineal exercises with the Swiss ball during the dilation phase is related to the reduction of pain and promotion of the parturient's comfort when associated. ResumoObjetivo: Avaliar de forma isolada e combinada a utilização do banho quente de aspersão e exercícios perineais realizados com bola suíça durante o trabalho de parto e a percepção da dor. Métodos: Estudo clínico experimental ou de intervenção, randomizado. Foram recrutadas 15 parturientes de baixo risco obstétrico que aceitaram utilizar intervenções não farmacológicas para alívio da dor e questionadas sobre a percepção dolorosa, utilizando a aplicação da escala analógica visual. Resultados: Quando as intervenções em estudo foram associadas a diminuição da dor foi significativa. Não houve diferença significativa no escore de dor, quando as intervenções foram isoladas. Conclusão: Os resultados indicam que a utilização associada dos métodos não farmacológicos para alívio da dor, banho quente de aspersão e exercícios perineais com a bola suíça durante a fase de dilatação está relacionada com a redução da dor da parturiente e promoção do conforto materno, quando associados.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Banho quente de aspersão, exercícios perineais com bola suíça e dor no trabalho de parto

et al. 2013

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“…Hydrotherapy (immersion or bathing) is used worldwide by thousands of women to promote relaxation and decrease parturient anxiety and pain during labor (Alderdice et al, 1995; Benfield, 2002; Benfield, Herman, Katz, Wilson, & Davis, 2001; Cammu, Classen, Van Wettere, & Derde, 1994; da Silva, de Oliveira, & Nobre, 2009; Eldor, Burstein, Dudakova, & Stark, 1992; Lenstrup et al, 1987; Rosenthal, 1991). Hydrotherapy is even thought to correct uterine dystocia (slow labor; Cluett, Pickering, Getliffe, & St George Saunders, 2004).…”

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confidence: 99%

The Effects of Hydrotherapy on Anxiety, Pain, Neuroendocrine Responses, and Contraction Dynamics During Labor

Benfield

Hortobágyi

Tanner

et al. 2010

Biological Research For Nursing

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Background Hydrotherapy (immersion, or bathing) is used worldwide to promote relaxation and decrease parturient anxiety and pain in labor, but the psychophysiological effects of this intervention remain obscure. Design A pre-test post-test design with repeated measures was used to examine the effects of hydrotherapy on maternal anxiety and pain, neuroendocrine responses, plasma volume shift and uterine contractions during labor. Correlations among variables were examined at three time points (pre-immersion and twice during hydrotherapy). Methods Eleven term women (mean age 24.5 years) in spontaneous labor were immersed to the xiphoid in 37°C water for 1 hr. Blood samples and measures of anxiety and pain were obtained under dry baseline conditions and repeated at 15 and 45 min of hydrotherapy. Uterine contractions were monitored telemetrically. Results Hydrotherapy was associated with decreases in anxiety, vasopressin and oxytocin levels at 15 and 45 min (all p < .05). There were no significant differences between pre-immersion and immersion pain or cortisol levels. Pain decreased more for women with high baseline pain than for women with low baseline levels at 15 and 45 min. Cortisol levels decreased twice as much at 15 min of hydrotherapy for women with high baseline pain as for those with low baseline pain. Beta-endorphin levels increased at 15 min but did not differ between baseline and 45 min. During immersion, uterine-contraction frequency decreased. A positive plasma volume shift at 15 min was correlated with contraction duration. Conclusions Hydrotherapy during labor affects neuroendocrine responses that modify psychophysiological processes.

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“…A d increased incidence of spontaneous births (Cyna, 2004;Smith 2003 (Benfield, 2001;Cluett, 2004, Cochrane;Simkin, 2002).…”

Section: Qualitymentioning

confidence: 99%

“…The use of hydrotherapy had no adverse effects with respect to: NEH d duration of labor, method of delivery, infection in mother or baby, or umbilical cord pH, including when rupture of membranes occurred or admission to the neonatal intensive care unit (Simkin, 2002;Benfield, 2001;Cluett, 2004, BMJ;Cluett, 2004, Cochrane).…”

Section: Qualitymentioning

confidence: 99%

Step 7: Educates Staff in Nondrug Methods of Pain Relief and Does Not Promote Use of Analgesic, Anesthetic Drugs

Leslie

Romano²,

Woolley³

2007

jpe

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Step 7 of the Ten Steps of Mother-Friendly Care insures that staff are knowledgeable about nondrug methods of pain relief and that analgesic or anesthetic drugs are not promoted unless required to correct a complication. The rationales for compliance and systematic reviews are presented on massage, hypnosis, hydrotherapy, and the use of opioids, regional analgesia, and anesthesia.Journal of Perinatal Education, 16(1-Supplement), 65S-73S, doi: 10.1624/105812407X173191 Keywords: hypnosis and labor, hypnotherapy and labor, massage and labor, complementary therapies and labor, hydrotherapy and labor, waterbirth, water and birth, nonpharmacological pain management, analgesia and labor, nurses and pain labor, back pain and therapy and labor, movement and labor, posture and labor, maternal satisfaction, complementary therapy, opioids, epidural analgesiaStep 7: Educates staff in nondrug methods of pain relief and does not promote the use of analgesic or anesthetic drugs not specifically required to correct a complication.Step 7: Educates staff in nondrug methods of pain relief: massage, hypnosis, hydrotherapy.For a description and discussion of the methods used to determine the evidence basis of the Ten Steps of Mother-Friendly Care, see this issue's ''Methods'' article by Henci Goer on pages 5S-9S. Nondrug Pain Relief Rationale for Compliance Evidence GradeIn contrast to medication, there is minimal to no risk of adverse side effects from nondrug methods of pain relief. Massage, hypnosis, and hydrotherapy have been shown to provide significant benefits. a In addition, the implementation of comfort measures, cognitive strategies, and other self-efficacy techniques can contribute to a woman's sense of mastery over the birth experience and, therefore, her satisfaction with herself and that experience (Lowe, 2002). Nondrug pain relief methods can be used alone or in conjunction with medicinal modes of pain relief and, as such, should be available to all laboring women in all settings. NEH (Continued )Step 7: Pain Relief | Leslie, Romano, & Woolley 65S (Cyna, 2004;Huntley, 2004;Smith, 2003). Quality: A Quantity:A (2 meta-analyses) Consistency:B (The Smith metaanalysis found no difference in pain relief, although 2 of the 3 individual studies did.) d pain less severe than those not using hypnosis (Cyna, 2004;Huntley, 2004). Quality:greater maternal satisfaction with pain relief (Smith, 2003).A (meta-analysis) Consistency:A d shorter duration of labor (Cyna, 2004). Quality: A Quantity:A (meta-analysis) Consistency:reduced need for augmentation of labor with oxytocin (Cyna, 2004;Smith, 2003). Quality: A Quantity:A (meta-analysis) Consistency:A EXCLUDED STUDIESAndersen, B., Gyghagen, M., & Nielsen, T. (1996). Warm bath during labour. Effects on labour duration and The benefits of continuous labor support from a trained or experienced woman can be found in Step 1 on p. 12S. The benefits of freedom of movement and nonsupine positioning for pushing and birth can be found in Step 4 on pp. 25S-27S. Nondrug methods such as ...

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Hydrotherapy in labor

Cited by 45 publications

References 43 publications

Banho quente de aspersão, exercícios perineais com bola suíça e dor no trabalho de parto

Banho quente de aspersão, exercícios perineais com bola suíça e dor no trabalho de parto

The Effects of Hydrotherapy on Anxiety, Pain, Neuroendocrine Responses, and Contraction Dynamics During Labor

Step 7: Educates Staff in Nondrug Methods of Pain Relief and Does Not Promote Use of Analgesic, Anesthetic Drugs

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