Maternal and neonatal infections and obstetrical outcome in water birth

Zanetti-Daellenbach, Rosanna; Tschudin, Sibil; Zhong, Xiao Yan; Holzgreve, Wolfgang; Lapaire, Olav; Hösli, Irène

doi:10.1016/j.ejogrb.2006.09.012

Cited by 44 publications

(90 citation statements)

References 26 publications

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“…Aspiration will occur only when the diving reflex fails, because of anesthesia or severe asphyxia or because of the inappropriate pool temperature. When we consider neonatal infection, several reported comparative studies, cohort studies and audits report no increased risk of infection to the newborn (5,19,21). This is also confirmed by the study that there were no documented neonatal infections.…”

Section: Discussionsupporting

confidence: 74%

“…or fetal outcome (5). The advantages of immersion in water during labour and/or birth include reduced pain, increased functional diameter of the true pelvis, increased quality of contractions, increased release of endorphins, decreased need for opiates, increased movement for the mother as well as improved positioning in different stages of labour (6).…”

Section: Abstract öZetmentioning

confidence: 99%

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The effects of immersion in water on labor, birth and newborn and comparison with epidural analgesia and conventional vaginal delivery

Mollamahmutoğlu¹,

Moraloğlu²,

Özyer³

et al. 2012

J Turkish German Gynecol Assoc

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Objective:To document the practice of labour in water, to assess the effects of water immersion during labor and/or birth (labour stages 1, 2 and 3) on maternal, fetal and neonatal wellbeing and to compare the outcomes and safety with conventional vaginal deliveries and deliveries with epidural analgesia. Material and Methods:Two-hundred and seven women electing for waterbirth (n=207) were compared with women having conventional vaginal deliveries (n=204) and vaginal deliveries with epidural analgesia (n=191). Demographic data, length of 1 st , 2 nd and 3 rd stage of labor, induction and episiotomy requirements, perineal trauma, apgar scores, NICU requirements and VAS scores were noted. Results:The 1 st stage of labor was shorter in waterbirths compared with vaginal delivery with epidural analgesia but the 2 nd and 3 rd stage of labor were shortest in patients having waterbirth compared with conventional vaginal delivery and vaginal delivery with epidural analgesia. Patients having waterbirth had less requirement for induction and episiotomy but had more perineal laceration. All women having waterbirths had reduced analgesia requirements and had lower scores on VAS. There was no difference in terms of NICU admission between the groups. Apgar scores were comparable in both groups. There were no neonatal deaths or neonatal infections during the study. Conclusion:The study demonstrates the advantages of labor in water in terms of reduction in 2 nd and 3 rd stage of labor, reduction in pain and obstetric intervention such as induction or amniotomy. (J Turkish-German Gynecol Assoc 2012; 13: 45-9) Key words: Water birth, analgesia, neonatal outcome Received: 15 September, 2011 Accepted: 22 November, 2011 Amaç: Suda doğum pratiğinin dökümentasyonu ve doğum travayı ve/veya doğum eylemi (doğumun birinci, ikinci ve üçüncü evresi) sırasında maternal, fetal ve yenidoğan iyilik hali üzerine etkilerini değerlendirerek, sonuçları ve güvenirlilik açısından epidural analjezi ile vajinal doğum ve konvansiyonel vajinal doğum sonuçları ile kıyas-lanması. Gereç ve Yöntemler:Suda doğum yapan ikiyüzyedi (n=207) kadın, konvansiyonel vajinal doğum yapan (n=204) ve epidural analjezi ile vajinal doğum yapan (n=191) kadınlarla kıyaslandı. Hastaların demografik verileri, doğum eyleminin 1., 2. ve 3. evresinin uzunluğu, indüksiyon ve epizyotomi ihtiyacı, perine travması, yenidoğanın apgar skorlaması, yoğun bakım ihtiyacı ve VAS skorları değerlendirildi. Bulgular:Konvansiyonel vajinal doğum ve epidural analjezi ile vajinal doğum yapanlarla kıyaslandığında suda doğuranlarda, doğumun 1. evresi kısalmakla birlikte özellikle 2. ve 3. evrelerin çok kısalmış olduğu görüldü. Suda doğum yapan hastalarda oksitosin ihtiyacı belirgin olarak daha azdı, epizyotomi oranı da daha düşüktü fakat daha fazla perineal laserasyon saptandı. Suda doğum yapan kadınların hepsinde analjezi ihtiyacı azalmıştı ve VAS skorları düşüktü. Gruplar arasında yenidoğan yoğun bakım ihtiyacı açısından fark yoktu. Apgar skorları benzerdi. Çalışma dönemi boyunca hiç yenidoğ...

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Section: Discussionsupporting

confidence: 74%

Section: Abstract öZetmentioning

confidence: 99%

The effects of immersion in water on labor, birth and newborn and comparison with epidural analgesia and conventional vaginal delivery

Mollamahmutoğlu¹,

Moraloğlu²,

Özyer³

et al. 2012

J Turkish German Gynecol Assoc

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show abstract

“…In the analysed material water delivery had an effect in significantly shortening the duration of the labour stages in the study group comparing to the control group. Similar results were presented by other authors [8,16]. The duration of the II stage of labour determines the risk of neonate hypoxia.…”

Section: W Yn Ik Isupporting

confidence: 79%

“…In the study the children's general condition evaluated by the Apgar score in the 1 st and 5 th minute of life did not vary significantly between the analysed groups of newborns. Similar observations were made by Zanetti--Daellenbach et al and Otigbah et al as well [16,17]. Nonetheless, the other authors observed a lower Apgar score in the 1 st minute of life among newborns born in water [18,19].…”

Section: W Yn Ik Isupporting

confidence: 72%

The influence of water birth on newborns' condition in early adaptation period

Szymkowiak

Surmiak

Baumert

et al. 2017

Ann. Acad. Med. Siles.

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WstępW ostatnich latach obserwuje się stały wzrost zainteresowania ciężarnych alternatywnymi technikami porodu. Metodą, która daje kobiecie możliwość przyjmowania dowolnej pozycji w trakcie porodu, a także zmniejsza częstość epizjotomii i ogranicza stosowanie środków przeciwbólowych oraz rozkurczowych, jest immersja wodna. Technika ta wiąże się z lepszą tolerancją bólu u rodzących i prowadzi do skrócenia okresów porodu. Pomimo tych zalet, istnieją liczne badania kwestionujące korzystny wpływ porodu do wody na dobrostan noworodków.Materiał i metodyRetrospektywną analizą objęto 210 noworodków urodzonych w immersji wodnej i 412 noworodków urodzonych metodą tradycyjną na Oddziale Neonatologii w Katowicach w okresie od stycznia 2012 do grudnia 2013 r.WynikiPierwszy i drugi okres porodu u kobiet rodzących w immersji wodnej był istotnie krótszy w porównaniu z czasem porodu kobiet rodzących metodą tradycyjną. U dzieci z porodu wodnego istotnie rzadziej stwierdzano sinicę wybroczynową twarzy w porównaniu z noworodkami z grupy kontrolnej. Nie wykazano różnic w częstości występowania zaburzeń okresu adaptacyjnego oraz trudności w karmieniu piersią pomiędzy analizowanymi noworodkami. Częstość występowania krwawień do- i okołokomorowych, krwawień do nadnerczy, zamartwicy urodzeniowej, a także konieczność prowadzenia zabiegów resuscytacyjnych po porodzie nie różniły się pomiędzy dziećmi z obu grup.WnioskiPoród w immersji wodnej związany jest z istotnym skróceniem poszczególnych okresów porodu. Nie zwiększa prawdopodobieństwa wystąpienia u noworodków zaburzeń okresu adaptacyjnego.

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“…He was 20 years ahead of his time when he stated that "the solution to pollution is dilution." Recent studies that looked at group B Streptococcus exposure to babies born in water revealed that the tendency was for less colonization of bacteria on the water babies compared to the land-born babies (Zanetti-Dällenbach et al, 2007).…”

Section: Infection In Newborns Following Water Birthmentioning

confidence: 99%