Use of hydrotherapy during labour: Assessment of pain, use of analgesia and neonatal safety

Mallen-Perez, Laura; Roé-Justiniano, M. Teresa; Ochoa, Núria Colomé; Colomat, Alicia Ferre; Palacio, Montse; Terré-Rull, Carme

doi:10.1016/j.enfcle.2017.10.006

Cited by 7 publications

(7 citation statements)

References 13 publications

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“…See online supplemental file 4 for the list of excluded studies and the reasons. One additional study was found via BMC updates, therefore, k=36 papers reporting on outcomes for 157 546 women were included into the review 13 30–64 Figure 1. illustrates the study selection process 16…”

Section: Resultsmentioning

confidence: 99%

Systematic review and meta-analysis to examine intrapartum interventions, and maternal and neonatal outcomes following immersion in water during labour and waterbirth

et al. 2022

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ObjectivesWater immersion during labour using a birth pool to achieve relaxation and pain relief during the first and possibly part of the second stage of labour is an increasingly popular care option in several countries. It is used particularly by healthy women who experience a straightforward pregnancy, labour spontaneously at term gestation and plan to give birth in a midwifery led care setting. More women are also choosing to give birth in water. There is debate about the safety of intrapartum water immersion, particularly waterbirth. We synthesised the evidence that compared the effect of water immersion during labour or waterbirth on intrapartum interventions and outcomes to standard care with no water immersion. A secondary objective was to synthesise data relating to clinical care practices and birth settings that women experience who immerse in water and women who do not.DesignSystematic review and meta-analysis.Data sourcesA search was conducted using CINAHL, Medline, Embase, BioMed Central and PsycINFO during March 2020 and was replicated in May 2021.Eligibility criteria for selecting studiesPrimary quantitative studies published in 2000 or later, examining maternal or neonatal interventions and outcomes using the birthing pool for labour and/or birth.Data extraction and synthesisFull-text screening was undertaken independently against inclusion/exclusion criteria in two pairs. Risk of bias assessment included review of seven domains based on the Robbins-I Risk of Bias Tool. All outcomes were summarised using an OR and 95% CI. All calculations were conducted in Comprehensive Meta-Analysis V.3, using the inverse variance method. Results of individual studies were converted to log OR and SE for synthesis. Fixed effects models were used when I2 was less than 50%, otherwise random effects models were used. The fail-safe N estimates were calculated to determine the number of studies necessary to change the estimates. Begg’s test and Egger’s regression risk assessed risk of bias across studies. Trim-and-fill analysis was used to estimate the magnitude of effect of the bias. Meta-regression was completed when at least 10 studies provided data for an outcome.ResultsWe included 36 studies in the review, (N=157 546 participants). Thirty-one studies were conducted in an obstetric unit setting (n=70 393), four studies were conducted in midwife led settings (n=61 385) and one study was a mixed setting (OU and homebirth) (n=25 768). Midwife led settings included planned home and freestanding midwifery unit (k=1), alongside midwifery units (k=1), planned homebirth (k=1), a freestanding midwifery unit and an alongside midwifery unit (k=1) and an alongside midwifery unit (k=1). For water immersion, 25 studies involved women who planned to have/had a waterbirth (n=151 742), seven involved water immersion for labour only (1901), three studies reported on water immersion during labour and waterbirth (n=3688) and one study was unclear about the timing of water immersion (n=215).Water immersion significantly reduced use of epidural (k=7, n=10 993; OR 0.17 95% CI 0.05 to 0.56), injected opioids (k=8, n=27 391; OR 0.22 95% CI 0.13 to 0.38), episiotomy (k=15, n=36 558; OR 0.16; 95% CI 0.10 to 0.27), maternal pain (k=8, n=1200; OR 0.24 95% CI 0.12 to 0.51) and postpartum haemorrhage (k=15, n=63 891; OR 0.69 95% CI 0.51 to 0.95). There was an increase in maternal satisfaction (k=6, n=4144; OR 1.95 95% CI 1.28 to 2.96) and odds of an intact perineum (k=17, n=59 070; OR 1.48; 95% CI 1.21 to 1.79) with water immersion. Waterbirth was associated with increased odds of cord avulsion (OR 1.94 95% CI 1.30 to 2.88), although the absolute risk remained low (4.3 per 1000 vs 1.3 per 1000). There were no differences in any other identified neonatal outcomes.ConclusionsThis review endorses previous reviews showing clear benefits resulting from intrapartum water immersion for healthy women and their newborns. While most included studies were conducted in obstetric units, to enable the identification of best practice regarding water immersion, future birthing pool research should integrate factors that are known to influence intrapartum interventions and outcomes. These include maternal parity, the care model, care practices and birth setting.PROSPERO registration numberCRD42019147001.

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Section: Resultsmentioning

confidence: 99%

Systematic review and meta-analysis to examine intrapartum interventions, and maternal and neonatal outcomes following immersion in water during labour and waterbirth

et al. 2022

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“…At the same time, the usefulness of complementary therapy and supportive care applications for women’s health has been proven by numerous studies 14 - 19 . As a result of these studies, it is stated that it can increase fertility 14 , reduce the perception of pain at labor 15 , 16 , prevent the formation of postpartum breast disorders 17 , improve mood disorders in women receiving infertility treatment 18 , and have mitigating effects on problems present during menopause 19 . The use of complementary treatment and supportive care practices, which are beneficial in all stages of women’s life, by health service providers, should be widespread and supported.…”

Section: Discussionmentioning

confidence: 99%

The knowledge and attitudes of health professionals working in mother-friendly hospitals about complementary therapy and supportive care methods

Bolsoy¹,

Bozhan-Tayhan²,

Durgun³

et al. 2022

Eur J Midwifery

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INTRODUCTION It is important that the healthcare professionals who are with the mother at the moment of birth and afterwards, know and apply effective complementary treatment and supportive care methods, and also know their effects and limitations. The aim of this study is to determine the knowledge levels and attitudes of health personnel about complementary therapy and supportive care methods to be used in the management of labor pain and postpartum period. METHODS A cross-sectional study included 142 midwives/nurses and physicians working in the delivery room and maternity services of mother-friendly hospitals in Manisa, Turkey, between August 2018 and April 2019. The questionnaire consisting of 25 questions evaluated the knowledge and attitudes of the participants about complementary therapy and supportive care methods. RESULTS It was found that 30.6% of the healthcare professionals participating in the study used complementary treatment and supportive care methods in their patients. The least heard method was chiropractic (6.6%), the best-known method was hydrotherapy (water birth) (5.8%) and the most used method was massage (14.0%). It was determined that the mean total attitude score of the healthcare workers on complementary treatment and supportive care methods was 18.57 ± 5.12 (range: 8–40). It was found that the education levels of healthcare professionals (z= -2.144, p<0.05) and the institutions affect (χ 2 =23.417; p<0.05) the attitude scores. CONCLUSIONS One out of every two healthcare professionals did not have information about complementary treatment and supportive care methods. Healthcare professionals mostly have positive opinions about these methods.

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“…At the same time, the usefulness of complementary therapy and supportive care applications for women's health has been proven by numerous studies [18][19][20][21][22][23]. As a result of these studies is stated that it can increase fertility [18], reduce the perception of pain at labor [19,20], prevent the formation of postpartum breast disorders [21], Improve mood disorders in women receiving infertility treatment [22], have mitigating effects on problems present during menopause [23]. The use of complementary treatment and supportive care practices, which are bene cial in all stages of women's life, by health service providers should be widespread and supported.…”

Section: Discussionmentioning

confidence: 99%

The Knowledge and Attitudes of Health Professionals Working in Mother-Friendly Hospitals About Complementary Therapy and Supportive Care Methods

Bolsoy

Tayhan

Durgun

et al. 2020

Preprint

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Background: It is important that the healthcare professionals who are with the mother at the moment of birth and afterwards know and apply effective complementary treatment and supportive care methods, their effects and limitations. The aim of this study is to determine the knowledge levels and attitudes of health personnel about complementary therapy and supportive care methods to be used in the management of labor pain and postpartum period.Methods: A descriptive study included 142 midwives / nurses and physicians working in the delivery room and maternity services of mother-friendly hospitals in Manisa. The questionnaire form consisting of 25 questions evaluated the knowledge and attitudes of the participants about complementary therapy and supportive care methods.Results: It was found that 30.6% of the healthcare professionals participating in the study used complementary treatment and supportive care methods in their patients. The least heard method was chiropractic (81.0%), the best known method was hydrotherapy (water birth) (5.8%). The most used method is massage with a rate of 14.0%. It was determined that the mean total attitude score of the healthcare workers on complementary treatment and supportive care methods was 18.57 ± 5.12 (min: 8, max: 40). A statistically significant difference was found between the education level and the institution they work for of healthcare professionals and their attitude scores (p <0.05). Conclusions: 1 out of every two healthcare professionals did not have information about complementary treatment and supportive care methods. It can be said that the use of these methods will increase with the learning desire and positive attitude of healthcare professionals.

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Use of hydrotherapy during labour: Assessment of pain, use of analgesia and neonatal safety

Cited by 7 publications

References 13 publications

Systematic review and meta-analysis to examine intrapartum interventions, and maternal and neonatal outcomes following immersion in water during labour and waterbirth

Systematic review and meta-analysis to examine intrapartum interventions, and maternal and neonatal outcomes following immersion in water during labour and waterbirth

The knowledge and attitudes of health professionals working in mother-friendly hospitals about complementary therapy and supportive care methods

The Knowledge and Attitudes of Health Professionals Working in Mother-Friendly Hospitals About Complementary Therapy and Supportive Care Methods

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