AbbreviationsCTGcardiotocographyNICUneonatal intensive care unitNRSnumeric rating scaleNWBGnon‐waterbirth groupWBGwaterbirth groupKey MessageWaterbirth is associated with a lower frequency of perineal tears as well as fewer interventions and a more positive birth experience compared with conventional spontaneous vaginal births.IntroductionWaterbirth is associated with positive effects for the woman such as relaxation, pain relief and buoyancy effects, which facilitate mobility and a sense of control, leading to a positive birth experience . Randomized controlled studies with immersion in water, mostly during the first stage of labor, showed less need for anesthesia and a shorter duration of first stage of labor . A review, including mostly observational retrospective studies containing more than 31 000 waterbirths, noted no increased risk for either maternal infections or postpartum hemorrhage at waterbirth .Reports of the incidence of perineal tears in waterbirth are contradictory, and perineal protection using hands is used to varying degrees in water . A review of 38 studies containing 31 453 waterbirths concluded that waterbirth was associated with a higher incidence of an intact perineum and, if lacerations did occur in water, they were less severe than in conventional births , whereas a recent retrospective cohort study, including 6521 waterbirths and 10 290 conventional births, comparing any perineal laceration with
Acta Obstetricia Et Gynecologica Scandinavica – Wiley
Published: Jan 1, 2018
Keywords: ; ; ; ;
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