Document Detail


Maternal and neonatal infections and obstetrical outcome in water birth.
MedLine Citation:
PMID:  17092628     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: The goal of our study was to assess the effect of water birth on obstetrical outcome, the maternal and neonatal infection rate in a selected low risk collective. STUDY DESIGN: In this prospective observational study (1998-2002) 513 women, wished to have a water birth. The study was approved by the local ethical committee, informed consent was obtained. According to the course of delivery, we compared three groups: woman who had a water birth, a normal vaginal delivery after immersion and a normal vaginal delivery without immersion. Outcome measurements were maternal and fetal infection rate, obstetrical outcome parameters and relevant laboratory parameters. RESULTS: The groups were comparable in terms of demographic and obstetric data. The maternal and neonatal infection rate and laboratory parameters showed no significant difference among the groups. There was no maternal infection related to water birth. There were five water born neonates and three neonates after normal vaginal delivery preceded by immersion with conjunctivitis. Significant differences were observed in obstetrical outcome parameters: less use of analgesia, shorter duration of first and second stage of labor, smaller episiotomy rate in water birth. In contrast no differences were seen in all observed fetal outcome parameters: APGAR score, arterial and venous pH, admission rate to neonatal intensive care unit. CONCLUSIONS: Water birth is a valuable alternative to traditional delivery. The maternal and fetal infection rate was comparable to traditional deliveries. A careful selection of a low risk collective is essential to minimize potential risks.
Authors:
Rosanna A Zanetti-Daellenbach; Sibil Tschudin; Xiao Yan Zhong; Wolfgang Holzgreve; Olav Lapaire; Irene Hösli
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Publication Detail:
Type:  Journal Article     Date:  2006-11-07
Journal Detail:
Title:  European journal of obstetrics, gynecology, and reproductive biology     Volume:  134     ISSN:  0301-2115     ISO Abbreviation:  Eur. J. Obstet. Gynecol. Reprod. Biol.     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-10-23     Completed Date:  2008-01-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375672     Medline TA:  Eur J Obstet Gynecol Reprod Biol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  37-43     Citation Subset:  IM    
Affiliation:
Women's University Hospital Basel, Spitalstrasse 21, 4031 Basel, Switzerland. rzanetti@uhbs.ch
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MeSH Terms
Descriptor/Qualifier:
Adult
Apgar Score
Case-Control Studies
Conjunctivitis, Bacterial / etiology*
Female
Hospitals, Maternity
Humans
Immersion* / adverse effects
Infant, Newborn
Labor Stage, First / physiology
Labor Stage, Second / physiology
Natural Childbirth* / adverse effects,  methods
Pregnancy
Prospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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