Delivery, Labor Pain
Conditions
Keywords
Water immersion, Waterbirth, Childbirth, Labor pain, Epidural anesthesia, Physiological delivery, Pregnant women, General medicine
Brief summary
Women are showing a growing interest in less medicalized childbirth. According to the french 2021 perinatal survey, 52.2% of women want to limit medical procedures and 38.2% of women want childbirth without epidural anesthesia. Between 77 and 82% of deliveries nevertheless lead to an epidural anesthesia. The painful feeling seems to be the main motivation for using this mode of anesthesia.
Detailed description
In the scientific literature, few data from clinical studies focus on the effects of immersion in water during childbirth. The analgesic effects of immersion in water to lessen the painful experience are yet to be proven. The opening of a physiological delivery room with a bathtub at the Saint-Etienne University Hospital since October 2020 provides data that has not been exploited yet and could make possible to answer the question of the analgesic effects of immersion in water during labour. The difficulties of analysis and the subjectivity of the painful feeling led us to consider the request of epidural anesthesia as the main analysis criterion.
Interventions
OTHERGeneral data
General data will be collected to ensure that both groups are comparable : maternal age, maternal BMI, gestational age, parity, number of children in current pregnancy, history of caesarian section, newborn child weight
OTHEROther data
Other data collected will be used to estimate primary and secondary outcomes : request for an epidural anesthesia by the parturient, medical indication for peridural anesthesia, duration of childbirth, delivery methods, occurrence of maternal or neonatal complications.
Sponsors
Centre Hospitalier Universitaire de Saint Etienne
Study design
Observational model
CASE_CONTROL
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
Yes
Inclusion criteria
* All women who used the physiological delivery room of the Saint-Etienne University Hospital between October 2020 and December 2022.
Exclusion criteria
* Absence of physiological desire for childbirth. * Medical indication for epidural anesthesia.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of requests for epidural anesthesia by parturients | Day 0 | Retrospective collection of medical data from the computer software Easily in Saint-Etienne university hospital center. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Duration of the second stage of childbirth | Day 0 | Retrospective collection of medical data from the computer software Easily in Saint-Etienne university hospital center. |
| Duration of the third stage of childbirth | Day 0 | Retrospective collection of medical data from the computer software Easily in Saint-Etienne university hospital center. |
| Number of instrumental extractions | Day 0 | Retrospective collection of medical data from the computer software Easily in Saint-Etienne university hospital center. |
| Number of caesareans | Day 0 | Retrospective collection of medical data from the computer software Easily in Saint-Etienne university hospital center. |
| Number and degree of perineal tear | Day 0 | Retrospective collection of medical data from the computer software Easily in Saint-Etienne university hospital center. |
| Duration of the first stage of childbirth | Day 0 | Retrospective collection of medical data from the computer software Easily in Saint-Etienne university hospital center. |
| Estimated postpartum hemorrhagic volume and occurrence of postpartum hemorrhage | Day 0 | Retrospective collection of medical data from the computer software Easily in Saint-Etienne university hospital center. |
| Apgar score (Appearance, Pulse, Grimace, Activity, Respiration) from 0 to 10 of the child at birth | Day 0 | Retrospective collection of medical data from the computer software Easily in Saint-Etienne university hospital center. At 5 minutes a score of 7 to 10 is considered normal; a score of 4 to 6 is intermediate and a score of 0 to 3 is low. |
| Arterial pH measured at the umbilical cord | Day 0 | Retrospective collection of medical data from the computer software Easily in Saint-Etienne university hospital center. |
| Number of neonatal resuscitation | Day 0 | Retrospective collection of medical data from the computer software Easily in Saint-Etienne university hospital center. |
| Use of episiotomy by the obstetrical team | Day 0 | Retrospective collection of medical data from the computer software Easily in Saint-Etienne university hospital center. |
Countries
France
Outcome results
None listed