Water Birth
Conditions
Brief summary
A study will be carried out to compare the level of satisfaction and psychological state of women who give birth in water with those who give birth out of water. The aim is to demonstrate the benefits of water birth and justify its place in the healthcare offering.
Interventions
waterbirth: laboured for all or part of the first stage of labour and remained in the water for birth of newborn
Sponsors
Study design
Eligibility
Inclusion criteria
* Major patient * Social security beneficiary * Presence of a companion * Delivery greater than or equal to 37 weeks of amenorhoea * Spontaneous labor * Cephalic presentation * Physiological delivery by woman's choice according to 2017 HAS criteria (French recommendations)
Exclusion criteria
* Patient under court protection * Patient under guardianship or curatorship * Placement of an epidural * Language barrier * Unexpected delivery (unwanted by the woman) * Scarred uterus * Meconium fluid * Maternal pathologies: epilepsy, MS (depending on neurological opinion), diabetes (types 1 and 2), herpes infection, HIV, HBV, HCV * History of delivery hemorrhage \> 1L * History of shoulder dystocia/clavicle fracture * Metrorrhagia * Administration of nalbuphine within 2 hours of birth.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Perceived control over childbirth | This questionnaire will be achieved by participating women within 3 days postpartum, before discharge from the maternity ward. | The perception of control over childbirth dimension of the QEVA (Quality and Experience of Childbirth), a long version with a total of 6 dimensions. The score associated with the perception of control over childbirth dimension is obtained by averaging responses to items 8, 10, 11, 12, 14 and 18 of the questionnaire. The response to each of these items is coded on a Likert scale from 1 to 4, with a high value corresponding to poor control. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Dimension of the quality and experience of childbirth within 3 days of delivery | This questionnaire is to be completed within 3 days of delivery, before discharge from the maternity hospital. | The scores associated with the 5 other dimensions of the QEVA questionnaire: * Expectations, defined by items 9, 15 and 20; * Sensory experience, defined by items 3 and 16; * Relationship with caregivers, defined by items 5, 6, 7 and 13; * Emotions, defined by items 1, 2, 4, 21, 22, 23 and 24; * First moments with baby, defined by items 17, 18 and 19; Answers to the questions are coded on Likert scales from 1 to 4. Each score is calculated by averaging the responses to the questions in the dimension in question. |
| Dimension of the quality and experience of childbirth within 2 months of delivery | This questionnaire is to be completed within 2 months of delivery. | The scores associated with the 5 other dimensions of the QEVA questionnaire: * Expectations, defined by items 9, 15 and 20; * Sensory experience, defined by items 3 and 16; * Relationship with caregivers, defined by items 5, 6, 7 and 13; * Emotions, defined by items 1, 2, 4, 21, 22, 23 and 24; * First moments with baby, defined by items 17, 18 and 19; Answers to the questions are coded on Likert scales from 1 to 4. Each score is calculated by averaging the responses to the questions in the dimension in question. |
| Anxiety and depression at 2 months of delivery. | This questionnaire is to be completed within 2 months of delivery. | The Edinburgh Postnatal Depression Scale (EPDS) will be used to assess anxiety and depression and depression at 2 months postpartum in order to screen for possible postpartum depression. |
Countries
France