=> [Français]
=> [Português]

Database - Alliance francophone pour l'accouchement respecté (AFAR)

Record ID : 1995
Created on : 26/09/2006
Modified on : 2/12/2007

Modify this record
Do not follow this link unless you know the admin password!

URL of this record : http://afar.info/id=1995

=> hard

Author(s) :

Zanetti-Dällenbach R, Lapaire O, Maertens A, Holzgreve W, Hösli I.

Year of publication :

2006

Bibliographical entry (without author) :

Water birth, more than a trendy alternative: a prospective, observational study. {Suisse}. Archives of Gynecology and Obstetrics 2006;274(6):355-365.

Résumé (français) :

Abstract (English):

OBJECTIVE: To prospectively assess the effect of water birth on maternal and fetal outcomes in a selected low-risk collective of a tertiary obstetrical unit.

METHOD: In this prospective observational study, 513 patients of a low-risk collective, who requested a water birth, were studied during the years 1998–2002. Primary outcome measurements included the maternal and fetal parameters. Secondary outcome measurements comprised data on the incidence of water births in an interested, low-risk population in an academic hospital.

RESULT: All groups were similar in terms of demographic and obstetric data. Significant differences were observed in maternal outcome parameters, which included the use of analgesia/anesthesia during labor, the duration of first and second stages of labor, perineal tears and episiotomy rate. No differences were seen in all observed fetal outcome parameters including APGAR scores, arterial and venous pH, admission rate to neonatal intensive care unit and infection rate.

CONCLUSION: Water birth is a valuable and promising alternative to traditional delivery methods. The maternal and fetal outcomes were similar to traditional land births. However, currently there still exist some deficits in the scientific evaluation of its safety. Therefore, the selection of a low-risk collective is essential to minimize the risks with the addition of strictly maintained guidelines and continuous intrapartum observation and fetal monitoring. Based on our results and the literature, water births are justifiable when certain criteria are met and risk factors are excluded.

Sumário (português):

URL :

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=AbstractPlus&list_uids=168

Comments :

Argument (français) :


Argument (English):

Argumento (português):

Keywords :

alternative birth (waterbirth,...) ; perineal/vaginal tears ; pain ; duration of labour ; episiotomy ; epidural

Author of this record :

C. Loup

New expert query ---  New simple query

Creating new record

This database is managed by Alliance francophone pour l'accouchement respecté (AFAR, http://afar.info)
affiliated with Collectif interassociatif autour de la naissance (CIANE, http://ciane.net).
It is fed by the voluntary contributions of persons interested in the sharing of scientific data.
If you agree with this project, you can support us in several ways:
(1) becoming a member of AFAR
(2) financially supporting AFAR
(3) contributing to this database if you have a minimum training in scientific documentation.