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    Obstetric and neonatal outcomes for women intending to use immersion in water for labour and birth in Western Australia (2015–2016): A retrospective audit of clinical outcomes

    Access Status
    Fulltext not available
    Authors
    Lewis, Lucy
    Hauck, Yvonne
    Butt, Janice
    Hornbuckle, J.
    Date
    2018
    Type
    Journal Article
    
    Metadata
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    Citation
    Lewis, L. and Hauck, Y. and Butt, J. and Hornbuckle, J. 2018. Obstetric and neonatal outcomes for women intending to use immersion in water for labour and birth in Western Australia (2015–2016): A retrospective audit of clinical outcomes. The Australian and New Zealand Journal of Obstetrics and Gynaecology. xx: pp. 1-9.
    Source Title
    The Australian and New Zealand Journal of Obstetrics and Gynaecology
    DOI
    10.1111/ajo.12758
    ISSN
    0004-8666
    School
    School of Nursing, Midwifery and Paramedicine
    URI
    http://hdl.handle.net/20.500.11937/65779
    Collection
    • Curtin Research Publications
    Abstract

    Background: Research supports water immersion for labour if women are healthy, with no obstetric or medical risk factors. Aims: To evaluate the obstetric and neonatal outcomes of women intending to use immersion in water for labour or birth. Methods: Retrospective audit of clinical outcomes for women intending to labour or birth in water conducted between July 2015 and June 2016, at a tertiary maternity hospital in Western Australia. Obstetric and neonatal data were collected from medical records. Multivariable logistic regression was utilised to investigate women who laboured in water stratified by those who birthed in water. Results: A total of 502 women intended to labour or birth in water; 199 (40%) did not and 303 (60%) did. The majority of women using water immersion (179 of 303; 59%) birthed in water. Multiparous women were more likely than primparous to birth in water (73% vs 46%; P < 0.001). Women who birthed in water were at increased odds of: a first stage labour =240 min (odds ratio (OR) 2.56, 95% CI 1.34–4.87, P = 0.004); a second stage =60 min (OR 3.53, 95% CI 1.82–6.84, P < 0.000); a third stage labour of 11–30 min (OR 2.15, 95% CI 1.23–3.78, P = 0.008); and having an intact perineum (OR 3.10, 95% CI 1.70–5.64, P < 0.000). Conclusion: Not all women who set out to labour and birth in water achieve their aim. There is a need for high-quality collaborative research into this option of labour and birth, so women can make an informed choice around this birth option.

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