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Outcomes of Maternal and Newborn in Waterbirth; A Review of 3-Year Medical Records in a Natural Birth Center
Journal of the Korean Society of Maternal and Child Health ; : 147-154, 2019.
Article in Korean | WPRIM | ID: wpr-758572
ABSTRACT

PURPOSE:

This study aims to investigate the effects of waterbirth on the maternal delivery process and its safety on the newborn babies.

METHODS:

This study is a retrospective study, analyzing the medical records of pregnant women who gave birth at a natural birthing center in Seoul, Republic of Korea. The study compared and analyzed a total of 1,907 medical records of pregnant women, composed of 539 women who used a birthing pool and 1,160 women who did not use a birthing pool from 2015 to 2017. The collected data were analyzed by the chi-square test, Mann-Whitney U-test and Fisher exact test using SPSS ver. 22.0. The results are shown in the table below.

RESULTS:

The cesarean section rate was lower in the birthing pool use group, compared to the non-birthing pool use group (p=0.038), with the significantly lower cesarean section rate in birthing pool use group among primigravida women in particular (p=0.002). The birthing pool use group also used oxytocin less frequently than the non-birthing pool use group (p=0.001) And especially in primigravida women, the second stage of delivery in birthing pool use group was found to be shorter than that of the non-birthing pool use group (p=0.045). There were no significant differences in the neonatal Apgar score and the neonatal intensive care unit admission rate between the 2 groups.

CONCLUSION:

This study has its meaning as the first report in Korea that analyzes the effects of waterbirth on the maternal delivery process and its safety on the newborn babies.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Apgar Score / Oxytocin / Intensive Care, Neonatal / Cesarean Section / Medical Records / Retrospective Studies / Birthing Centers / Parturition / Pregnant Women / Republic of Korea Type of study: Observational study Limits: Female / Humans / Infant, Newborn / Pregnancy Country/Region as subject: Asia Language: Korean Journal: Journal of the Korean Society of Maternal and Child Health Year: 2019 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Apgar Score / Oxytocin / Intensive Care, Neonatal / Cesarean Section / Medical Records / Retrospective Studies / Birthing Centers / Parturition / Pregnant Women / Republic of Korea Type of study: Observational study Limits: Female / Humans / Infant, Newborn / Pregnancy Country/Region as subject: Asia Language: Korean Journal: Journal of the Korean Society of Maternal and Child Health Year: 2019 Type: Article