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water and birthFrom: Michael Klein (mklein@unixg.ubc.ca)Fri Oct 13 18:04:49 1995
To Midwifery and Obstetric Network List: We are in the midst of getting information on water labour and water birth. At the Birth Conference in Baltimore there was an excellent session given by Mary Renfrew that called for a great deal more information about what is actually going on and what the research implications might be. A letter published in Birth, September 1995, by Sheila Kitzinger, outlined a great deal of information that came out of the International Water Birth Conference in London. There is evidence of reduced use of anesthesia, improved perineal outcomes, fewer instrumental and cesarean section deliveries. Satisfaction obviously is high, but this is a very selected population. She referred to an analysis of the first 501 births in a hospital in Germany and the work of Michael Rosenthal, who used to be at the Family Birthing Center in Upland, Southern California, on the first 148 births there. In Britain there were 570 women delivered in water at Hillingdon Hospital since 1990 and there were reports from Malta, Denmark, and some fascinating physiological information from Oxford. Unfortunately, missing from Sheila Kitzinger's letter are the exact references. At this point, as we attempt to determine what is known and what is not known, what kind of studies need to be done, we would very much appreciate input regarding positive and negative experiences with both water labour and water birth. As well, we would very much appreciate any ideas that people might have regarding what should be measured, what outcomes. We look forward to hearing from you.
-- Michael Klein, M.D., F.C.C.F.P., F.A.A.P.(Neonatal-Perinatal), A.B.F.P. Professor Departments of Family Practice and Pediatrics University of British Columbia Head Departments of Family Practice British Columbia's Women's and Children's Hospitals Vancouver British Columbia, CANADA Tel: (604) 875-3441 Fax: (604) 875-3435 E-mail: mklein@unixg.ubc.ca
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