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Re: water and birthFrom: Dr. Carlos Chase (drchase@caribnet.net)Wed Oct 18 13:22:00 1995
>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. My first concern would be to the protection of the attending staff from contamination by blood and liquor mixed water. Disposal of waste water. It seems there is an increased amount of body fluids to protect against and to treat. Are attending staff to be provided with water-proof body-suits for protection? Secondly, if maneuvering ( instrumentation, episiotomy) is required, exactly how is this to be accomplished under water where due to refraction, vision is distorted and may be obscured by blood/meconium. Thirdly, what is the purpose of this method of birth.
>Michael Klein, M.D., F.C.C.F.P., F.A.A.P.(Neonatal-Perinatal), A.B.F.P. Dr. Carlos Chase MBBS, DGO Department of Obstetrics and Gynaecology Queen Elizabeth Hospital Bridgetown Barbados E-mail: drchase@caribnet.net
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