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Water births 'a valuable alternative' to normal deliveryFrom: Stmidwife@aol.comFri Sep 28 09:03:22 2007
Water births 'a valuable alternative' to normal delivery Source: European Journal of Obstetrics and Reproductive Biology 2007; 134: 37-43 Comparing maternal and fetal outcomes with water births versus conventional delivery. MedWire News: Women who choose a water birth tend to have quicker, less painful labors and do not put themselves or their babies at increased risk for infection or other complications. The findings come from a prospective observational study involving 368 pregnant women. All had a low risk for obstetric and maternal complications and were deemed eligible for a water birth. In the event, 89 delivered their babies in the pool, 133 used the pool temporarily but had a conventional birth, and 146 delivered spontaneously without immersion. The study authors, led by Rosanna Zanetti-Daellenbach (Women's University Hospital, Basel, Switzerland), compared the three groups with respect to obstetric outcomes. They found no differences in rates of maternal or neonatal infection or laboratory parameters. Fetal outcomes were also comparable among the groups, with no differences in Apgar scores, blood pH, and admission to intensive care. Some maternal outcomes differed, however, with the water-birth group having significantly less use of analgesia, shorter first and second stages of labor, and lower rates of episiotomy. "Water birth is a valuable alternative to traditional delivery," say the authors. "A careful selection of a low-risk collective is essential to minimize potential risks." Posted: 21 September 2007
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