Harper Barbara
J Perinat Educ. 2021 Jul 1;30(3):128-134. doi: 10.1891/J-PE-D-21-00011.
The number of hospitals globally that offer water birth has increased exponentially during the past 10 years. This article examines some of the reasons for this increase as well as the objections to water birth by The American College of Obstetricians and Gynecologists, raised in their 2014 and 2016 opinion statements. The amount of research has also increased as more hospitals are keeping track of their data and publishing both prospective studies and retrospective analyses. The effects of water birth on the neonate are discussed through three meta-analyses from 2015, 2016, and 2018. The challenges and recommendations on continuing the use of water during labor and birth as a nonpharmacologic comfort measure even during a global pandemic are highlighted and supported by the best available evidence.
在过去10年里，全球提供水中分娩服务的医院数量呈指数级增长。本文探讨了这种增长的一些原因，以及美国妇产科医师学会在其2014年和2016年的意见声明中提出的对水中分娩的反对意见。随着越来越多的医院跟踪其数据并发表前瞻性研究和回顾性分析，相关研究数量也有所增加。通过2015年、2016年和2018年的三项荟萃分析，讨论了水中分娩对新生儿的影响。强调了即使在全球大流行期间，在分娩过程中持续使用水作为非药物性舒适措施所面临的挑战和建议，并得到了现有最佳证据的支持。
