Key Laboratory for Experimental Teratology of Ministry of Education, Department of Histology & Embryology, School of Basic Medical Sciences, Shandong University, Jinan, Shandong 250012, China.
Department of Obstetrics and Gynecology, Jinan Maternity and Child Care Hospital, Jinan, Shandong 250001, China.
J Healthc Eng. 2022 Mar 29;2022:7429207. doi: 10.1155/2022/7429207. eCollection 2022.
In many maternal settings, water delivery is widely available for women who do not have an increased risk of complications during childbirth. Soaking in water during labor has been associated with a number of maternal benefits. However, the situation of water birth is not well known, there is lack of hard evidence on safety, and little is known about the characteristics of women who give birth in water. In this paper, we have explored the effects of water delivery compared to the conventional delivery on the health of mothers and babies. For this purpose, clinical trials were conducted including women in labor, in which participants were treated with water labor or conventional labor, respectively, in the experimental and control group. In this analysis, we have selected 17 eligible studies which included 175654 participants. Compared to the conventional birth group, the risk of Apgar score <7 at 5 min of age in the water birth group dropped by 28% (OR = 0.72, 95% CI: 0.52-1.00, = 25%, =0.05). Also, the duration of labor was shorter the in water birth group whatever the labor stage was. The patients who underwent water birth showed an obviously lower rate of neonatal intensive care unit (NICU) admission (OR = 0.58, 95% CI: 0.39-0.86, = 53%, =0.007). In this meta-analysis, it was seen that water delivery has clinical significance in alleviating the pain of mothers, promoting the safety of mothers and infants, and reducing postpartum complications.
在许多产妇环境中，对于分娩过程中没有增加并发症风险的女性，广泛提供水中分娩。分娩时浸泡在水中与许多产妇受益相关。然而，水中分娩的情况并不为人所知，缺乏安全性的确凿证据，而且对在水中分娩的女性的特征知之甚少。在本文中，我们探讨了与常规分娩相比，水中分娩对母婴健康的影响。为此，进行了临床试验，包括分娩中的女性，其中参与者分别在实验组和对照组中接受水中分娩或常规分娩。在这项分析中，我们选择了 17 项符合条件的研究，其中包括 175654 名参与者。与常规分娩组相比，水中分娩组在 5 分钟龄时的 Apgar 评分<7 的风险降低了 28%（OR=0.72，95%CI：0.52-1.00， = 25%，=0.05）。此外，无论分娩阶段如何，水中分娩组的分娩时间都更短。接受水中分娩的患者进入新生儿重症监护病房（NICU）的比例明显降低（OR=0.58，95%CI：0.39-0.86， = 53%，=0.007）。在这项荟萃分析中，我们发现水中分娩在减轻母亲的疼痛、促进母婴安全和减少产后并发症方面具有临床意义。
