Mellado-García Elena, Díaz-Rodríguez Lourdes, Cortés-Martín Jonathan, Sánchez-García Juan Carlos, Piqueras-Sola Beatriz, Rodríguez-Blanque Raquel
Research Group CTS-1068, Andalusia Research Plan, Junta de Andalucía, 18014 Granada, Spain.
Costa del Sol Health District, 29640 Fuengirola, Spain.
J Clin Med. 2023 Aug 28;12(17):5617. doi: 10.3390/jcm12175617.
Hydrotherapy is a technique used for pain management during labour, but its safety for both the mother and foetus remains uncertain.
The main aim of this study is to determine whether the use of hydrotherapy in the first stage of labour is safe for both the mother and newborn.
A retrospective observational study was conducted to collect data from the partogram, maternal and neonatal history.
A total of 377 women who gave birth at the Costa del Sol Hospital in Malaga between January 2010 and December 2020 were randomly selected. They were divided into a control group (253 women) and an intervention group (124 women) that used hydrotherapy in the first stage of labour. There were no significant differences between the groups in terms of age, history of previous miscarriages, type of delivery, or newborn weight. The results showed that most women who opted for hydrotherapy were nulliparous, and the use of hydrotherapy during labour was safe for both the mother and foetus. There were no significant differences in the variables of maternal arterial hypotension, postpartum haemorrhage, postpartum maternal fever, foetal complications, neonatal admission, 1 and 5 min Apgar scores, umbilical arterial or venous pH, or foetal cardiotocographic recording. However, there was a significant difference ( = 0.005) in the rate of breastfeeding among mothers who opted for hydrotherapy (96% vs. 85.7%).
The use of hydrotherapy during the first stage of labour is safe and is associated with increased breastfeeding rates compared to conventional delivery.
水疗法是一种用于分娩期间疼痛管理的技术，但其对母亲和胎儿的安全性仍不确定。
本研究的主要目的是确定在分娩第一阶段使用水疗法对母亲和新生儿是否安全。
进行一项回顾性观察研究，从产程图、母亲和新生儿病史中收集数据。
随机选取了2010年1月至2020年12月在马拉加太阳海岸医院分娩的377名妇女。她们被分为对照组（253名妇女）和干预组（124名妇女），干预组在分娩第一阶段使用水疗法。两组在年龄、既往流产史、分娩类型或新生儿体重方面无显著差异。结果表明，选择水疗法的大多数妇女为初产妇，分娩期间使用水疗法对母亲和胎儿均安全。在母亲动脉低血压、产后出血、产后母亲发热、胎儿并发症、新生儿入院、1分钟和5分钟阿氏评分、脐动脉或静脉pH值或胎儿心动图记录等变量方面无显著差异。然而，选择水疗法的母亲中母乳喂养率存在显著差异（P = 0.005）（96%对85.7%）。
分娩第一阶段使用水疗法是安全的，与传统分娩相比，母乳喂养率有所提高。
