Immersion in water during labor and delivery.

Abstract:

:Immersion in water has been suggested as a beneficial alternative for labor, delivery, or both and over the past decades has gained popularity in many parts of the world. Immersion in water during the first stage of labor may be associated with decreased pain or use of anesthesia and decreased duration of labor. However, there is no evidence that immersion in water during the first stage of labor otherwise improves perinatal outcomes, and it should not prevent or inhibit other elements of care. The safety and efficacy of immersion in water during the second stage of labor have not been established, and immersion in water during the second stage of labor has not been associated with maternal or fetal benefit. Given these facts and case reports of rare but serious adverse effects in the newborn, the practice of immersion in the second stage of labor (underwater delivery) should be considered an experimental procedure that only should be performed within the context of an appropriately designed clinical trial with informed consent. Facilities that plan to offer immersion in the first stage of labor need to establish rigorous protocols for candidate selection, maintenance and cleaning of tubs and immersion pools, infection control procedures, monitoring of mothers and fetuses at appropriate intervals while immersed, and immediately and safely moving women out of the tubs if maternal or fetal concerns develop.

journal_name

Pediatrics

journal_title

Pediatrics

authors

American Academy of Pediatrics Committee on Fetus and Newborn.,American College of Obstetricians and Gynecologists Committee on Obstetric Practice.

doi

10.1542/peds.2013-3794

subject

Has Abstract

pub_date

2014-04-01 00:00:00

pages

758-61

issue

4

eissn

0031-4005

issn

1098-4275

pii

peds.2013-3794

journal_volume

133

pub_type

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