Hot off the press! Evidence Based Births review of the evidence - TopicsExpress



          

Hot off the press! Evidence Based Births review of the evidence regarding water birth. For women, there are several benefits associated with waterbirth. There is strong evidence that waterbirth is associated with a lower episiotomy rate, and that women who use waterbirth will have higher rates of intact perineum and use less medicine for pain relief. The benefits or risks for the newborn are less clear, but so far the evidence shows fewer or equal NICU admission rates for waterbirth babies compared to babies born on land. There have been rare case reports of breathing problems or infections in infants after waterbirth, but these risks have not been seen in the large, recent, prospective studies on waterbirth. The ACOG/AAP opinion statement on waterbirth contained major scientific errors and was an inaccurate and incomplete review of the literature. Their opinion statement should not be relied upon to make informed decisions about the availability of waterbirth for women. Based on the data that we have, waterbirth is a reasonable option for low-risk women during childbirth, provided that they understand the potential benefits and risks. If women have a strong desire for waterbirth, and there are experienced care providers who are comfortable in attending waterbirths, then at this time there is no evidence to deny women this option of pain relief. Although we need more research on waterbirth, the available research shows that universal bans on waterbirth are not evidence-based. evidencebasedbirth/waterbirth
Posted on: Fri, 11 Jul 2014 01:14:02 +0000

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