Meta-Analysis: The Effect of Waterbirth Delivery Method on the Risk of Perineal Rupture
Abstract
Background: Waterbirth is the process of giving birth in a tub or pool of warm water which starts from a baby born in water and is brought to the surface. Waterbith has an effect on reducing maternal morbidity because it can have a relaxing effect and relieve pain during labor. However, the practice is still controversial in several countries. This study aimed to determine the effect of water birth method delivery with the risk of perineal rupture with a meta-analysis of primary studies linked through previous researchers.
Subjects and Method: This study was a systematic review and meta-analysis study following the PICO, population: Women in labor. Intervention: Waterbirth. Comparison: other delivery methods besides water birth. Results: Perineal rupture articles used in this study were obtained from 4 databases such as Google Schoolar, Semantic Schoolar, Pubmed, and Science Direct. Keywords to search for articles including: waterbirth" OR "water birth" OR "water-birth" OR "water" OR "birth in water" OR "birth underwater" OR "underwater birth" OR "birthing pool" AND ("labour" OR "labor") AND "delivery") AND ("women" OR "woman" OR "mother" OR "mothers" OR "mother
References
Aughey H, Jardin J, Moitt N, Fearon K, Hawdon J, Pasupathy D, Urganci I, et al. (2021). Waterbirth: a national retrospective cohort study of factors associated with its use among women in England. BMC Pregnancy Childbirth. 21(1): 256. doi: 10.1186/s12884-021-03724-6.
Barry PL, McMahon LE, Banks RA, Fergus AM, Murphy DJ (2020). Prospective cohort study of water immersion for labour and birth compared with standard care in an Irish maternity setting. BMJ Open. 10(12): e038080. doi: 10.1136/bmjopen-2020-038080.
Baxter L (2006). What a difference a pool makes: Making choice a reality. BJOM. 14(6): 368-372. doi: 10.12968/bjom.2006.14.6.21192.
Bryers MH, Teijlingen EV (2010). Risk, theory, social and medical models: a critical analysis of the concept of risk in maternity care. J. Midw. 26(5): 488-496. doi: 10.1016/j.midw.2010.07.003.
Bovbjerg ML, Cheyney M, Everson C (2016). Maternal and Newborn Outcomes Following Waterbirth: The Midwives Alliance of North America Statistics Project, 2004 to 2009 Cohort. J. Midwifery Women's Health. 61(1): 11-20. doi: 10.1111/jmwh.12394.
Bovbjerg ML, Cheyney M, Caughey AB (2021). Maternal and neonatal outcomes following waterbirth: a cohort study of 17 530 waterbirths and 17 530 propensity score-matched land births. BJOG. 61(1): 1
Burns E, Price L, Carpenter J, Smith L (2020). Predictors of obstetric anal sphincter injury during waterbirth: a secondary analysis of a prospective observational study. Int. Urogynecol. J. 31(3): 651-656. doi: 10.1007/s00-192-019-04167-6.
Care Quality Commission and NHS. (2015). 2015 survey of women
CASP (2018). Critical appraisal skills programme cohort study checklist. Retrieved from https://casp-uk.net/wpcontent/uploads/2018/01/CASP-Cohort-Study-Checklist_2018.pdf.
Cluett ER, Burns E (2013). Immersion in water in labour and birth. Sao Paulo MedJ. 131(5): 364. doi: 10.1590/151-6-3180.20131315T2.
Cluett ER, Burns E, Cuthbert A (2018). Immersion in water during labour and birth. Cochrane Database Syst. Rev. 5(5): CD000111. doi: 10.1002/14651858.CD000111.pub4.
Committee on Obstetric Practice, American Academy of Pediatrics (2014). ACOG Committee Opinion no. 594: Immersion in water during labor and delivery. Obsgyn. 123(4):912
Cortes E, Basra R, Kelleher CJ (2011). Waterbirth and pelvic floor injury: a retrospective study and postal survey using ICIQ modular long form questionnaires. Eur. J. Obstet. Gynecol. Reprod. Biol. 155(1): 27
Dahlen HG, Dowling H, Tracy M, Schmied V, Tracy S (2013). Maternal and perinatal outcomes amongst low risk women giving birth in water com-pared to six birth positions on land. A descriptive cross sectional study in a birth centre over 12 years. J. Midw. 29(7): 759
Edqvist M, Blix E, Hegaard HK, Olafsdottir OA, Hildingsson, I, Ingversen K, et al. (2016). Perineal injuries and birth positions among 2992 women with a low-risk pregnancy who opted for a homebirth. BMC Pregnancy Childbirth. 16(1): 196. doi: 10.1186/s12884-016-0990-0.
Garland D (2017). Revisiting waterbirth: an attitude to care (Second edition.). London: Palgrave.
Health Service Executive (2017). Guideline on the Management of Water Birth. Retrived from: http://www.hse.ie/eng/services/list/3/maternity/New-Home-Birth-Policies-and-Procedures/HB013-Water-Birth-Guideline-HSE-Home-Birth-Services.pdf.
Henderson J, Burns EE, Regalia AL, Casarico G, Boulton MG, Smith LA (2014). Labouring women who used a birthing pool in obstetric units in Ita-ly: prospective observational study. BMC Pregnancy Childbirth. 14(17). doi: 10.1186/1471-2393-14-17.
Lim KM, Tong PS, Chong YS (2016). A comparative study between the pioneer cohort of waterbirths and conventional vaginal deliveries in an obstetricianled unit in Singapore. Taiwan J. Obstet. Gynecol. 55(3): 363-367. doi: 10.1016/j.tjog.2016.04.012.
Menakaya U, Albayati S, Vella E, Fenwick J, Angstetra D (2013). A retrospective comparison of water birth and conventional vaginal birth among women deemed to be low risk in a secondary level hospital in Australia. Women and birth: Aust. Coll. Midw. Inc. J. 26(2): 114
Neiman E, Austin E, Tan A, Anderson CM, Chipps E (2020). Outcomes of Waterbirth in a US Hospital-based midwifery practice: a retrospective cohort study of water immersion during labor and birth. J Midwives Womens Health. 65(2):216
Nutter E, Meyer S, Shaw-Battista J, Ma-rowitz A (2014). Waterbirth: an integrative analysis of peer-reviewed literature. J Midwifery Womens Health. 59(3): 286
Preston HL, Alfirevic Z, Fowler GE, Lane S (2019). Does water birth affect the risk of obstetric anal sphincter injury? Development of a prognostic model. Int. Urogynecol. J. 30(6): 909-915. doi: 10.1007/s00192-019-03879-z.
Smith LA, Price N, Simonite V, Burns EE (2013). Incidence of and risk factors for perineal trauma: a prospective observational study. BMC Pregnancy Childbirth. 13(59). doi: 10.1186/1471-2393-13-59.
Top B (2018). Midwifery care in labour guidance for all women in all settings [PDF file]. RCM Midw. Blue Top Guidance. 11(1): 1
Torkamani SA, Kangani F, Janani F (2010). The effects of delivery in water on duration of delivery and pain compared with normal delivery. Pak. J. Med. Sci. 26: 551
Ulfsdottir H, Saltvedt S, Georgsson S (2018). Waterbirth in Sweden - a comparative study. Acta Obstet. Gynecol. Scand. 97(3):341
