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Preparing Women for Homebirth
Published in Mary Nolan, Shona Gore, Contemporary Issues in Perinatal Education, 2023
We advise women to think about getting a pool. We are great advocates for the use of water in labour, with 60% of women we care for using water to relieve pain in labour and a home waterbirth rate of 50%. We know that immersion in water can make labour quicker and more straightforward. Women also report high levels of satisfaction with using a pool for labour and/or birth (Cluett & Burns, 2009). When the pool arrives, we advise the couple to practise inflating it and to check that the attachments fit the tap – both things they will not want to struggle with for the first time once in labour! Linked with water for pain relief is the issue of entonox (gas and air). Most multiparous women will have used entonox at some point in their previous labour and are relieved to know that it will be available at home.
The Forensic Pathological Aspects of Deaths Due to Drowning and Bodies Recovered from Fluid Environments
Published in Kevin L. Erskine, Erica J. Armstrong, Water-Related Death Investigation, 2021
Newborn infants or fetuses recovered from toilets or other fluid-filled confined spaces such as bathtubs, basins, and buckets, may represent death resulting from natural causes including prematurity or various other maternal-fetal pathologies, obstetrical complications with unattended home delivery of an otherwise healthy viable infant, precipitous delivery with accidental drowning, or concealed delivery with accidental drowning or outright homicidal drowning. Because of the inherent physical disparity between a caretaker and an infant or even a small child, child abuse by homicidal drowning, or in conjunction with blunt force trauma and asphyxia such as suffocation, is an additional important consideration.51 Infant mortality arising from the complications stemming from water birth, a method of easing the birthing process, has also been reported. The autopsy workup in water birth deaths in particular necessitates the identification of not only evidence of breathing but also complications associated with drowning, near-drowning, and infection. 52,53
Birth choices in Eastern Europe and Russia
Published in Hannah Dahlen, Bashi Kumar-Hazard, Virginia Schmied, Birthing Outside the System, 2020
Daniela Drandić, Nicholas Rubashkin, Tamara Sadovaya, Svetlana Illarionova
At the same time, the work of Tamara’s Centre showed good outcomes. None of the women or babies had complications in birth or with their health as a result of having a homebirth. Despite this, the Centre endured multiple investigations from the Department of Health between 2002 and 2006. At the end of 2006, Tamara reached an agreement with the Head of Moscow obstetrics. They agreed to develop the first birth space in Moscow where a woman could birth in a home-like environment with the support of a Centre midwife. The practice of the Centre changed. In hospital, women were offered a wait-and-see philosophy of care, limited routine interventions, free movement in labour, the ability to use a bath and have a water birth, routine skin-to-skin for mother and baby for at least one hour after birth, delayed cord cutting and supported to breastfeed on demand. This same project, ‘Gentle Birth’, is now offered in 12 different maternity hospitals in Moscow and in some other cities in Russia. Since 2007, Tamara’s Centre has had more than 7000 births with a caesarean section rate below 12% and significantly lower use of syntocinon and epidural anaesthesia compared with Moscow city maternity hospitals. Most importantly, the Centre’s outcomes include healthy babies and high maternal satisfaction with the birth experience.
Reproductive Healthcare Access and Genetic Testing Decision-Making Among Women With Increased Likelihood of Having a Child With Autism
Published in Women's Reproductive Health, 2023
Andrea L. DeMaria, Chandler Dykstra, Hannah King, Riley Felicicchia, Bridgette L. Kelleher, Carolyn E. B. McCormick
In contrast with choosing care based on distance and convenience, some participants chose HCPs who offered multiple services. One participant recalled being more concerned about what reproductive health services were offered, as she explained, “I chose it due to proximity and, um, because they will allow you to have a water birth. It’s like the only place in [my city].” Similarly, one woman utilized a “private clinic or a clinic you know five minutes up the way.” This participant had chosen what was local but also preferred the experience and services provided, voicing her satisfaction as, “Oh they do fantastic. They helped deliver our daughter when she was born. They’re a great clinic.” Another woman noted, “It wasn’t my regular hospital, I had a hospital that was closer by but I went to that one just cause I like the care that they gave me,” emphasizing quality of care and services over convenience. Additionally, a participant described receiving reproductive healthcare in same clinic as all her other healthcare services as, “it’s very helpful.” This highlighted the importance of convenience and, more specifically, a team-based health approach to women’s healthcare.
Water Immersion During the Labour and Effects on Oxidative Stress
Published in Fetal and Pediatric Pathology, 2020
Umit Yasemin Sert, Sule Ozel, Salim Neselioglu, Ozcan Erel, Yaprak Engin Ustun
Using water during labor and birth is contentious among health professionals. For the proponents of this approach, the advantages of water birth are preferred for uncomplicated pregnancies. Recently published data show no significant benefit of water immersion except a minimal effect on labor length and conflicting results on pain intensity, which is an important factor creating doubt for the widespread use of this technique [19].
Effect of hot shower application on pain anxiety and comfort in the first stage of labor: A randomized controlled study
Published in Health Care for Women International, 2022
It is known from the very ancient years that hydrotherapy reduces birth pain. The National Institute for Health and Care Excellence (NICE) (2017) of Britain recommends hydrotherapy practices at delivery and water birth in the guideline on intrapartum care for healthy women and babies (NICE, 2017).