Indian Journal of Obstetrics and Gynecology Research

Innovative Education and Scientific Research Foundation

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Registered Under Government of India NGO – Indian Trust Act 1882

A case series on maternal and neonatal outcomes of hydrotherapy during labor and childbirth

Article : Open access

Article type : Case Report

Volume : 7

Issue : 2

Year : 2020

Author : Kavitha Gautham, Suthanthira Devi

Page no : 257-262

Abstract : Background: Hydrotherapy, is also called as aquatic or water therapy, and its benefits include improved muscle strength and endurance, increased joint range of motion and enhanced cardio respiratory functioning and reduced cardio metabolic risk profile. Utilization of hydrotherapy during labor and child birth is increasing globally among the educated public. Despite its exclusive benefits, data on its safety and outcomes are still lacking especially in India. Hence it is the need of the hour for the clinicians to discuss the potential benefits and safety of water birth and utilize it particularly for women with uncomplicated pregnancy who prefer physiological childbirth and wish to avoid the use of pharmacological pain relief methods. Objectives: To assess and validate about the maternal and neonatal outcomes of hydrobirthing from a series of parturients who volunteered for the utilization of hydrotherapy during labor and childbirth. Materials and Methods: This case series consist of 26 out of 33 pregnant women who opted for hydrobirthing between 1 December 2015 and 31 April 2019 at a tertiary care hospital with NABH accreditation. Booked cases with uncomplicated pregnancy and who were on regular antenatal check up, with gestational age >37 consent. The dataset was limited to vaginal delivery following spontaneous labor and included pre-specified outcomes such as labor pain, perineal tear , episiotomy, post partum hemorrhage (PPH), temperature after delivery and apgar scores of the new born to evaluate the maternal and fetal outcomes following hydrotherapy and the results were discussed. Conclusions: The present case series on hydro birthing has demonstrated that it is one among the safe natural mode of labor without any serious maternal and neonatal complications. Further study on a large scale with evaluation of long-term outcomes would help to generalise the observed outcomes of the present study. Keywords: Water birth, Delivery, Childbirth, Labor, Hydrotherapy, Birth options.