Who Gives Birth in the Water? A Retrospective Cohort Study of Intended versus Completed Waterbirths

This study examines a cohort of women intending a hospital ‐based waterbirth and documents the timing and reasons for tub exit. Demographic, clinical, and intrapartum care provider characteristics among women completing waterbirth were compared with those who exited the water prior to birth.MethodsThis is a collaborative, multisite study from 2 health systems (8 hospitals) using retrospective electronic health records from August 2014 through December 2017.ResultsOf 576 women who entered the waterbirth tub, 48% exited prior to the birth. The primary reasons for exit were maternal choice (50%), medical indication (32%), and provider decision (13%). Women exiting in the first stage did so primarily by choice (57%), whereas medical indication (42%) was the most common reason among women exiting in the second stage. Women who completed waterbirth did not differ from those who exited prior to birth with regard to age, race, ethnicity, country of origin, language, marital status, or intrapartum care provider specialty. Women completing waterbirth were more likely to have previously given birth (72% vs 47%) and to have a provider with more water immersion births during the study period (65% vs 55%).DiscussionGiving birth in the tub was associated with parity and intrapartum care provider experience. Half of the women intending waterbirth in this study exited the tub, with variation in exit reason by stage and provider type. It is important for women to understand that they or thei...

Source: Journal of Midwifery and Women's Health - April 9, 2019 Category: Midwifery Authors: Abbey C. Sidebottom, Marc Vacquier, Kathrine Simon, Patricia Fontaine, Dawn Dahlgren ‐Roemmich, Barbara Hyer, Jody Jackson, Shannon Steinbring, Whitney Wunderlich, Lisa Saul Tags: Original Research Source Type: research