Influence of Immersion in Water During Labor on the Request of Epidural Anesthesia by Pregnant Women in Case of a Desire for Physiological Delivery
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 249
- 试验地点
- 1
- 主要终点
- Number of requests for epidural anesthesia by parturients
研究概览
简要总结
Women are showing a growing interest in less medicalized childbirth. According to the french 2021 perinatal survey, 52.2% of women want to limit medical procedures and 38.2% of women want childbirth without epidural anesthesia. Between 77 and 82% of deliveries nevertheless lead to an epidural anesthesia. The painful feeling seems to be the main motivation for using this mode of anesthesia.
详细描述
In the scientific literature, few data from clinical studies focus on the effects of immersion in water during childbirth. The analgesic effects of immersion in water to lessen the painful experience are yet to be proven. The opening of a physiological delivery room with a bathtub at the Saint-Etienne University Hospital since October 2020 provides data that has not been exploited yet and could make possible to answer the question of the analgesic effects of immersion in water during labour. The difficulties of analysis and the subjectivity of the painful feeling led us to consider the request of epidural anesthesia as the main analysis criterion.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Retrospective
入排标准
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •All women who used the physiological delivery room of the Saint-Etienne University Hospital between October 2020 and December 2022.
排除标准
- •Absence of physiological desire for childbirth.
- •Medical indication for epidural anesthesia.
结局指标
主要结局
Number of requests for epidural anesthesia by parturients
时间窗: Day 0
Retrospective collection of medical data from the computer software Easily in Saint-Etienne university hospital center.
次要结局
- Duration of the first stage of childbirth(Day 0)
- Number of instrumental extractions(Day 0)
- Arterial pH measured at the umbilical cord(Day 0)
- Apgar score (Appearance, Pulse, Grimace, Activity, Respiration) from 0 to 10 of the child at birth(Day 0)
- Number of caesareans(Day 0)
- Number and degree of perineal tear(Day 0)
- Number of neonatal resuscitation(Day 0)
- Duration of the second stage of childbirth(Day 0)
- Duration of the third stage of childbirth(Day 0)
- Use of episiotomy by the obstetrical team(Day 0)
- Estimated postpartum hemorrhagic volume and occurrence of postpartum hemorrhage(Day 0)