Influence of Immersion in Water During Labor on the Request of Epidural Anesthesia by Pregnant Women

Completed

• Conditions: Labor Pain; Delivery
• Interventions: Other: General data; Other: Other data

• Registration Number: NCT06036277
• Lead Sponsor: Centre Hospitalier Universitaire de Saint Etienne

Brief Summary

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.

Detailed Description

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.

Study Timeline

• Study Start: 2023-05-01
• Primary Completion: 2023-06-30
• Study Completion: 2023-06-30
• Status Verified: 2023-07
• Study First Submitted: 2023-08-21
• Study First Submitted QC: 2023-09-12
• Last Update Submitted: 2023-09-12
• Study First Posted: 2023-09-13
• Last Update Posted: 2023-09-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 249

Inclusion Criteria

• All women who used the physiological delivery room of the Saint-Etienne University Hospital between October 2020 and December 2022.

Exclusion Criteria

• Absence of physiological desire for childbirth.
• Medical indication for epidural anesthesia.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Experimental group	Other data	Women who wish to give birth without epidural anesthesia and have benefited of water immersion during labor
Control group	General data	Women who wish to give birth without epidural anesthesia and have not benefited of water immersion during labor
Experimental group	General data	Women who wish to give birth without epidural anesthesia and have benefited of water immersion during labor
Control group	Other data	Women who wish to give birth without epidural anesthesia and have not benefited of water immersion during labor

Primary Outcome Measures

Name	Time	Method
Number of requests for epidural anesthesia by parturients	Day 0	Retrospective collection of medical data from the computer software Easily in Saint-Etienne university hospital center.

Secondary Outcome Measures

Name	Time	Method
Duration of the first stage of childbirth	Day 0	Retrospective collection of medical data from the computer software Easily in Saint-Etienne university hospital center.
Number of instrumental extractions	Day 0	Retrospective collection of medical data from the computer software Easily in Saint-Etienne university hospital center.
Arterial pH measured at the umbilical cord	Day 0	Retrospective collection of medical data from the computer software Easily in Saint-Etienne university hospital center.
Apgar score (Appearance, Pulse, Grimace, Activity, Respiration) from 0 to 10 of the child at birth	Day 0	Retrospective collection of medical data from the computer software Easily in Saint-Etienne university hospital center.; At 5 minutes a score of 7 to 10 is considered normal; a score of 4 to 6 is intermediate and a score of 0 to 3 is low.
Number of caesareans	Day 0	Retrospective collection of medical data from the computer software Easily in Saint-Etienne university hospital center.
Number and degree of perineal tear	Day 0	Retrospective collection of medical data from the computer software Easily in Saint-Etienne university hospital center.
Number of neonatal resuscitation	Day 0	Retrospective collection of medical data from the computer software Easily in Saint-Etienne university hospital center.
Duration of the second stage of childbirth	Day 0	Retrospective collection of medical data from the computer software Easily in Saint-Etienne university hospital center.
Duration of the third stage of childbirth	Day 0	Retrospective collection of medical data from the computer software Easily in Saint-Etienne university hospital center.
Use of episiotomy by the obstetrical team	Day 0	Retrospective collection of medical data from the computer software Easily in Saint-Etienne university hospital center.
Estimated postpartum hemorrhagic volume and occurrence of postpartum hemorrhage	Day 0	Retrospective collection of medical data from the computer software Easily in Saint-Etienne university hospital center.

Trial Locations

Locations (1)

CHU Saint Etienne; 🇫🇷 Saint-Étienne, France