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Patient Satisfaction During Physiological Water or Land Birth: a Prospective Study in an French Tertiary Maternity Unit.

Recruiting
Conditions
Water Birth
Interventions
Procedure: waterbirth
Registration Number
NCT06441370
Lead Sponsor
Tourcoing Hospital
Brief Summary

A study will be carried out to compare the level of satisfaction and psychological state of women who give birth in water with those who give birth out of water.

The aim is to demonstrate the benefits of water birth and justify its place in the healthcare offering.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
Female
Target Recruitment
1200
Inclusion Criteria
  • Major patient
  • Social security beneficiary
  • Presence of a companion
  • Delivery greater than or equal to 37 weeks of amenorhoea
  • Spontaneous labor
  • Cephalic presentation
  • Physiological delivery by woman's choice according to 2017 HAS criteria (French recommendations)
Exclusion Criteria
  • Patient under court protection
  • Patient under guardianship or curatorship
  • Placement of an epidural
  • Language barrier
  • Unexpected delivery (unwanted by the woman)
  • Scarred uterus
  • Meconium fluid
  • Maternal pathologies: epilepsy, MS (depending on neurological opinion), diabetes (types 1 and 2), herpes infection, HIV, HBV, HCV
  • History of delivery hemorrhage > 1L
  • History of shoulder dystocia/clavicle fracture
  • Metrorrhagia
  • Administration of nalbuphine within 2 hours of birth.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
women with water birthswaterbirth-
Primary Outcome Measures
NameTimeMethod
Perceived control over childbirthThis questionnaire will be achieved by participating women within 3 days postpartum, before discharge from the maternity ward.

The "perception of control over childbirth" dimension of the QEVA (Quality and Experience of Childbirth), a long version with a total of 6 dimensions. The score associated with the "perception of control over childbirth" dimension is obtained by averaging responses to items 8, 10, 11, 12, 14 and 18 of the questionnaire. The response to each of these items is coded on a Likert scale from 1 to 4, with a high value corresponding to poor control.

Secondary Outcome Measures
NameTimeMethod
Dimension of the quality and experience of childbirth within 2 months of deliveryThis questionnaire is to be completed within 2 months of delivery.

The scores associated with the 5 other dimensions of the QEVA questionnaire:

* Expectations, defined by items 9, 15 and 20;

* Sensory experience, defined by items 3 and 16;

* Relationship with caregivers, defined by items 5, 6, 7 and 13;

* Emotions, defined by items 1, 2, 4, 21, 22, 23 and 24;

* First moments with baby, defined by items 17, 18 and 19; Answers to the questions are coded on Likert scales from 1 to 4. Each score is calculated by averaging the responses to the questions in the dimension in question.

Anxiety and depression at 2 months of delivery.This questionnaire is to be completed within 2 months of delivery.

The Edinburgh Postnatal Depression Scale (EPDS) will be used to assess anxiety and depression and depression at 2 months postpartum in order to screen for possible postpartum depression.

Dimension of the quality and experience of childbirth within 3 days of deliveryThis questionnaire is to be completed within 3 days of delivery, before discharge from the maternity hospital.

The scores associated with the 5 other dimensions of the QEVA questionnaire:

* Expectations, defined by items 9, 15 and 20;

* Sensory experience, defined by items 3 and 16;

* Relationship with caregivers, defined by items 5, 6, 7 and 13;

* Emotions, defined by items 1, 2, 4, 21, 22, 23 and 24;

* First moments with baby, defined by items 17, 18 and 19; Answers to the questions are coded on Likert scales from 1 to 4. Each score is calculated by averaging the responses to the questions in the dimension in question.

Trial Locations

Locations (1)

Tourcoing Hospital

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Tourcoing, Hauts De France, France

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