Evidence map›Paper›PMID 29961561›Full record

Observational studyMidwifery2018

Culture, bathing and hydrotherapy in labor: An exploratory descriptive pilot study.

Rebecca Benfield, Margaret M Heitkemper, Edward R Newton

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Midwifery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
4.7field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 27 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Rebecca BenfieldCollege of Nursing, Health Sciences Building, East Carolina University, Greenville, NC 27834, United States. Electronic address: rebecca.benfield@unlv.edu.
Margaret M HeitkemperDirector - Center for Women's Health, Biobehavioral Nursing and Health Systems, Box 357266, University of Washington, Seattle WA 98195-7266, United States. Electronic address: heit@u.washington.edu.
Edward R NewtonDivision of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Brody School of Medicine, East Carolina University, Greenville NC 27834, United States. Electronic address: NEWTONED@ecu.edu.
East Carolina University · USNeurobehavioral Systems · US

Funding

The Effects of Hydrotherapy on Anxiety and Pain in LaborK01NR008385 · NINR · EAST CAROLINA UNIVERSITY · PI BENFIELD, REBECCA D · 2003 to 2005
$266k
NINR NIH HHS K01 NR008385
6 · The paper itself

Abstract

objectiveThough bathing (hydrotherapy) is widely used during labor to decrease anxiety and pain and to promote relaxation, the influence of cultural beliefs about bathing by parturients is virtually unknown. This pilot study explored pregnant women's experiences of bathing, bathing in labor, and cultural beliefs about bathing.

designAn exploratory, descriptive design.

settingLow risk obstetrical clinics.

participantsHealthy Hispanic, Black, White, American-Indian and Asian women (N = 41) at >37 weeks gestation.

methodsDuring a routine prenatal visit women responded to a brief openended questionnaire on the use of bathing. Data was captured using a modified ethnographic method involving observation and note taking with thematic analysis and quantification of percent response rates.

findingsForty-six percent (N = 41) of women used bathing for purposes other than hygiene but only 4.9% (N = 41) of these women bathed during a previous labor. The women described bathing as relaxing, easing, calming, and efficacious for relief of menstrual cramps and labor contractions. Ten percent of women reported cultural beliefs about bathing.

conclusionsWomen who bathe, report relief of anxiety, menstrual and labor pain and promotion of mental and physical relaxation. The findings do not support the view that bathing is associated with identifiable cultural beliefs; rather, they suggest that bathing is a self-care measure used by women. This practice is likely transmitted from generation to generation by female elders through the oral tradition. Assumptions that race or ethnicity precludes the use of bathing may be faulty. Cautionary instructions should be given to pregnant women who are <37 completed weeks of gestation, to avoid bathing for relief of cramping or contractions and to seek immediate health care evaluation. Study of culturally intact groups may uncover additional themes related to bathing in labor and as a self-care measure for dysmenorrhea.

Indexed as

AdolescentAdultBathsCulturally Competent CareFemaleHumansHydrotherapyLabor, ObstetricPilot ProjectsPregnancySelf CareSurveys and QuestionnairesCultureDysmenorrheaHydrotherapyImmersionPainParturition

Identifiers

PMID29961561
PMCPMC7104660
OpenAlexW2808200817

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.