Evidence map›Paper›PMID 37248449›Full record

SynthesisBMC pregnancy and childbirth2023

Experiences of water immersion during childbirth: a qualitative thematic synthesis.

E Reviriego-Rodrigo, N Ibargoyen-Roteta, S Carreguí-Vilar, L Mediavilla-Serrano, S Uceira-Rey, S Iglesias-Casás, A Martín-Casado, A Toledo-Chávarri, G Ares-Mateos, S Montero-Carcaboso and 5 more

Registry-linked trialAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC pregnancy and childbirth, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06429111 (Effectiveness and Safety in Maternal and Neonatal Outcomes of Waterbirth Compared to Delivery in Women Using Epidural Analgesia), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT06429111 completednot on this map

Effectiveness and Safety in Maternal and Neonatal Outcomes of Waterbirth Compared to Delivery in Women Using Epidural Analgesia

TypeobservationalSponsorFundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat ValencianaRan2020 to 2023Enrolled642ConditionsNatural Childbirth, Water Birth, Neonatal Asphyxia, Outcome, Adverse BirthArmsEpidural analgesia, Immersion water
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
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

15 authors.

E Reviriego-RodrigoOsteba, Health Technology Assessment, Knowledge Management and Evaluation, Basque Foundation for Health Innovation and Research (BIOEF), Barakaldo-Bizkaia, Spain. ereviriego@bioef.eus.
N Ibargoyen-RotetaOsteba, Health Technology Assessment, Knowledge Management and Evaluation, Basque Foundation for Health Innovation and Research (BIOEF), Barakaldo-Bizkaia, Spain.
S Carreguí-VilarLa Plana University Hospital, Villarreal-Castellón, Spain.
L Mediavilla-SerranoOsakidetza, OSI Debabarrena, Mendaro Hospital, Mendaro-Gipuzkoa, Spain.
S Uceira-ReyHospital da Barbanza, Ribeira-A Coruña, Spain.
S Iglesias-CasásHospital do Salnés, Vilagarcía de Arousa-Pontevedra, Spain.
A Martín-CasadoUniversidad Internacional de La Rioja UNIR, Logroño-La Rioja, Spain.
A Toledo-ChávarriCanary Islands Health Research Institute Foundation, Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), The Spanish Network of Agencies for Health Technology Assessment and Services of the National Health System (RedETS), Madrid, Spain.
G Ares-MateosPediatrics Department, Hospital Universitario Rey Juan Carlos, Madrid, Spain.
S Montero-CarcabosoOsakidetza, OSI Debabarrena, Mendaro Hospital, Mendaro-Gipuzkoa, Spain.
B Castelló-ZamoraDocumentary of the Department of Health of the Basque Government, Territorial Delegation of Health of Bizkaia, Bilbao, Spain.
N Burgos-AlonsoDepartment of Preventive Medicine and Public Health, Faculty of Medicine and Nursery, UPV/EHU, ES, Leioa, Spain.
A Moreno-RodríguezOsakidetza, OSI Araba, Hospital Txagorritxu, Vitoria-Gasteiz, Spain.
N Hernández-TejadaPeople with Intellectual Disabilities, Vitoria-Gasteiz, Spain.
C KoetsenruyterMayan Center, Maternity, Yoga and Accompaniment, Bilbao, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe increasing demand for childbirth care based on physiological principles has led official bodies to encourage health centers to provide evidence-based care aimed at promoting women's participation in informed decision-making and avoiding excessive medical intervention during childbirth. One of the goals is to reduce pain and find alternative measures to epidural anesthesia to enhance women's autonomy and well-being during childbirth. Currently, water immersion is used as a non-pharmacological method for pain relief. This review aimed to identify and synthesize evidence on women's and midwives' experiences, values, and preferences regarding water immersion during childbirth.

methodsA systematic review and thematic synthesis of qualitative evidence were conducted. Databases were searched and references were checked according to specific criteria. Studies that used qualitative data collection and analysis methods to examine the opinions of women or midwives in the hospital setting were included. Non-qualitative studies, mixed-methods studies that did not separately report qualitative results, and studies in languages other than English or Spanish were excluded. The Critical Appraisal Skills Program Qualitative Research Checklist was used to assess study quality, and results were synthesized using thematic synthesis.

resultsThirteen studies met the inclusion criteria and were included in this review. The qualitative studies yielded three key themes: 1) reasons identified by women and midwives for choosing a water birth, 2) benefits experienced in water births, and 3) barriers and facilitators of water immersion during childbirth.

conclusionsThe evidence from qualitative studies indicates that women report benefits associated with water birth. From the perspective of midwives, ensuring safe water births requires adequate resources, midwives training, and rigorous standardized protocols to ensure that all pregnant women can safely opt for water immersion during childbirth with satisfactory results.

Indexed as

MidwiferyWaterDelivery, ObstetricFemaleHumansImmersionParturitionPregnancyQualitative ResearchWaterChildbirthLaborNatural childbirthWaterbirthWater Immersion

Identifiers

PMID37248449
PMCPMC10226235

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.