Evidence map›Paper›PMID 38804428›Full record

ArticleNursing reports (Pavia, Italy)2024

Effects of Hydrotherapy on the Management of Childbirth and Its Outcomes-A Retrospective Cohort Study.

Elena Mellado-García, Lourdes Díaz-Rodríguez, Jonathan Cortés-Martín, Juan Carlos Sánchez-García, Beatriz Piqueras-Sola, Juan Carlos Higuero Macías, Raquel Rodríguez-Blanque

Abstract read
In one paragraph

Article in Nursing reports (Pavia, Italy), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

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

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

  1. Pooled it
  2. Article
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

7 authors.

Elena Mellado-GarcíaDepartment of Nursing, Faculty of Health Sciences, University of Granada, 18016 Granada, Spain.ORCID 0009-0001-5415-9960
Lourdes Díaz-RodríguezDepartment of Nursing, Faculty of Health Sciences, University of Granada, 18016 Granada, Spain.ORCID 0000-0001-7906-5656
Jonathan Cortés-MartínDepartment of Nursing, Faculty of Health Sciences, University of Granada, 18016 Granada, Spain.ORCID 0000-0002-4019-8555
Juan Carlos Sánchez-GarcíaDepartment of Nursing, Faculty of Health Sciences, University of Granada, 18016 Granada, Spain.ORCID 0000-0002-4650-2159
Beatriz Piqueras-SolaVirgen de las Nieves University Hospital, 18014 Granada, Spain.
Juan Carlos Higuero MacíasCosta del Sol University Hospital, 29603 Marbella, Spain.
Raquel Rodríguez-BlanqueDepartment of Nursing, Faculty of Health Sciences, University of Granada, 18016 Granada, Spain.ORCID 0000-0003-2086-1222

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The use of hydrotherapy during childbirth has gained relevance due to the demand for natural childbirth and greater respect for the woman's choice. Studies have shown benefits such as less use of epidural analgesia, increased ability to cope with pain, shorter labor, and a better overall birth experience.

objectiveThe main objective of this study was to generate further evidence on maternal and birth outcomes associated with the use of hydrotherapy during labor, specifically aiming to describe the effects of water immersion during all stages of labor (first, second, and third) on women. METHODOLOGY: A retrospective cohort study was carried out on a random sample of women who gave birth at the Costa del Sol Hospital between January 2010 and December 2020. The calculated sample size was 377 women and the data were extracted from their partograms. After data extraction, two groups were formed: one group used hydrotherapy during childbirth (

resultsThe results highlight significant differences in pain perception, analgesia use, types of labor, and delivery times between the two groups. Women who did not use hydrotherapy reported higher pain perception, with a median (IQR) of 8 (7-9) on a numerical scale, compared to a median (IQR) of 6 (5-7) for the hydrotherapy group. Furthermore, the group without hydrotherapy required epidural analgesia in 40% of cases, while in the hydrotherapy group, it was only necessary in 20%. In terms of the type of delivery, the hydrotherapy group had more spontaneous vaginal deliveries compared to the non-hydrotherapy group, which had more operative vaginal deliveries. The overall duration of labor was longer in the hydrotherapy group, especially in women who arrived at the hospital late in labor.

conclusionsHydrotherapy is associated with a longer time to delivery. Women with a higher pain tolerance tend to opt for hydrotherapy instead of epidural analgesia.

Indexed as

first labor stagehydrotherapyimmersionmaternal healthwaterbirth

Identifiers

PMID38804428
PMCPMC11130965

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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.