干旱区生态环境知识资源中心(Arid): Impact of waterbirth on post-partum hemorrhage, genital trauma, retained placenta and shoulder dystocia: A systematic review and meta-analysis

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DOI	10.1016/j.ejogrb.2022.06.016
	Impact of waterbirth on post-partum hemorrhage, genital trauma, retained placenta and shoulder dystocia: A systematic review and meta-analysis
	Cristina, Taliento; Mara, Tormen; Arianna, Sabattini; Gennaro, Scutiero; Rosaria, Cappadona; Pantaleo, Greco
通讯作者	Cristina, T
来源期刊	EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY
ISSN	0301-2115
EISSN	1872-7654
出版年	2022
卷号	276 页码:26-37
英文摘要	Background: There is insufficient high-quality evidence to either support or discourage water birth (WB). Objectives: To examine different maternal complications of WB compared to standard land birth (LB). The primary outcomes were postpartum hemorrhage and genital trauma. The secondary outcome included the risk of retained placenta and shoulder dystocia. Methods: We searched the electronic databases including PubMed, MEDLINE, Embase, Scopus, EBSCO. In addition, we searched in Google Scholar and ClinicalTrials.gov. The pooled results were used to evaluate the association between WB and obstetric outcomes. This systematic review (SR) was reported according to PRISMA statement 2020. Statistical meta-analyses were performed using Cochrane RevMan version 5.4 software (http:// www.cochrane.org). Results: This systematic review included 22 studies (20 observational studies and 2 RCT). The pooled results showed lower risk of major PPH compared to the LB group (OR = 0.76, 95% CI: 0.66-0.89), no significant difference (OR: 0.94, 95% CI: 0.50-1.78) in the incidence of minor PPH (500-1000 mL blood loss) between WB and LB, no significant difference in the rate of third- and fourth-degree lacerations (OR = 0.87, 95% CI: 0.71-1.07) and in the incidence of retained placenta (OR = 1.30, 95% CI: 0.50-3,35), fewer shoulder dystocia for WB (OR = 0.42, 95% CI: 0.35-0.50). However, compared with the LB group, the rate of first-second-degree tears in the WB group increased by 45% (OR = 1.45, 95% CI: 1.16-1.81). Conclusion: We support ACOG guidelines recommendation for further RCT to assess the impact of water immersion during delivery on maternal outcomes.
英文关键词	Waterbirth OASIS Post-partum hemorrhage Birthing pool Water immersion Labor
类型	Review
语种	英语
收录类别	SCI-E
WOS记录号	WOS:000827327600005
WOS关键词	NEONATAL OUTCOMES ; BIRTH ; RISK ; WOMEN ; DELIVERIES ; INJURIES
WOS类目	Obstetrics & Gynecology ; Reproductive Biology
WOS研究方向	Obstetrics & Gynecology ; Reproductive Biology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/392560
推荐引用方式 GB/T 7714	Cristina, Taliento,Mara, Tormen,Arianna, Sabattini,et al. Impact of waterbirth on post-partum hemorrhage, genital trauma, retained placenta and shoulder dystocia: A systematic review and meta-analysis[J],2022,276:26-37.
APA	Cristina, Taliento,Mara, Tormen,Arianna, Sabattini,Gennaro, Scutiero,Rosaria, Cappadona,&Pantaleo, Greco.(2022).Impact of waterbirth on post-partum hemorrhage, genital trauma, retained placenta and shoulder dystocia: A systematic review and meta-analysis.EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY,276,26-37.
MLA	Cristina, Taliento,et al."Impact of waterbirth on post-partum hemorrhage, genital trauma, retained placenta and shoulder dystocia: A systematic review and meta-analysis".EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY 276(2022):26-37.