Vattenförlossning - En deskriptiv retrospektiv journalgranskning med fokus på maternellt och neonatalt förlossningsutfall
Sammanfattning: Background: The current collective research about water birth shows no increased risk for the mother and the child as compared to low risk conventional birth. Internationally, the evidence value of the existing research can be interpreted differently, which can lead to differences in guidelines regarding water birth. There are no national guidelines for water birth in Sweden yet and The National Board of Health and Welfare in Sweden has previously discouraged from this birthing method.Aim: The aim of this study was to describe maternal and neonatal outcome following water birth at a Swedish university hospital.Method: This quality control project used a quantitative retrospective study design collecting data through medical record review. Journals containing the diagnose code water birth during 2017 – 2018 were included. The result is presented with descriptive statistics.Result: A total of 64 journals were reviewed. One primipara was diagnosed with a third-degree perineal tear and 4,9% of the women had a blood loss >1000 ml two hours postpartum. One manual placenta removal was conducted. In those journals where the birth experience was described, the majority of the women were satisfied. There were no findings of postpartum infection, episiotomy or umbilical cord avulsion. One newborn had an Apgar Score <7 in five minutes. One newborn was admitted to a neonatal intensive care unit. In 15 journals a note was found that they wished to give birth in water. Documented detection of risk level was only found in 28,2% of the journals.Conclusions: Although this study is a quality control project, comparisons have been made with previous research, showing that the result shows no increased risk for low risk patients birthing in water. However, further studies needs to be conducted in the Swedish setting and local guidelines for practice, including criteria, needs to be developed as an assurance for the care givers and the expecting mothers.Keywords: Water birth, maternal outcome, neonatal outcome, informed choice.
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