Women are showing a growing interest in less medicalized childbirth. According to the french 2021 perinatal survey, 52.2% of women want to limit medical procedures and 38.2% of women want childbirth without epidural anesthesia. Between 77 and 82% of deliveries nevertheless lead to an epidural anesthesia. The painful feeling seems to be the main motivation for using this mode of anesthesia.
In the scientific literature, few data from clinical studies focus on the effects of immersion in water during childbirth. The analgesic effects of immersion in water to lessen the painful experience are yet to be proven. The opening of a physiological delivery room with a bathtub at the Saint-Etienne University Hospital since October 2020 provides data that has not been exploited yet and could make possible to answer the question of the analgesic effects of immersion in water during labour. The difficulties of analysis and the subjectivity of the painful feeling led us to consider the request of epidural anesthesia as the main analysis criterion.
Study Type
OBSERVATIONAL
Enrollment
249
General data will be collected to ensure that both groups are comparable : maternal age, maternal BMI, gestational age, parity, number of children in current pregnancy, history of caesarian section, newborn child weight
Other data collected will be used to estimate primary and secondary outcomes : request for an epidural anesthesia by the parturient, medical indication for peridural anesthesia, duration of childbirth, delivery methods, occurrence of maternal or neonatal complications.
CHU Saint Etienne
Saint-Etienne, France
Number of requests for epidural anesthesia by parturients
Retrospective collection of medical data from the computer software Easily in Saint-Etienne university hospital center.
Time frame: Day 0
Duration of the first stage of childbirth
Retrospective collection of medical data from the computer software Easily in Saint-Etienne university hospital center.
Time frame: Day 0
Duration of the second stage of childbirth
Retrospective collection of medical data from the computer software Easily in Saint-Etienne university hospital center.
Time frame: Day 0
Duration of the third stage of childbirth
Retrospective collection of medical data from the computer software Easily in Saint-Etienne university hospital center.
Time frame: Day 0
Number of instrumental extractions
Retrospective collection of medical data from the computer software Easily in Saint-Etienne university hospital center.
Time frame: Day 0
Number of caesareans
Retrospective collection of medical data from the computer software Easily in Saint-Etienne university hospital center.
Time frame: Day 0
Number and degree of perineal tear
Retrospective collection of medical data from the computer software Easily in Saint-Etienne university hospital center.
Time frame: Day 0
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Use of episiotomy by the obstetrical team
Retrospective collection of medical data from the computer software Easily in Saint-Etienne university hospital center.
Time frame: Day 0
Estimated postpartum hemorrhagic volume and occurrence of postpartum hemorrhage
Retrospective collection of medical data from the computer software Easily in Saint-Etienne university hospital center.
Time frame: Day 0
Apgar score (Appearance, Pulse, Grimace, Activity, Respiration) from 0 to 10 of the child at birth
Retrospective collection of medical data from the computer software Easily in Saint-Etienne university hospital center. At 5 minutes a score of 7 to 10 is considered normal; a score of 4 to 6 is intermediate and a score of 0 to 3 is low.
Time frame: Day 0
Arterial pH measured at the umbilical cord
Retrospective collection of medical data from the computer software Easily in Saint-Etienne university hospital center.
Time frame: Day 0
Number of neonatal resuscitation
Retrospective collection of medical data from the computer software Easily in Saint-Etienne university hospital center.
Time frame: Day 0