Experiences of water immersion during childbirth: a qualitative thematic synthesis

Abstract Background The 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 c...

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Main Authors: 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, B. Castelló-Zamora, N. Burgos-Alonso, A. Moreno-Rodríguez, N. Hernández-Tejada, C. Koetsenruyter
Format: Article
Language:English
Published: BMC 2023-05-01
Series:BMC Pregnancy and Childbirth
Subjects:
Online Access:https://doi.org/10.1186/s12884-023-05690-7
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author 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
B. Castelló-Zamora
N. Burgos-Alonso
A. Moreno-Rodríguez
N. Hernández-Tejada
C. Koetsenruyter
author_facet 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
B. Castelló-Zamora
N. Burgos-Alonso
A. Moreno-Rodríguez
N. Hernández-Tejada
C. Koetsenruyter
author_sort E. Reviriego-Rodrigo
collection DOAJ
description Abstract Background The 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. Methods A 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. Results Thirteen 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. Conclusions The 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.
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spelling doaj.art-2141a4c6be2d47ac865620b6bd2cd0a52023-06-04T11:41:23ZengBMCBMC Pregnancy and Childbirth1471-23932023-05-0123111810.1186/s12884-023-05690-7Experiences of water immersion during childbirth: a qualitative thematic synthesisE. Reviriego-Rodrigo0N. Ibargoyen-Roteta1S. Carreguí-Vilar2L. Mediavilla-Serrano3S. Uceira-Rey4S. Iglesias-Casás5A. Martín-Casado6A. Toledo-Chávarri7G. Ares-Mateos8S. Montero-Carcaboso9B. Castelló-Zamora10N. Burgos-Alonso11A. Moreno-Rodríguez12N. Hernández-Tejada13C. Koetsenruyter14Osteba, Health Technology Assessment, Knowledge Management and Evaluation, Basque Foundation for Health Innovation and Research (BIOEF)Osteba, Health Technology Assessment, Knowledge Management and Evaluation, Basque Foundation for Health Innovation and Research (BIOEF)La Plana University HospitalOsakidetza, OSI Debabarrena, Mendaro HospitalHospital da BarbanzaHospital do SalnésUniversidad Internacional de La Rioja UNIRCanary 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)Pediatrics Department, Hospital Universitario Rey Juan CarlosOsakidetza, OSI Debabarrena, Mendaro HospitalDocumentary of the Department of Health of the Basque Government, Territorial Delegation of Health of BizkaiaDepartment of Preventive Medicine and Public Health, Faculty of Medicine and Nursery, UPV/EHU, ESOsakidetza, OSI Araba, Hospital TxagorritxuPeople with Intellectual DisabilitiesMayan Center, Maternity, Yoga and AccompanimentAbstract Background The 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. Methods A 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. Results Thirteen 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. Conclusions The 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.https://doi.org/10.1186/s12884-023-05690-7Natural childbirthWaterbirthWater ImmersionChildbirthLabor
spellingShingle 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
B. Castelló-Zamora
N. Burgos-Alonso
A. Moreno-Rodríguez
N. Hernández-Tejada
C. Koetsenruyter
Experiences of water immersion during childbirth: a qualitative thematic synthesis
BMC Pregnancy and Childbirth
Natural childbirth
Waterbirth
Water Immersion
Childbirth
Labor
title Experiences of water immersion during childbirth: a qualitative thematic synthesis
title_full Experiences of water immersion during childbirth: a qualitative thematic synthesis
title_fullStr Experiences of water immersion during childbirth: a qualitative thematic synthesis
title_full_unstemmed Experiences of water immersion during childbirth: a qualitative thematic synthesis
title_short Experiences of water immersion during childbirth: a qualitative thematic synthesis
title_sort experiences of water immersion during childbirth a qualitative thematic synthesis
topic Natural childbirth
Waterbirth
Water Immersion
Childbirth
Labor
url https://doi.org/10.1186/s12884-023-05690-7
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