Neonatal Outcomes After Delivery in Water
To assess neonatal intensive care unit (NICU) admissions and neonatal outcomes after water birth or land birth in an alternative birthing center. We conducted a prospective observational study of preselected low-risk parturients separated into three groups depending on their location for labor and d...
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| Veröffentlicht in: | Obstetrics and gynecology (New York. 1953) 2021-10, Vol.138 (4), p.622-626 |
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| container_title | Obstetrics and gynecology (New York. 1953) |
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| creator | Lanier, Ariel L Wiegand, Samantha L Fennig, Kathleen Snow, E Kaye Maxwell, Rose A McKenna, David |
| description | To assess neonatal intensive care unit (NICU) admissions and neonatal outcomes after water birth or land birth in an alternative birthing center.
We conducted a prospective observational study of preselected low-risk parturients separated into three groups depending on their location for labor and delivery: land-land, water-land, and water-water. Delivery outcomes, labor length, maternal pain assessment, need for newborn resuscitation, and NICU admission and diagnoses were collected. The primary outcome was admission to the NICU.
There were 2,077 total deliveries from April 2015 to December 2019, consisting of 458 land-land deliveries, 730 water-land deliveries, and 889 water-water deliveries. The rate of NICU admission was 2.8% (95% CI 1.5-4.8%) for land-land deliveries, 4.1% (2.8-5.8%) for water-land deliveries, and 2.0% (1.2-3.2%) for water-water deliveries. A post hoc power analysis revealed a 70% power to detect a 2.1% difference in NICU admissions between the water-land and water-water groups.
In this cohort of low-risk pregnant women, births in water and on land were associated with similar rates of admission to the NICU. |
| doi_str_mv | 10.1097/AOG.0000000000004545 |
| format | Article |
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We conducted a prospective observational study of preselected low-risk parturients separated into three groups depending on their location for labor and delivery: land-land, water-land, and water-water. Delivery outcomes, labor length, maternal pain assessment, need for newborn resuscitation, and NICU admission and diagnoses were collected. The primary outcome was admission to the NICU.
There were 2,077 total deliveries from April 2015 to December 2019, consisting of 458 land-land deliveries, 730 water-land deliveries, and 889 water-water deliveries. The rate of NICU admission was 2.8% (95% CI 1.5-4.8%) for land-land deliveries, 4.1% (2.8-5.8%) for water-land deliveries, and 2.0% (1.2-3.2%) for water-water deliveries. A post hoc power analysis revealed a 70% power to detect a 2.1% difference in NICU admissions between the water-land and water-water groups.
In this cohort of low-risk pregnant women, births in water and on land were associated with similar rates of admission to the NICU.</description><identifier>ISSN: 0029-7844</identifier><identifier>EISSN: 1873-233X</identifier><identifier>DOI: 10.1097/AOG.0000000000004545</identifier><identifier>PMID: 34623074</identifier><language>eng</language><publisher>United States</publisher><subject><![CDATA[Adult ; Birthing Centers - statistics & numerical data ; Cohort Studies ; Delivery, Obstetric - methods ; Delivery, Obstetric - statistics & numerical data ; Female ; Hospitalization - statistics & numerical data ; Humans ; Infant, Newborn ; Intensive Care Units, Neonatal - statistics & numerical data ; Natural Childbirth - statistics & numerical data ; Pain - epidemiology ; Pregnancy ; Pregnancy Outcome - epidemiology ; Prospective Studies ; Resuscitation - statistics & numerical data ; Water]]></subject><ispartof>Obstetrics and gynecology (New York. 1953), 2021-10, Vol.138 (4), p.622-626</ispartof><rights>Copyright © 2021 by the American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c353t-e36ccf872464c003c65b6fb20808de96e13f140cf8c0e954b9fb63ace4ee2cf53</citedby><cites>FETCH-LOGICAL-c353t-e36ccf872464c003c65b6fb20808de96e13f140cf8c0e954b9fb63ace4ee2cf53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34623074$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lanier, Ariel L</creatorcontrib><creatorcontrib>Wiegand, Samantha L</creatorcontrib><creatorcontrib>Fennig, Kathleen</creatorcontrib><creatorcontrib>Snow, E Kaye</creatorcontrib><creatorcontrib>Maxwell, Rose A</creatorcontrib><creatorcontrib>McKenna, David</creatorcontrib><title>Neonatal Outcomes After Delivery in Water</title><title>Obstetrics and gynecology (New York. 1953)</title><addtitle>Obstet Gynecol</addtitle><description>To assess neonatal intensive care unit (NICU) admissions and neonatal outcomes after water birth or land birth in an alternative birthing center.
We conducted a prospective observational study of preselected low-risk parturients separated into three groups depending on their location for labor and delivery: land-land, water-land, and water-water. Delivery outcomes, labor length, maternal pain assessment, need for newborn resuscitation, and NICU admission and diagnoses were collected. The primary outcome was admission to the NICU.
There were 2,077 total deliveries from April 2015 to December 2019, consisting of 458 land-land deliveries, 730 water-land deliveries, and 889 water-water deliveries. The rate of NICU admission was 2.8% (95% CI 1.5-4.8%) for land-land deliveries, 4.1% (2.8-5.8%) for water-land deliveries, and 2.0% (1.2-3.2%) for water-water deliveries. A post hoc power analysis revealed a 70% power to detect a 2.1% difference in NICU admissions between the water-land and water-water groups.
In this cohort of low-risk pregnant women, births in water and on land were associated with similar rates of admission to the NICU.</description><subject>Adult</subject><subject>Birthing Centers - statistics & numerical data</subject><subject>Cohort Studies</subject><subject>Delivery, Obstetric - methods</subject><subject>Delivery, Obstetric - statistics & numerical data</subject><subject>Female</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Intensive Care Units, Neonatal - statistics & numerical data</subject><subject>Natural Childbirth - statistics & numerical data</subject><subject>Pain - epidemiology</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome - epidemiology</subject><subject>Prospective Studies</subject><subject>Resuscitation - statistics & numerical data</subject><subject>Water</subject><issn>0029-7844</issn><issn>1873-233X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkFFLwzAQx4Mobk6_gUgf9aF66SVp-zimTmG4F0XfQppdoNKuM2mFfXsjmyLey8Hx-99xP8bOOVxzKPOb6XJ-DX9KSCEP2JgXOaYZ4tshGwNkZZoXQozYSQjvEeKqxGM2QqEyhFyM2dUTdWvTmyZZDr3tWgrJ1PXkk1tq6k_y26ReJ68mTk7ZkTNNoLN9n7CX-7vn2UO6WM4fZ9NFalFinxIqa12RZ0IJC4BWyUq5KoMCihWVijg6LiAiFqiUoipdpdBYEkSZdRIn7HK3d-O7j4FCr9s6WGoas6ZuCDqTBcQvAFVExQ61vgvBk9MbX7fGbzUH_S1JR0n6v6QYu9hfGKqWVr-hHyv4BUxsYKY</recordid><startdate>20211001</startdate><enddate>20211001</enddate><creator>Lanier, Ariel L</creator><creator>Wiegand, Samantha L</creator><creator>Fennig, Kathleen</creator><creator>Snow, E Kaye</creator><creator>Maxwell, Rose A</creator><creator>McKenna, David</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20211001</creationdate><title>Neonatal Outcomes After Delivery in Water</title><author>Lanier, Ariel L ; Wiegand, Samantha L ; Fennig, Kathleen ; Snow, E Kaye ; Maxwell, Rose A ; McKenna, David</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c353t-e36ccf872464c003c65b6fb20808de96e13f140cf8c0e954b9fb63ace4ee2cf53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Birthing Centers - statistics & numerical data</topic><topic>Cohort Studies</topic><topic>Delivery, Obstetric - methods</topic><topic>Delivery, Obstetric - statistics & numerical data</topic><topic>Female</topic><topic>Hospitalization - statistics & numerical data</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Intensive Care Units, Neonatal - statistics & numerical data</topic><topic>Natural Childbirth - statistics & numerical data</topic><topic>Pain - epidemiology</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome - epidemiology</topic><topic>Prospective Studies</topic><topic>Resuscitation - statistics & numerical data</topic><topic>Water</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lanier, Ariel L</creatorcontrib><creatorcontrib>Wiegand, Samantha L</creatorcontrib><creatorcontrib>Fennig, Kathleen</creatorcontrib><creatorcontrib>Snow, E Kaye</creatorcontrib><creatorcontrib>Maxwell, Rose A</creatorcontrib><creatorcontrib>McKenna, David</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lanier, Ariel L</au><au>Wiegand, Samantha L</au><au>Fennig, Kathleen</au><au>Snow, E Kaye</au><au>Maxwell, Rose A</au><au>McKenna, David</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neonatal Outcomes After Delivery in Water</atitle><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle><addtitle>Obstet Gynecol</addtitle><date>2021-10-01</date><risdate>2021</risdate><volume>138</volume><issue>4</issue><spage>622</spage><epage>626</epage><pages>622-626</pages><issn>0029-7844</issn><eissn>1873-233X</eissn><abstract>To assess neonatal intensive care unit (NICU) admissions and neonatal outcomes after water birth or land birth in an alternative birthing center.
We conducted a prospective observational study of preselected low-risk parturients separated into three groups depending on their location for labor and delivery: land-land, water-land, and water-water. Delivery outcomes, labor length, maternal pain assessment, need for newborn resuscitation, and NICU admission and diagnoses were collected. The primary outcome was admission to the NICU.
There were 2,077 total deliveries from April 2015 to December 2019, consisting of 458 land-land deliveries, 730 water-land deliveries, and 889 water-water deliveries. The rate of NICU admission was 2.8% (95% CI 1.5-4.8%) for land-land deliveries, 4.1% (2.8-5.8%) for water-land deliveries, and 2.0% (1.2-3.2%) for water-water deliveries. A post hoc power analysis revealed a 70% power to detect a 2.1% difference in NICU admissions between the water-land and water-water groups.
In this cohort of low-risk pregnant women, births in water and on land were associated with similar rates of admission to the NICU.</abstract><cop>United States</cop><pmid>34623074</pmid><doi>10.1097/AOG.0000000000004545</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Obstetrics and gynecology (New York. 1953), 2021-10, Vol.138 (4), p.622-626 |
| issn | 0029-7844 1873-233X |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Birthing Centers - statistics & numerical data Cohort Studies Delivery, Obstetric - methods Delivery, Obstetric - statistics & numerical data Female Hospitalization - statistics & numerical data Humans Infant, Newborn Intensive Care Units, Neonatal - statistics & numerical data Natural Childbirth - statistics & numerical data Pain - epidemiology Pregnancy Pregnancy Outcome - epidemiology Prospective Studies Resuscitation - statistics & numerical data Water |
| title | Neonatal Outcomes After Delivery in Water |
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