Immersion in Water During Active Labor Decreases Postpartum Hematocrit Fall Following Vaginal Delivery

Authors

  • Gul Nihal Buyuk University of Health Sciences, Zekai Tahir Burak Women Health Care, Education and Research Hospital, Department of Obstetrics and Gynecology, Ankara, Turkey http://orcid.org/0000-0003-4405-2876
  • Serkan Kahyaoglu University of Health Sciences, Zekai Tahir Burak Women Health Care, Education and Research Hospital, Department of Reproductive Endocrinology, Ankara, Turkey https://orcid.org/0000-0001-8964-3552
  • Ezgi Turgut Gazi University, Faculty of Medicine, Department of Perinatology, Ankara, Turkey https://orcid.org/0000-0002-5509-7888
  • Omer Hamid Yumuşak University of Health Sciences, Zekai Tahir Burak Women Health Care, Education and Research Hospital, Department of Obstetrics and Gynecology, Ankara, Turkey https://orcid.org/0000-0002-6632-5890
  • Caner Kose University of Health Sciences, Zekai Tahir Burak Women Health Care, Education and Research Hospital, Department of Obstetrics and Gynecology, Ankara, Turkey http://orcid.org/0000-0002-3044-4804
  • Yaprak Ustun University of Health Sciences, Zekai Tahir Burak Women Health Care, Education and Research Hospital, Department of Obstetrics and Gynecology, Ankara, Turkey https://orcid.org/0000-0002-1011-3848

DOI:

https://doi.org/10.21613/GORM.2018.824

Keywords:

Postpartum hemorrhage, Hematocrit, Vaginal delivery, Water birth

Abstract

OBJECTIVE: The objective of the study was to investigate the effect of immersion in water strategy during labor on postpartum bleeding by calculating the postpartum reduction rates of the hematocrit values of the patients.

STUDY DESIGN: The study groups consisted of 84 women undergoing vaginal delivery with immersion in water during labor (group 1) and the control group (group 2) of 84 women undergoing normal vaginal delivery. Patients who have received additional medical and surgical interventions for alleviation of postpartum hemorrhage, patients who have undergone an episiotomy and/or perineal trauma were not included in the study. All data were taken from patients who have delivered with spontaneous vaginal delivery. Postpartum hematocrit fall rates of the groups have been compared and the effect of immersion in water on postpartum hemorrhage has been evaluated.

RESULTS: The study groups consisted of 84 women undergoing vaginal delivery with immersion in water during labor (Group 1) and the control group (Group 2) of 84 women undergoing vaginal delivery at the hospital. The women in the two groups were matched with respect to age, parity, birth weight and gestational age. The mean age of the women was 29.8±4.8 and 30.5±4.9 respectively. The mean hematocrit difference in the first group was 2.08 ± 1.88 and in the second group was 3.81 ± 1.55. The mean percentage of hematocrit reduction in the first group was 5.71% and in the second group 10.23%.

CONCLUSION: Our data showed that mean hematocrit level decreases among women following vaginal delivery more than women who give birth vaginally within immersion in water during labor. The percentage of hematocrit reduction in the water birth group was lower than in the control group. Water birth seems to facilitate uterine contractions more efficiently following vaginal delivery.

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Published

2019-04-30

How to Cite

1.
Buyuk GN, Kahyaoglu S, Turgut E, Yumuşak OH, Kose C, Ustun Y. Immersion in Water During Active Labor Decreases Postpartum Hematocrit Fall Following Vaginal Delivery. Gynecol Obstet Reprod Med [Internet]. 2019Apr.30 [cited 2022Jan.18];25(1):18-21. Available from: https://gorm.com.tr/index.php/GORM/article/view/824

Issue

Section

Obstetrics; Maternal Fetal Medicine and Perinatology

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