{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T16:58:14Z","timestamp":1762102694703},"reference-count":0,"publisher":"Care Comm","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ceska Gynekol"],"published-print":{"date-parts":[[2021,10,22]]},"abstract":"<jats:p>Objective: Evaluate perinatal and neonatal outcomes comparing a\u202fwater birth to regular childbirth in low-risk women. File and methods: Retrospective analysis of a\u202fset of childbirths that took place over a\u202fgiven period of time in the hospital and health center of Hav\u00ed\u0159ov. We compared a\u202fset of low-risk women that had given a\u202fwater birth to a\u202fselected control group of low-risk women that had given regular childbirth. We evaluated statistical comparability, as well as perinatal and neonatal outcomes in both sets. Results: From 1. 1. 2020\u202fto 28. 2.\u202f2021, 1,083\u202fwomen gave birth in the delivery department of Hav\u00ed\u0159ov hospital; from this set 122\u202fwere water births (11.3%). In our study, we only included 101\u202fwater deliveries (we designed our study to monitor low-risk births in order to be able to statistically correlate our fi ndings; 21\u202fwater deliveries were excluded from our study due to perinatal risk factors \u2013 gestational diabetes and induced deliveries). We selected 60\u202flow-risk women for our control group. Both sets of women were compared and we ruled out any statistically signifi cant diff erences in age, education, body mass index, number of births given, gestation week at time of labor, number of smokers, premature rupture of membranes, women with previous history of one cesarean section, becoming pregnant by in vitro fertilization, presence of streptokoka skupiny B, and fetal weight. Water birth does not aff ect the Apgar score, neonatal adaptation to extra-uterine life, umbilical blood pH decrease, complications of infection, need of intensive care, and neonatal mortality. In the water birth set, we found increased occurrence of non-infectious conjunctivitis, treatable by regular eye drops without antibio tics. We have not observed the eff ect of water birth on duration of the fi rst and second stage of labor, total amount of uterotonics used, blood loss determined by the obstetrician, and uterine hypotonia. In the water birth group, we observed a\u202fprolonged third stage of delivery, lesser need for pharmacological stimulation (augmentation) of labor, notably lower use of analgesics, lower occurrence of birth injuries, shorter in-patient time, and more frequent bonding. Conclusions: We discovered that water birth does not increase the risk for mother and neonate in low-risk women. Despite initial concerns, our outcomes and mother satisfaction have clearly shown that water births are not only a\u202ftemporary whim, but probably a\u202fnew integral part of our obstetric care.    Key words: water birth \u2013 analgesia with water \u2013 childbirth \u2013 perinatal and neonatal outcomes<\/jats:p>","DOI":"10.48095\/cccg2021311","type":"journal-article","created":{"date-parts":[[2021,11,5]],"date-time":"2021-11-05T12:56:03Z","timestamp":1636116963000},"page":"311-317","source":"Crossref","is-referenced-by-count":2,"title":["In water or on land? Evaluation of perinatal and neonatal outcomes of water births in low-risk women"],"prefix":"10.48095","volume":"86","author":[{"name":"Department of Gynecology and Obstetrics, Hav\u00ed\u0159ov Hospital and Polyclinic, Hav\u00ed\u0159ov, Czech Republic","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lenka","family":"Kubeczkov\u00e1","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jana","family":"Da\u0148kov\u00e1 Ku\u010derov\u00e1","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pavla","family":"Pra\u0161ivkov\u00e1","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michaela","family":"Gelnar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michal","family":"Mr\u00f3zek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Petr","family":"Wiecek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Jan\u00ed\u010dek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Heczko","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hynek","family":"Canibal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V\u00edt","family":"Blahut","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pavel","family":"Otev\u0159el","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tom\u00e1\u0161","family":"Vr\u00e1na","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"28151","published-online":{"date-parts":[[2021,10,22]]},"container-title":["\u010cesk\u00e1 gynekologie"],"original-title":["In water or on land? Evaluation of perinatal and neonatal outcomes of water births in low-risk women"],"deposited":{"date-parts":[[2021,11,5]],"date-time":"2021-11-05T12:56:07Z","timestamp":1636116967000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cs-gynekologie.cz\/en\/journals\/czech-gynaecology\/2021-5-2\/in-water-or-on-land-evaluation-of-perinatal-and-neonatal-outcomes-of-water-births-in-low-risk-women-128494"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,22]]},"references-count":0,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2021,10,22]]},"published-print":{"date-parts":[[2021,10,22]]}},"URL":"https:\/\/doi.org\/10.48095\/cccg2021311","relation":{},"ISSN":["1210-7832","1805-4455"],"issn-type":[{"type":"print","value":"1210-7832"},{"type":"electronic","value":"1805-4455"}],"subject":[],"published":{"date-parts":[[2021,10,22]]}}}