Meta-Analysis: The Effect of Waterbirth Delivery Method on the Risk of Perineal Rupture

• Main Authors: Kartikasari, Mayriyana, Aktovianta, Lukman
• Format: Article in Journal/Newspaper
• Language: English
• Published: Masters Program in Public Health, Universitas Sebelas Maret, Indonesia 2021
• Subjects: Norway; Iceland
• Online Access: http://www.jepublichealth.com/index.php?journal=jepublichealth&page=article&op=view&path[]=454

Background: Waterbirth is the process of giving birth in a tub or pool of warm water which starts from a baby born in water and is brought to the surface. Waterbith has an effect on reducing maternal morbidity because it can have a relaxing effect and relieve pain during labor. However, the practice is still controversial in several countries. This study aimed to determine the effect of water birth method delivery with the risk of perineal rupture with a meta-analysis of primary studies linked through previous researchers.Subjects and Method: This study was a systematic review and meta-analysis study following the PICO, population: Women in labor. Intervention: Waterbirth. Comparison: other delivery methods besides water birth. Results: Perineal rupture articles used in this study were obtained from 4 databases such as Google Schoolar, Semantic Schoolar, Pubmed, and Science Direct. Keywords to search for articles including: waterbirth" OR "water birth" OR "water-birth" OR "water" OR "birth in water" OR "birth underwater" OR "underwater birth" OR "birthing pool" AND ("labour" OR "labor") AND "delivery") AND ("women" OR "woman" OR "mother" OR "mothers" OR "mother­hood" OR "maternal") AND ("midwifery" OR "midwife" OR "midwives" OR "maternity" OR "maternity care") AND "Perineal Tears" OR "Perineal Trauma" OR “Perineal Injury” OR “Perineal Rupture”. The articles included were complete articles in English with a cohort study design from 2013 to 2021 and report the adjusted Odds Ratio (aOR) in multivariate analysis. The selection of articles was completed by using a prism flow diagram. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 9 retrospective articles from the Americas (United States of America) and Europe (Ireland, Sweden, Norway, Iceland, Denmark, and the United Kingdom) involving 124,090 women who gave birth were selected for a systematic review and meta-analysis. The data collected showed that the water birth method reduced the risk of perineal rupture 1.09 times compared ...