Water birth delivery PPT.pptx

Water birth delivery PPT.pptx

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  Water birth delivery
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  INTRODUCATION  What isbirth? The act or process of giving birth to a baby by a mother . WATER BIRTH Water birth is a process in which during immersion in labor, a person gets into a tub or pool of warm water during the first stage of labor, before the baby is born. In a water birth , a person remains in the water during the pushing phase and actual birth of the baby. Than the baby is brought to the surface of the water after the baby is born. A water birth may be followed by the birth of the placenta in or out of the water. This is also known as hydrotherapy.
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  DEFINITION  Water birthis a process of giving birth in a tub of warm water. Many women find that sitting or floating in water during labor helps them to relax and manage pain.
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  HISTORY  Water birthwas first reported in 1805 in France, and became more popular in the 1980s and 1990s. During the 1980s and 1990s interest in water birth grew in the UK, Europe and Canada. More water birth champions emerged in the form of obstetrician Michael Rosenthal, registered nurse and child birth educator “Barbara Harper” in the US, plus midwifes and educator “Dianne Garland” in the UK.
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  Continue….. These pioneers helpedincrease confidence in birth pool practice by sharing their experiences and promoting the use of water, and making sure guidelines for labor and birth in water were safe.
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  Stages of labour First stage of labour :  During the first stage of labor, the water temperature should be comfortable for the woman and not above than 37.5◦c. the water temperature should be checked hourly and recorded in the maternal handheld records.  Maternal temperature should be checked hourly in if the women feels too hot she should leave the pool until she has cool down.
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  Continue…..  Women shouldbe encouraged to drink adequate cool fluid while in the pool to prevent dehydration.  The depth of the water should be at least, upto the woman's axilla when she is in a sitting position. This aids bouyancy and promotes movement, which aids the progress of labour and increases maternal control. This will also give enough depth should the women choose to give birth in the water.
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   Second stageof labour :  during the second stage of labour, the water temperature should be maintained at 37- 37.5◦c.  The water must be deep enough for the baby to be born completely submerged under water.  During second stage progress of the emerging head should be observed with a mirror. slow crowning and birth of the head should be encouraged to minimize perineal trauma.  The hands off method of birth should be practiced. This will minimize the stimulation to the emerging baby.  The cord should never be clamped or cut while baby is still under the water. The women or midwifes reach down and support the baby as it emerged.
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  The baby shouldbe brought to the surface, face uppermost ,and care taken to ensure the cord is long enough to allow this. Following the birth rest the baby’s head above the water keeping the body in water, skin to skin with woman . This will keep the baby warm and promote skin to skin contact. Once the baby’s head has comes out of the water it must not be submerged again. Clearly document weather the baby was born under water and the condition of birth. Continue……
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  Third stage oflabour: During the third stage, the condition of the woman and baby allows, there is no need to clamp the cord untill the placenta is delivered. Umbilical cord should be cut within 3 – 5 minutes. The mother may wish to remain in the pool for the third stage of labor and there is no evidence to contraindicate delivery of placenta in the water. However the blood loss should be carefully observed.
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  Continue……. The estimated bloodloss should be recorded as less then 500mLs or greater then 500mLs. Suturing should be delayed for 1 hours due to water saturation of the tissues unless bleeding is excessive and prompt suturing is required.
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  Position of waterbirth delivery Squatting position Sitting position Kneeling position Hand and knee
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  Benefits of waterbirth delivery  A more relaxing birth experience .  A shorter labor.  No need for analgesia.  Feeling more present in the birth experience.  Higher rates of normal vaginal birth.  Possibly lower rates of post-partum hemorrhage (PPH).  Water causes the perineum to become elastic and relaxed , reducing the incidence and severity of tearing  No need for episiotomy and stitches.  Immersion in water often helps lower high blood pressure caused by anxiety.
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  Continue…… Benefits of warmwater: Helps to relieve labour and delivery pain. To promote relaxation , boost blood supply to the uterine muscles and increase endorphin release. Warm water is beneficial because it healing property.
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  Continue….. Benefits for thebaby: Provides a similar environment as the amniotic sac. Eases the stress of birth. Providing reassurance and security to the baby. It is also believed that water babies are cries less and more calm and more alert.
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  Risk of waterbirth Risk for mother:  Vaginal bleeding or placenta previa.  Risk of water embolism, which is when the water enters the mother’s blood stream. Risk for baby:  Infection  Asphyxia  Seizures  Chances of umbilical cord will be damaged or tear  Water aspiration
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  Contraindication High risk pregnancy Multiplepregnancy Diabetic mother Herpes infection Skin infection High fever Vaginal bleeding History of Shoulder dystocia History of caesarean Post partum hemorrhage in excess of 1 liter.
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