Childbirth is a unique and non-transferable experience in the life of a woman, her partner and her family. It is a very intense process that requires accompaniment and, in the vast majority of cases, requires analgesic support in order to overcome this life event in an optimal and atraumatic way. Among the analgesic methods for pain relief during the labor process, there are pharmacological and non-pharmacological methods. From the evidence we know that the most effective pharmacological method is epidural analgesia (EA), while the most recognized non-pharmacological method is immersion in hot water (bathtub) for dilatation and delivery, called waterbirth(WB) At present there is controversy and doubts about the increase in the number of interventions involving the use of epidural analgesia, but there is also controversy about the safety of the use of water, especially in those processes where the birth ends in water. Given the popularity of these two methods, the aim is to study and compare the maternal and neonatal outcomes derived from the use of both methods in order to provide greater knowledge to women in their decision making.
Age range
17 Years – 46 Years
Sex
FEMALE
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Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
Completion of labor
Timeframe: 24 hours
intrapartum administration of oxytocin
Timeframe: 24 hours
Amniotomy
Timeframe: 24 hours
presence of fetal heart rate abnormalities Frequency of non-reassuring or pathological episodes in the cardiotocographic recording.
Timeframe: 24 hours
Number of bladder catheterizations
Timeframe: Up to 24 hours
Number of scalp blood determinations
Timeframe: Up to 24 hours
Intrapartum fever
Timeframe: Up tu 24 hours
Presence of obstetric emergency
Timeframe: Up to 24 hours
Perineal tear
Timeframe: Up to 24 hours
Apgar score at one minuto of life of the neonate.
Timeframe: Up to 24 hours
Apgar score at five minuts of life of the neonate.
Timeframe: Up to 24 hours
Arterial cord blood ph
Timeframe: Up to 24 hours
Neonatal ventilation support
Timeframe: Up to 24 hours
Presence of distress neonatal
Timeframe: Up to 48 hours
Neonatal admission
Timeframe: Up to 30 days
Neonatal sepsis
Timeframe: Up to 30 days
Presence of hypoxic ischemic encephalopathy
Timeframe: 1 month
Maternal infection
Timeframe: Up to 1 month
Breastfeeding upon hospital discharge
Timeframe: Up to 1 week
Visits to the hospital emergency department during the first month postpartum
Timeframe: Up to1 month
Maternal satisfaction
Timeframe: Up to 3 days