RecruitingACTRN12616000973415

The water birth versus land birth study for pregnant women at low-risk of complications

Water birth Access at Term to Estimate Risks and Benefits In Research cohorTs in Hospital (WATERBIRTH): prospective cohort feasibility study


Sponsor

Professor Sue Kildea

Enrollment

600 participants

Start Date

Oct 2, 2014

Study Type

Observational

Conditions

Summary

Water birth occurs when a baby is born fully submerged in water. There is a lack of strong (Level 1) evidence to conclusively agree on the safety or risk of water birth. We aim to determine if it is possible to run a large study that examines the safety of water birth compared to land birth in women with low-risk pregnancies. In this study, we will test recruitment parameters, research processes, and outcome measures (for mother and baby) to assess the feasibility of a main study. If this study proves feasible and funding is obtained, then we will consider an international study across multiple sites (subject to ethical approval) with the primary purpose of testing safety for babies who are born under water.


Eligibility

Sex: FemalesMin Age: 15 Yearss

Plain Language Summary

Simplified for easier understanding

This study looks at the safety of water births compared to land births. A water birth is when a baby is born while the mother is in a pool of water. This is a small pilot study to test whether a larger, international safety trial is possible. It will look at how both mothers and babies are doing after water versus land births. You may be eligible if: - You are 15 years of age or older - You weigh less than 100 kilograms - You are carrying a single baby - You are in spontaneous labour at full term (37–42 weeks) - Your baby is in the head-down position - Your waters are intact or have broken recently with clear fluid - Your and your baby's observations are normal You may NOT be eligible if: - You are 14 years or younger - You weigh 100 kilograms or more - You are carrying more than one baby, or the baby has died - You have a blood-borne infection (e.g., Hepatitis B, C, or HIV) - Your baby has a major birth defect - You are being induced or planning a caesarean - Your baby is not in the head-down position - The amniotic fluid contains meconium (baby's first stool) - You are requesting an epidural or narcotic pain relief Talk to your doctor about whether this trial might be right for you.

This is a simplified summary. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

Participants who intend to have a water birth on admission to birth suite will be allocated to a room with water birth facilities and have one-to-one care in labour by a midwife who is credentialed to

Participants who intend to have a water birth on admission to birth suite will be allocated to a room with water birth facilities and have one-to-one care in labour by a midwife who is credentialed to conduct water births in accordance with evidence-informed guidelines. Women may access water immersion in labour and in the absence of an indication to exit the pool; the woman will proceed to give birth under water.


Locations(1)

Mater Mother's Hospital - South Brisbane

QLD, Australia

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ACTRN12616000973415