Aim To compare perinatal morbidity and mortality for babies delivered in water with rates for babies delivered conventionally (not in water).
Design Surveillance study (of all consultant paediatricians) and postal survey (of all NHS maternity units).
Setting British Isles (surveillance study) ; England an Wales (postal survey).
Subjects Babies born in the British Isles between April 1994 and March 1996 who died perinatally or were admitted for special care within 48 hours of birth after delivery in water or after labour in water followed by conventional delivery (surveillance study) babies delivered in water in England and Wales in the same period (postal survey).
Main outcome measures Number of deliveries in water in the British Isles that resulted in perinatal death or in admission to special care within 48 hours of birth ; and proportions (of such deliveries) of all water births in England and Wales.
Results 4032 deliveries (0.6% of all deliveries) in England and Wales occurred in water.
Perinatal mortality was 1.2/1000 (95% confidence interval 0.4 to 2.9) live births ; 8.4/1000 (5.8 to 11.8) live births were admitted for special care.
No deaths were directly attributable to delivery in water, but 2 admissions were for water aspiration.
UK reports of mortality and special care admission rates for babies of women considered to be at low risk of complications during delivery who delivered conventionally ranged from 0.8/1000 (0.2 to 4.2) to 4.6/1000 (0. (...)
Mots-clés Pascal : Accouchement, Eau, Technique, Mortalité, Morbidité, Périnatal, Surveillance sanitaire, Epidémiologie, Facteur risque, Nouveau né, Homme, Etude comparative, Questionnaire, Grande Bretagne, Royaume Uni, Europe, Echelon national
Mots-clés Pascal anglais : Delivery, Water, Technique, Mortality, Morbidity, Perinatal, Sanitary surveillance, Epidemiology, Risk factor, Newborn, Human, Comparative study, Questionnaire, Great Britain, United Kingdom, Europe, National scope
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0452038
Code Inist : 002B20G02. Création : 22/03/2000.