Z Geburtshilfe Neonatol 2021; 225(03): 251-256
DOI: 10.1055/a-1370-0620
Original Article

The Effects of Water Immersion during First Stage of Labor on Postpartum Systemic Inflammatory Response

1  Department of Obstetrics and Gynecology, Ministry of Health Ankara City Hospital, Cankaya, Turkey
,
1  Department of Obstetrics and Gynecology, Ministry of Health Ankara City Hospital, Cankaya, Turkey
,
Mesut Akyol
2  Department of Biostatistics and Medical Informatics, Ankara Yildirim Beyazit University, Ankara, Turkey
,
Özlem Gündüz
1  Department of Obstetrics and Gynecology, Ministry of Health Ankara City Hospital, Cankaya, Turkey
,
Banu Seven
1  Department of Obstetrics and Gynecology, Ministry of Health Ankara City Hospital, Cankaya, Turkey
,
Yaprak Engin-Ustun
3  Obstetrics and Gynecology, University of Health Sciences, Etlik Zübeyde Hanım Women's Health Education and Research Hospital, Ankara, Turkey
› Author Affiliations

Abstract

Objective The systemic inflammatory response is a cascade of physiologic reactions that arise in response to trauma, infection, burn, or any kind of injury. This study aimed to determine the effects of water immersion during the first stage of labor on the systemic inflammatory indices in the postpartum period.

Materials and methods In this retrospective study, 125 healthy multiparous women with uncomplicated pregnancies between 37 and 41 weeks of gestation who elected for immersion in water during the first stage of labor were compared with multiparous uncomplicated term women who had conventional vaginal births on land (n=125). Age, parity, body mass index (BMI), gestational age, duration of labor, birth weight, Apgar scores, neonatal intensive care unit admissions, and ante- and postpartum whole blood parameters were noted. Antepartum and postpartum neutrophil-to-lymphocyte ratio (NLR), monocyte-to-lymphocyte ratio (MLR), platelet-to-lymphocyte ratio (PLR), and mean platelet volume (MPV) were calculated for all patients as systemic inflammatory indices.

Results Demographic characteristics and birth outcomes of both groups were similar except BMI, which was statistically significantly higher in the water immersion group. There were no statistical differences in antepartum NLR, MLR, PLR, and MPV between the 2 groups. However, postpartum NLR, MLR, PLR, and MPV were statistically significantly lower in the water immersion group compared to the controls.

Conclusion Water immersion during the first stage of labor might decrease systemic inflammatory indices in the early postpartum period.



Publication History

Received: 26 October 2020

Accepted after revision: 13 January 2021

Publication Date:
10 March 2021 (online)

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