Comparisson of the transition period in newborn delivered by water-birth versus land-birth. Cohort study

Diana Patricia Montiel-Morales; Fernando Ferreira-Jaime; Mario Enrique Rendón-Macías

2016, Number 5

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Rev Mex Pediatr 2016; 83 (5)

Comparisson of the transition period in newborn delivered by water-birth versus land-birth. Cohort study

Montiel-Morales DP, Ferreira-Jaime F, Rendón-Macías ME

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Language: Spanish
References: 21
Page: 148-153
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ABSTRACT

Objective: To compare the extra-uterine life adaptation pattern (transition period) in newborn delivered by water-birth versus land-birth. Patients and methods: Two 30-newborns cohorts (water-birth [WB] and land-birth [LB]) were followed during their transition period. All were at term, with Apgar › 7 at 5 minutes. Vital signs (heart rate, breathing rate, core temperature, and peripheral oxygen saturation [SatO₂]), environment adaptation and oral toleration were assessed at five minutes, 6, 12 and 24 hours after birth, and analyzed by two ways ANOVA test. Results: Breathing rate was higher in the WB newborns than LB newborn during the transitional period (type and time effect p ‹ 0.001), also, they had lower core temperature (type and time effect, p ‹ 0.001). The heart rate and the Sat O₂ measures were equal in both groups. During the period, all babies had vital signs in normal rates, and achieved a thermic adaptation and oral feeding toleration. Conclusions: The WB newborns showed a lower core temperature during transitional period and higher breathing rate than LB newborns. Thermic regulation may be the principal factor involved in this difference.

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