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• W4285552044 abstract "Background: Waterbirth is the process of giving birth in a tub or pool of warm water which starts from a baby born in water and is brought to the surface. Waterbith has an effect on reducing maternal morbidity because it can have a relaxing effect and relieve pain during labor. However, the practice is still controversial in several countries. This study aimed to determine the effect of water birth method delivery with the risk of perineal rupture with a meta-analysis of primary studies linked through previous researchers. Subjects and Method : This study was a systematic review and meta-analysis study following the PICO, population: Women in labor. Intervention: Waterbirth. Comparison: other delivery methods besides water birth. Results: Perineal rupture articles used in this study were obtained from 4 databases such as Google Schoolar, Semantic Schoolar, Pubmed, and Science Direct. Keywords to search for articles including: waterbirth OR water birth OR water-birth OR water OR birth in water OR birth underwater OR underwater birth OR birthing pool AND (labour OR labor) AND delivery) AND (women OR woman OR mother OR mothers OR mother­hood OR maternal) AND (midwifery OR midwife OR midwives OR maternity OR maternity care) AND Perineal Tears OR Perineal Trauma OR “Perineal Injury” OR “Perineal Rupture”. The articles included were complete articles in English with a cohort study design from 2013 to 2021 and report the adjusted Odds Ratio (aOR) in multivariate analysis. The selection of articles was completed by using a prism flow diagram. Articles were analyzed using the Review Manager 5.3 application. Results: A total of 9 retrospective articles from the Americas (United States of America) and Europe (Ireland, Sweden, Norway, Iceland, Denmark, and the United Kingdom) involving 124,090 women who gave birth were selected for a systematic review and meta-analysis. The data collected showed that the water birth method reduced the risk of perineal rupture 1.09 times compared to other methods of delivery (without water birth), but it was not statistically significant (aOR= 1.09; 95% CI= 0.92 to 1.29; p= 0.30). Conclusion: Waterbirth reduced the risk of perineal rupture. Keywords: Waterbirth, Perineal Rupture, OASI, Perineal Laceration Correspondence: Mayriyana Kartikasari. Midwifery, Vocational School, Universitas Gadjah Mada, Daerah Istimewa Yogyakarta, Indonesia. Jl. Persatuan, Blimbing Sari, Caturtunggal, Depok Sub-District, Sleman District, Daerah Istimewa Yogyakarta 55281. Email: mayriyana8@gmail.com. Mobile: 085740514436. Journal of Epidemiology and Public Health (2021), 06(04): 505-520 https://doi.org/10.26911/jepublichealth.2021.06.04.11" @default.
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• W4285552044 date "2021-01-01" @default.
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• W4285552044 title "Meta-Analysis: The Effect of Waterbirth Delivery Method on the Risk of Perineal Rupture" @default.
• W4285552044 doi "https://doi.org/10.26911/jepublichealth.2021.06.04.11" @default.
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