Abstract

INTRODUCTION: YouTube is a popular platform for sharing information regarding experiences during pregnancy, including water births. Thus, it is beneficial for health care providers to be aware of the sentiment towards water birth in the most popular videos on the topic. ChatGPT, an artificial intelligence natural language processing tool was utilized to assess sentiments expressed by pregnant individuals and their loved ones through YouTube videos. METHODS: A YouTube search query on “water birth” was conducted. English transcripts from the top 100 “most viewed” videos were extracted and analyzed using ChatGPT, which categorized sentiments as positive, negative, neutral, or mixed. Chi-squared goodness-of-fit and independence tests were performed to assess significance of differences between groups. RESULTS: Of the 63 YouTube videos that met criteria, 52.4% were positive, 17.5% were mixed, 15.9% could not be assessed, 12.7% were neutral, and 1.6% were negative (P<.0001). Videos were uploaded from North America (84%), Australia (5%), Europe (5%), Asia (4%), Africa (1%), and South America (1%). When comparing North America to other regions, results are as follows: positive (54.7% versus 50% [P=.3173]), negative (8% versus 0% [P=.0032]), neutral (17.2% versus 16.7% [P=.6716]), and mixed (9.4% versus 8.3% [P=.2074]). CONCLUSION: As the trend of sharing labor and delivery experiences online gains traction, it is important to understand the sentiment surrounding water births on social media platforms such as YouTube. Over half of all sentiments on water birth were positive, whereas only a small amount were found to have a negative sentiment. While a majority of the most popular videos on water births are from North America, it is important to note that North American videos expressed more negative sentiment compared to other continents. Ongoing efforts should be undertaken to gain insights into the sentiments associated with nontraditional labor and delivery methods.

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