Laboring in water
Some hospitals and birthing centers offer tubs or whirlpools for
laboring. If yours does, talk to your health professional about laboring in
water. The warm water supports your body and helps you to relax. Among large
groups of women, this has been proven to:1
- Reduce labor pain.
- Reduce the use
of or need for pain medicine.
- Lower the mother's blood pressure.
- Help some women move along a slow labor and avoid a need for
forceps, vacuum, or cesarean delivery.2
Some time before you are ready to push your baby out, you will have
help getting out of the tub.
Delivering in water
A water birth is described as a "gentle birth" for the mother and
baby. There is limited experience with this technique in the American medical
community, and few studies have been done. One study has reported no major
safety concerns.3 But there have been case reports of
newborn drowning, near-drowning, infection,
umbilical cord breakage leading to severe blood loss
into the water, and
pneumonia.4, 5 While these events are thought to be rare, very few water
birth studies have been done. This leaves unanswered questions about how often
water births become life-threatening for the baby.6
The benefits of water birth may be greater, and the risks lower,
for the mother than for her newborn. Overall, women's blood loss is less than
during a non-water birth, and
episiotomy and
perineal tears may be less likely to happen.7
If you are thinking of a water birth, discuss it with your doctor
or nurse-midwife.8