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Wondering what a water birth entails and how you can go about having one? Find out the most commonly asked questions here, some even taboo!
What is a water birth?
A waterbirth (also known as a hydro-birth) is when a baby is born into water. Most commonly a deep tub or small pool is used to deliver the baby. The pregnant mother gets into a birthing pool filled with warm water during the later stages of labor. She then delivers the baby in the water.
Does a water birth hurt less?
Being in water does have a relaxing effect on your body which naturally releases endorphins. These hormones assist in managing pain in the body. The water pressure also helps with lowering the pain of contractions (think about how a warm bath helps soothe strong menstrual cramps).
The warm water not only has a relaxing effect on you but because you are more relaxed, the whole birth can be a calmer experience for your new-born baby too. Studies have found that women who go through a waterbirth report having less pain, even compared to women who have an epidural.
Can my baby drown in a water birth?
The short answer is no. Your baby lives in liquid during pregnancy as your womb is filled with amniotic fluid. During this time, the baby’s lungs are closed. Your baby receives oxygen through oxygen-rich blood via the umbilical cord. If the baby’s head does not come out of the water (which your mid-wife will ensure) you baby’s lungs will remain closed and it will continue receiving oxygen through the umbilical cord.
Babies have an inborn reflex called the diving reflex, which allows them to stay underwater “to dive” until the face or throat comes into contact with air. This then activates the breathing system.
Only once the baby’s face comes out of the water does he/she take their first breath. As long as the cord is not cut, and the baby’s head has not surfaced, they can survive under water.
Who can have a water birth?
Anyone can choose to have a waterbirth if your pregnancy is low risk and you have the go-ahead from your midwife or OBGYN. Amongst other factors, waterbirths are usually not recommended if:
you are having more than one baby
you are bleeding
you have an infection (this can easily spread to your baby in the water)
you have had a previous c-section
your waters have been broken for over 24 hours
your baby is pre-term (under 37 weeks)
It is always advisable to discuss pregnancy and birthing options with a healthcare professional to find out about the risks involved and what options will work best for you. Remember that each pregnancy is unique. Even if it is not your first-time giving birth, each pregnancy will have its own challenges and experiences. The benefits of a water birth
Supporters of waterbirths believe that the transition from the womb into the world is less traumatic with a birth pool. This is because the warm water mimics the environment of the womb. It is for this reason that waterbirth babies appear more relaxed after birth.
Waterbirths are more relaxing for the mother as the warm water creates a safe and secure environment. Being suspended in the water also has its benefits for birthing positions. The water allows mothers to get into positions which enable gravity to work its magic and assist with the birth. There is less need for pain medication with a waterbirth as the water triggers endorphins.
Women who have had a water birth reported feeling more relaxed, safe and in control. Overall, a more relaxed mother will have a more relaxed birth, resulting in less trauma and a more relaxed baby.
Following the birth of your baby you can choose to remain in the pool while your placenta is delivered or get out of the pool. With either option, you can use this time for skin-to-skin contact and to cuddle with your new baby.
The risks of a water birth Some factors may cause you to leave the birthing pool and continue labor out of the water. These include:
if there is a problem with your baby’s heartbeat (which your midwife will monitor)
if your labor is progressing too slowly or if your contractions weaken
if your blood pressure is raised
if you start bleeding during labor
if you feel faint or drowsy or if you require additional pain relief
*Note- you cannot have an epidural with a waterbirth as you will need the use of your legs. What no-one wants to talk about, poop in the bath
Many women release fecal matter (poop) while giving birth. In a water birth this obviously goes into the water. Studies have found that even though there are microorganisms present, a water birth is still a hygienic and safe option for both mother and infant. However, the cleanliness of the tub before and after birth is of the utmost importance.
There is an increased risk of passing an infection to the infant with a water birth but this is if the mother has an infection herself which is more easily passed through the water than a normal vaginal / c-section birth.
Where to get a birthing tub and other supplies?
Birthing tubs are available in most birthing units at hospitals and in most birth centers. If you want to do a home water birth, you will need to rent a birthing tub. Ask your midwife or OBGYN for any recommended suppliers. Otherwise, a quick Google search will provide you with several options.
The biggest concern about renting a birthing pool is the cleanliness. Be sure to ask about the company’s cleaning routine if you are going this route.
Can I have a water birth at a hospital?
Yes, you can have a waterbirth at a hospital. You will need to enquire about your options, but many birthing wards now have the option of a waterbirth in the maternity ward.
What do I wear for my water birth?
Essentially you can wear as much or as little as you want. Some women prefer to wear a two-piece swimsuit while others prefer to wear just a shirt with no bottoms, and others prefer to be completely naked. It is all at your discretion. As long as the midwife can easily check for dilation and can get to the baby during birth, what you wear on your top half is up to you.
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