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Waterbirth and Hydrotherapy

The Pros and Cons of laboring and giving birth in water.

© Brenda Lane

Mar 29, 2007
More mothers today are seeking options to labor and give birth in water. Benefits include improved pain relief and decreased tearing.

For years, expectant mothers were told that not only should they avoid tub baths during labor but to not take a bath in late pregnancy "in case their water breaks." Today more is known about the benefits of waterbirth and that in most cases, getting into a tub during labor should not be discouraged. More mothers are seeking out places of birth that offer waterbirthing as a option.

Although waterbirth may not be an option for every expectant woman, a significant majority of low risk mothers could make use of hydrotherapy (or laboring in a tub.) What are both the benefits as well as limitations of both waterbirth and hydrotherapy?

Benefits of Hydrotherapy and Waterbirth

  1. Significant pain relief is provided by getting into a tub. Some have compared it to the relaxing benefit of a narcotic.
  2. The water reduces gravity's pull of the baby toward the mother's back, thereby reducing pain from back labor.
  3. There is some evidence that tearing may be reduced in waterbirths.
  4. Tub options also include jets that can be directed to specific painful areas.

Limitations of Waterbirthing and Hydrotherapy

  1. Not all places of birth have tubs or providers familiar with using them. It is more common to find a facility or provider who will allow hydrotherapy during labor but not allow the actual birth to take place in the tub.
  2. This is not an option for high-risk mothers or after complications arise such as maternal high BP, meconium present in the amniotic fluid after the mother's water breaks or concern with the baby's heart rate/fetal distress.

Guidelines about Waterbirthing/Hydrotherapy

  1. Mothers should wait until they are in active labor (about 5cm) before getting into the tub since it can slow down labor.
  2. The water temperature should be close to the mother's body temperature - approximately 98 degrees.
  3. It's a good idea to get out of the tub, change positions, empty your bladder, etc.. every 60-90 minutes.
  4. Drink plenty of fluids since getting into a tub for long periods of time during labor can be dehydrating.

For more information about tub rentals and waterbirthing, see www.waterbirth.org

Did you use the tub for labor and or birth? What was your experience like? Tell us on the forum.


The copyright of the article Waterbirth and Hydrotherapy in Birthing Options is owned by Brenda Lane. Permission to republish Waterbirth and Hydrotherapy in print or online must be granted by the author in writing.




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Comments
Apr 5, 2007 10:55 PM
Angela England :
I had two water births - both at home.

With a long labor the first time it was relaxing to get in the tub during transition - like breathing a big sigh of relief. I could easily rest between contractions by simply laying back in the water and letting my husband support my head....but then when it came time to push I could easily adopt a more efficient upright position for pushing.

Easy to move around in the water!

Angela
Apr 16, 2007 8:44 AM
Angela England :
I definately agree! I know in other countries hospitals prefer to use water births for high risk mothers becuause of the many benefits. A breech baby is won't breathe before fully exiting the birth canal during a water birth whereas that is a major concern for non-water birth vaginal breech deliveries.

Also I've heard in cases where the mother can't have an epidural or there are blood pressure issues that make drugs during labor more risky, a water birth is the standard issue - especially in Russia where it is very common.

In the United States even hospitals that have jaccuzi tubs they are often too small for true comfort during labor, OR the rules of which mothers are "allowed" to use them are so strict it means that most never get to use them at all - never mind for delivery.

I'll be glad when the current mindset about birth in America changes a bit to allow women to birth naturally and comfortably instead of imposing so many "policies" they don't have access to all the available options they should!

Angela
2 Comments
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