Understanding Water Birth and if it's the Right Choice for Your Delivery: Physicians for Women (2024)

Blog Understanding Water Birth and if it's the Right Choice for Your Delivery

Understanding Water Birth and if it's the Right Choice for Your Delivery: Physicians for Women (1)

Water-birthing is a common practice around the world, and it’s finally being accepted in the United States as a safe, comfortable way for a baby to leave the womb. According to the most recent statistics, around 6% of women in the U.S. chose water-birth as of 2014, and that number is growing.

At Physicians for Women in Madison, Wisconsin, The Madison Midwives have extensive experience in water-birthing, and you can labor and/or deliver in a large, spacious tub. We have access to a beautiful labor room at Unity Point Health-Meriter, to help ensure your safety and that of your baby.

Different water-birth options

You have two options when it comes to water-birth:

  • Labor in the water, then get out of the tub to deliver
  • Labor and give birth in the tub

Advantages to water-labor

Laboring in the water has many benefits. Studies show water-labor can help you relax, shorten your labor, soften your perineum, and/or reduce or eliminate the need for pain medication or an epidural. You may also be able to lower your chances of needing a C-section, and have a smaller risk of stress incontinence after you give birth.

Advantages to water-birth

Birthing in the water can reduce the chances of a perineal tear by up to 60%, allow you to move about freely to find a comfortable position, and let your baby be birthed into a warm, gentle environment. Studies show that a baby born into water and gently lifted out has an automatic, closed mouth swallowing reflex that prevents inhaling of water. You can delay cord clamping if desired, and get immediate skin-to-skin with your baby.

Are you a good candidate for water-birth?

If you are healthy, between 37 and 41 weeks in your pregnancy, your baby doesn’t have any known fetal abnormalities that could put you or your child at risk (like placenta previa, for example), and you want to labor and/or give birth in water, you could be a good candidate for a midwife-attended water-birth.

If this is your choice, our midwives will sit down with you and develop a solid birth plan that includes laboring in water and/or giving birth in water. We’ll make sure you are fully informed about what to expect, which options are available to you, and how we work to make sure you and your baby are safe and comfortable throughout the experience. We’ll also lay out the safeguards and back-up plan in case you change your mind or the birth doesn’t go as you planned.

We are particularly attentive to your health and your baby if you are desiring a waterbirth. Certain criteria may exclude you like:

  • Post-dates pregnancy (>41 weeks gestation)
  • Meconium-stained amniotic fluid
  • BMI>35
  • Prior Cesarean section history
  • Undiagnosed vagin*l bleeding
  • Diabetes
  • High blood pressure
  • Fetal growth restriction or macrosomia
  • Category 2 fetal heart rate tracing

Although many of these conditions can be present, most patients are completely capable of having an uncomplicated vagin*l delivery, but not a waterbirth.

Interested in the possibility of water birth in a safe, sterile location with one of our midwives in attendance? Find out more by calling our office at 608-218-4835 today or by scheduling a consultation using our online booking system.

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Understanding Water Birth and if it's the Right Choice for Your Delivery: Physicians for Women (2024)

FAQs

Understanding Water Birth and if it's the Right Choice for Your Delivery: Physicians for Women? ›

The American College of Obstetricians and Gynecologists (ACOG) says that while water may provide some benefits in the first stage of labor, there isn't evidence yet to support benefits for the baby. So, while ACOG says it's okay to labor in water, they recommend “delivering on land.”

Why do women choose a water birth? ›

Benefits of laboring in water

Less pain medication: Some studies show that women who labor in water need less pain medication and may have a shorter first stage of labor. Relaxation: Floating in water can be soothing for many women. Your muscles don't have to work as hard to support you.

Who would be a good candidate for a water birth? ›

If you are healthy, between 37 and 41 weeks in your pregnancy, your baby doesn't have any known fetal abnormalities that could put you or your child at risk (like placenta previa, for example), and you want to labor and/or give birth in water, you could be a good candidate for a midwife-attended water-birth.

Why shouldn't you have a water birth? ›

Water Birth Risks

You or your baby could get an infection. The umbilical cord could snap before your baby comes out of the water. Your baby's body temperature could be too high or too low. Your baby could breathe in bath water.

Is it better to have a water birth yes or no? ›

Waterbirth is extremely safe and evidence from numerous studies have confirmed the many advantages of giving birth in water, for both mothers and babies.

What are the pros and cons of waterbirth? ›

Water Birth Pros and Cons: Is It Safe?
Pros of Water BirthCons of Water Birth
Helps ease labor painsMight increase the risk of Infection for the baby or the birthing parent
Can reduce the need for medication or interventionsCould make it difficult to clear a newborn's airway if they inhale meconium
2 more rows
Sep 26, 2023

What are the pros and cons of water delivery? ›

Advantages include pain relief, increased mobility, reduced chance of perineal trauma, and lower tension and anxiety. Disadvantages include infection risk, difficulty in monitoring, potential delays in medical interventions, and unsuitability for certain medical conditions.

Does waterbirth prevent tearing? ›

Concluding message Overall water births were associated with less perineal tears. The reduced incidence of pelvic trauma in the hands-off group is encouraging and might be the way forward in all water births; however this needs to be employed with caution in spontaneous vagin*l deliveries.

Why are water births less painful? ›

The advantages of immersion in water during labour and/or birth include reduced pain, increased functional diameter of the true pelvis, increased quality of contractions, increased release of endorphins, decreased need for opiates, increased movement for the mother as well as improved positioning in different stages of ...

Why don't hospitals allow water births? ›

The American College of Obstetricians and Gynecologists (ACOG) says that while water may provide some benefits in the first stage of labor, there isn't evidence yet to support benefits for the baby. So, while ACOG says it's okay to labor in water, they recommend “delivering on land.”

Are water births sanitary? ›

Evidence also shows that waterbirth can be safe for babies. The largest and highest-quality meta-analysis on waterbirth found that newborns born via waterbirth had similar health outcomes than babies born on land (Burns et al. 2022).

Why can't you have an epidural with a water birth? ›

It's not possible to have an epidural in water. TENS is electrical stimulation so it's also incompatible with water births. As for what you can use in water, you can breathe a bit sigh of relief that entonox (gas and air) is fine for water births.

Are water birth babies calmer? ›

Babies born under water can be calmer following birth than babies born in air and may not cry or move vigorously. This is normal and no reason for worry.

Why opt for water birth? ›

Labouring in water can be relaxing and may provide effective pain relief. You are also less likely to need an epidural for pain management if you have a water birth.

What is the aim of water birth? ›

Why use water in labour or for giving birth? Women say they feel more relaxed, involved in decision-making and more in control when using water for labour and birth. It is an effective pain reliever – women use less epidural or spinal pain relief when they have access to water.

What are the benefits of water birth to the mother? ›

Compared with standard care, a water birth significantly reduced the use of epidurals, injected opioids, episiotomy, as well as pain and heavy bleeding after the birth. And it increased mothers' satisfaction levels and the odds of an intact perineum.

What are the benefits of water birth tearing? ›

Many women find that the water allows them more control over their labour. Water can help the tissues of the perineum to stretch and relax. This is known to reduce the chance of having severe tears or the need for an episiotomy.

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