Before giving birth in water, or planning a waterbirth, you may have many questions about what it entails. This is especially true if waterbirth isn't widely practiced in your area. Below is a Q&A of some of the most common questions you may have when considering a birth in water:
For a home waterbirth, you will need a birth pool, which can either be purchased or rented, a hose to fill the pool, a liner for the pool if it is rented, and blankets, towels, shower curtain liners or chux pads to protect the floor. If your hospital has birthing pools, then all supplies should be readily available. If not, then you should talk to your care provider about bringing your own. If you will be having a homebirth, you may purchase a birth kit with the necessary supplies online.
That will depend on whether you plan to purchase or rent a birth pool. The cost to purchase or rent a birthing pool typically runs between $118-375 plus shipping. However, it's possible that your insurance company may reimburse the pool rental or purchase fee. If you are self-employed or itemize deductions, you may be able to deduct the cost as a medical expense. If you choose a birth center or hospital that has their own equipment, there is no need to contact your insurance company.
A combination of 4 different factors stop the baby from taking a first breath while still underneath the water:
This will depend on a few factors. After giving birth in water, sometimes the baby's body is wrapped in the umbilical cord and it will take a few seconds to bring the baby to a good position to take it from the water. In the majority of waterbirths, the baby is caught by the mother and immediately pulled to her chest. In the US, care providers usually take the baby from the water in less than 10 seconds. The baby does not need to stay underneath the water for any period of time nor is there a great need to rush to get the baby out. The best practice is to safely remove the baby from the water and place it skin-to-skin with the mother's chest quickly but without rushing to do so.
This will depend on your care provider, pregnancy, and hospital or birth center policy. Hospitals are becoming more waterbirth-friendly but some still have outdated policies in place that restrict waterbirth or place so many limitations on duration, supervision and other such restrictions that make it nearly impossible to have a waterbirth, even if they are fully equipped with birthing pools and equipment. Still others will allow labouring in the tub but require pushing in a bed. Birth centers tend to be much more supportive of waterbirth and have more lenient policies that make it easier to bring your own tub if one is not available.
The best course of action is to discuss waterbirth with your care provider well in advance of your anticipated due date. Discuss your specific situation and desire for waterbirth. Be sure to ask if you can bring your own tub should one not be available. You may need to be persistent in that some care providers are unaware of the benefits of giving birth in water. Once they become aware of the benefits, they may become much more open or supportive.
The National Institute for Health and Clinical Excellence (NICE) in the United Kingdom issued guidelines that giving birth in water is the most effective non-pharmaceutical form of pain relief for childbirth which has no negative side effects and should be offered to all women giving birth.
Despite the overwhelming evidence of the benefits of giving birth in water, few hospitals offer birth pools, citing liability, financial constraints and staffing issues as barriers. However, widespread access to giving birth in water would provide the potential to cut maternity care costs considerably for mothers and insurance companies in that it reduces the number of mothers who request epidural anesthesia, which runs upwards of $1500 in the United States.
Another reason for lack of access to waterbirth is that in modern maternity care, doctors and obstetricians receive no training in the use of water for birth. Although slow in coming, more hospitals are seeing the benefits of waterbirth and recognizing the benefits of allowing women to make their own choices for birthing. Also, the increase in the number of birthing centers, which usually offer greater access to birth pools, is allowing more women the benefit of water for birth.
Page Last Modified by Catherine Beier, MS, CBE
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