Laboring in Water May Ease Discomfort, however a Water Birth Carries Risks

 

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Undergoing the first stage of labor in a birthing pool may offer some advantages, such as decreased pain or use of anesthesia and shorter labor, but staying in the pool through the final stages of labor and delivery has no proven benefit to women or babies and may pose some health risks for the newborn, according to a statement from the joint committee. Laboring in water may also decrease your need for epidurals or other spinal pain relief. One small study revealed that women who labor in water may also have a lower cesarean section rate (13.2. One of the biggest risks for water births is infection.

Even with proper cleaning protocols, there are more bacteria in birthing tubs than on birthing beds. And even the most sterile water and tub will naturally become contaminated as soon as anyone gets into the. They found that people who used water immersion during labor were less likely to need epidurals or spinals for pain relief.

A recent review conducted by Shaw-Battista in 2017 looked at seven randomized trials with more than 2,600 participants who used water immersion during labor before they had a regular land birth. Research shows that water does not enter the birth canal and travel upward during labor and there is not increased incidence of infections of the birth canal or uterus because of a waterbirth. Bleeding. Over the last 30 years, as water birth has grown in popularity, there has been very little research regarding the risks of water birth.

Some studies in Europe have shown similar perinatal mortality rates between water births and conventional births. Top of Giving Birth in Water. Risks of Labor and Giving Birth in Water.

1. Infection. There is a perceived risk of infection in a birth pool, especially if a woman opens her bowels during the birth. However this is a normal occurence and the debris can be removed. Water Birth Risks.

Here are some of the rare problems that could happen while water birthing: You or your baby could get an infection. contraindicated, water labor and water birth may provide an environment for a gentle, physiologic birth. Background In nearly every culture, water signifies peace, calm and relaxation.

From ancient times to the present, humans have used a warm bath to ease tension, quiet aching muscles and relieve pain. The therapeutic use of water, also called hydrotherapy, during labor and birth is also. Hydrotherapy is an pain management strategy for low risk women during labor and birth. It has been shown to greatly reduce pain and the need for pain medication and improves many maternal outcomes. Like any birthing option, there are potential risks involved.

With proper surveillance and hygiene, many of these risks can be mitigated.

List of related literature:

Water birth and infection in babies.

“Midwifery: Preparation for practice” by Sally Pairman, Sally K. Tracy, Hannah Dahlen, Lesley Dixon
from Midwifery: Preparation for practice
by Sally Pairman, Sally K. Tracy, et. al.
Elsevier Health Sciences, 2018

The theoretical risk of infection to either the woman or her baby remains a barrier to the widespread introduction of the use of water for labour and birth.

“Joints and Connective Tissues: General Practice: The Integrative Approach Series” by Kerryn Phelps, Craig Hassed
from Joints and Connective Tissues: General Practice: The Integrative Approach Series
by Kerryn Phelps, Craig Hassed
Elsevier Health Sciences APAC, 2012

Intracutaneous sterile water for back pain in labour.

“Varney's Midwifery” by Tekoa L. King, Mary C. Brucker, Kathryn Osborne, Cecilia M. Jevitt
from Varney’s Midwifery
by Tekoa L. King, Mary C. Brucker, et. al.
Jones & Bartlett Learning, 2018

Carrying heavy loads of water leads to spinal deformation that can result in obstruction of the birth canal, putting both the mother’s and infant’s life at risk.

“Case Studies in Social Entrepreneurship and Sustainability: The oikos collection Vol. 2” by Jost Hamschmidt, Michael Pirson
from Case Studies in Social Entrepreneurship and Sustainability: The oikos collection Vol. 2
by Jost Hamschmidt, Michael Pirson
Taylor & Francis, 2018

Several different studies have shown that women who have water births report lower levels of pain and use less pain medication than their counterparts on land.

“The Positive Birth Book: A new approach to pregnancy, birth and the early weeks” by Milli Hill
from The Positive Birth Book: A new approach to pregnancy, birth and the early weeks
by Milli Hill
Pinter & Martin Ltd, 2017

believed that warm water can improve uterine perfusion and uterine contractions, leading to a less painful birth.

“Mayes' Midwifery E-Book” by Sue Macdonald, Gail Johnson
from Mayes’ Midwifery E-Book
by Sue Macdonald, Gail Johnson
Elsevier Health Sciences, 2017

Warm water as pain relief during labour and for giving birth is increasingly being chosen by women and it is believed that warm water can improve uterine perfusion and uterine contractions, leading to a less painful birth.

“Mayes' Midwifery E-Book: A Textbook for Midwives” by Sue Macdonald
from Mayes’ Midwifery E-Book: A Textbook for Midwives
by Sue Macdonald
Elsevier Health Sciences, 2011

Intracutaneous sterile water for back pain in labor.

“Perinatal Nursing” by Kathleen Rice Simpson, Patricia A. Creehan, Association of Women's Health, Obstetric, and Neonatal Nurses
from Perinatal Nursing
by Kathleen Rice Simpson, Patricia A. Creehan, Association of Women’s Health, Obstetric, and Neonatal Nurses
Wolters Kluwer Health/Lippincott Williams & Wilkins, 2008

If the hospital has a strong policy against birth in the water, the laboring person will need to be watched closely and will be asked to leave the bath when pushing begins.

“Birth Partner 5th Edition: A Complete Guide to Childbirth for Dads, Partners, Doulas, and All Other Labor Companions” by Penny Simkin
from Birth Partner 5th Edition: A Complete Guide to Childbirth for Dads, Partners, Doulas, and All Other Labor Companions
by Penny Simkin
Harvard Common Press, 2018

The theoretical risk of infection to either the woman or her baby has often been put forward as an argument against the use of water for labour and birth, particularly for women with ruptured membranes.

“Midwifery: Preparation for Practice” by Sally Pairman, Sally K. Tracy, Carol Thorogood, Jan Pincombe
from Midwifery: Preparation for Practice
by Sally Pairman, Sally K. Tracy, et. al.
Elsevier Health Sciences, 2011

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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12 comments

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  • 39 weeks pregnant today! My first was 6 days late, so I’m hoping this one comes a little sooner. I got an epidural with my first, hoping for a natural birth this time. Definitely feel more confident and know what I’m headed into

  • Thank you very much for sharing your experience (I usually don’t leave comment on video:D), I started your prenatal yoga exercises, love them, and was wondering about your experience so that was good to finally get some information. I’m interested in hypnobirthing and started meditation as well, so hopefully I will be as relax and calm than you were…btw I love the name Octavia:)

  • Im having my first baby in october, i have back problems that limit me on various things and i couldnt get it fixed fast enough so i was wondering if a water birth would be better on my back?

  • I have a question I have extremely bad pubic pain/pelvic pain is it safe for me to do a water birth or you recommend a land birth?

  • Thanks for your post! I’m getting ready for my first baby due in a couple of months and have been so terrified every time I think about having to give birth. Your videos and guides have been really helpful in making me feel like I can do this!

  • OMG! All the tears for the birth, your husband’s reaction, and you guys finding out you have a little girl!! Congrats! Such a great video. Thanks for sharing.

  • Thank you very much for sharing this routine with us����.I am 38 weeks already,so i am a little scared because the labor is so close now��…this is my first baby ����������.I have been doing almost all your prenatal yoga videos until now, and honestly y feel much more confident,and relaxed and i know that my body can do this��.God bless you for all that you are teaching us every week��������

  • How has the new adventure been with two kids and a newborn? My baby girl (first) was born at the end of July and we’re still trying to adjust ��!

  • can you make a video explaining the links and things you left in the description box i’m a but confused. Lol you didn’t mention them in the video or maybe if you already have the explanation can you send me the link?

  • Thank you for all your prenatal classes. I did all of them (some of them several times! ) and love them. They are so helpful, as well as your advice. I will be 39 weeks pregnant in 2 days, so baby is really almost there. Next to your classes, I also go once a week to a prenatal yoga class and have acupuncture sessions from week 36. I am sure all of this will help. Your positiveness is communicative and relaxing. A BIG BIG THANK YOU!!!

  • I’m planning my 1st home water birth and I’m excited to be able to record the process on my YouTube channel. My original lb was very discouraging and said that it wouldn’t be a good idea telling me most babies don’t live after home birth and I felt discouraged because she wouldn’t send over a PA in order for me to get a midwife out-of-network so I had to open up a GoFundMe which has been a little challenging and could have been avoided but I know God got baby and I. I’m so excited ������

  • I live in the uk and from what I know/have heard (I could be wrong) but only occasionally an obyn helps with the birth here. I think it’s only in special cases where one might need to be present so the rest is usually midwives. If I’m wrong pls correct me ��