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Vaginal birth

  • Most babies are born through vaginal birth.
  • Labor feels different for every woman.
  • You may decide to have medicine to help with labor pain.
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Water birth

Water birth is when a woman gives birth in water. While water birth is gaining popularity with some women, there isn't enough research to know if it's safe. In fact, it may be harmful to some women and their babies. The trouble is that, like home birth, you don't know that water birth is safe for you and baby until after the baby is born and there've been no complications. Some women use warm water to help them deal with labor pain, but then come out of the birthing tub for a more traditional bed delivery. Others choose to experience all three stages of labor in water.

Whatever you decide, it's important you are cared for by someone who is medically trained in pregnancy and childbirth. This professional can be an obstetrician/gynecologist (OB/GYN), a family physician or a certified nurse-midwife. Not all health providers will perform a water birth. If you're considering a water birth, it's important to talk with your health provider.

What happens during a water birth
Water births can be done in a bathtub, hot tub (as long as the water temperature isn't too hot) or a special birthing tub. Some birthing tubs can be rented and may be covered by health insurance. Check with your insurance carrier to see if it will cover the rental and delivery cost of a birthing tub.

The water temperature should not be above 100 degrees Fahrenheit. High temperatures are dangerous for your baby. If your body temperature gets too high during pregnancy, it can cause your baby to be overheated and lead to very serious health complications for your baby. Also, high body temperature can cause your blood pressure to fall. As a result, your baby may get less oxygen and nutrition.

Most hospitals mainly offer traditional bed delivery. But some hospitals and birthing centers have policies and equipment for water births. When a water birth is done in a hospital setting, your baby should be monitored with special underwater equipment to ensure she is healthy and stable. You can also be given medications through an intravenous (IV) tube.

What to think about before you decide
If you're thinking about having a water birth at home, first consider whether water birth is a safe choice for you and your baby. Below are some pros and cons of water birth.

Water birth pros

  • Some women find a water birth to be soothing and relaxing.
  • Floating in water may help a woman feel lighter and lessen body weight.
  • Warm water may help relax the perineum (area between the vagina and the rectum) and make the delivery easier.

Water birth cons

  • Research is limited. We don't know if water births are safe for mom and baby.
  • If the tub is not properly cleaned, it can lead to infection.
  • The baby may gasp for his first breath while still underwater, causing him to inhale water.
  • The umbilical cord may snap during water birth. This could lead to serious blood loss for the baby.

Preparing for water birth

  • Make sure you're cared for by a professional who is medically trained in pregnancy and childbirth (an obstetrician/gynecologist, a family physician or a certified nurse-midwife).
  • Ask your health provider if she is willing to participate in a water birth.
  • Work with your provider to find out if water birth is okay for you.
  • Contact your hospital or birthing center to see if they have a water birth facility.
  • Stay hydrated and drink plenty of water.
  • Be sure the water is at the right temperature (not too hot).
  • If you're not planning to deliver in a hospital, have an emergency plan for taking you to the hospital in case something goes wrong.
  • If you begin feeling unwell or are concerned about safety, ask someone to help you get out of the birthing tub.

When water birth isn't safe

  • The baby's bottom or feet are facing down right before birth (breech position).
  • The baby has his first bowel movement (meconium) while still in your uterus.
  • You have preeclampsia or another health condition that makes water birth unsafe.
  • You're in preterm labor.
  • You have herpes (herpes can easily be passed to the baby in water).
  • You're carrying more than one baby (twins, triplets or more).

July 2010

Frequently Asked Questions

What is an epidural?

An epidural is the most popular and effective kind of pain relief for labor. You get a needle with a small tube attached placed in your lower back. Medicine goes through the tube while you're in labor. It numbs your lower body so you can't feel the pain from your contractions. The medicine doesn't make you go to sleep, so you can be wide awake when your baby is born!

What is fetal-scalp blood sampling?

Fetal-scalp blood sampling is a quick test your health care provider can use to check if your baby is getting enough oxygen during labor.

During labor, your cervix dilates (opens) to let your baby out. Your cervix is the opening to the uterus that sits at the top of the vagina. In order to have fetal-scalp blood sampling, your cervix must be dilated enough that your provider can reach your baby’s head.

The test may remind you of a pelvic exam. It takes about 5 minutes. You lie on your back with your feet in stirrups. Your provider places a plastic cone in the vagina that fits up against the baby’s head. Your provider pricks your baby’s scalp and takes a small amount of blood. The blood is tested, and results are ready in a few minutes.

You may feel some pressure during the test, but it shouldn’t hurt. Your baby may have some bruising or bleeding at the spot where he’s pricked.

If you have an infection, like HIV or hepatitis C, your provider may not recommend fetal blood sampling. This is because you can pass these infections to your baby through the spot where he’s pricked.

What is oxytocin?

Oxytocin is a hormone your body makes to help start labor contractions. Contractions are when the muscles of your uterus get tight and then relax. They help push your baby out of your uterus (womb).

Your body also makes oxytocin during breastfeeding. Oxytocin helps your uterus shrink back to its original size after giving birth.

If labor is slow to start or your contractions stall, your health care provider may give you a medicine called Pitocin. Pitocin acts like oxytocin and can help start contractions or make them stronger.

What is Pitocin?

Pitocin is a medicine that acts like oxytocin, a hormone your body makes to help start labor contractions. Contractions are when the muscles of your uterus get tight and then relax. They help push your baby out of your uterus (womb). Health care providers often use Pitocin to:

  • Help induce labor
  • Help labor move along if your contractions slow down, or if they aren’t strong enough

You may start having labor contractions shortly after you get Pitocin. It can make your contractions very strong and lower your baby's heart rate. Your provider carefully monitors your baby's heart rate for changes and adjusts the amount of Pitocin you get, if needed.

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