Welcome to a conversation about one of the most calming and natural ways to bring your baby into the world—waterbirth. I will be pointing out some of the benefits and Considerations of waterbirth. As a birth educator and midwife, I understand that many of you may be feeling excited, perhaps a bit nervous, or even overwhelmed as you approach your delivery day. Waterbirth is an option that is becoming increasingly popular. It is important to be informed about what it involves, how to prepare, and what advantages and disadvantages it may offer. This post will walk you through everything you need to know so that you can make an empowered decision.
Contents
What is Waterbirth?
Waterbirth involves giving birth in warm water, usually in a birthing pool. The water supports your body and creates a calming environment, helping reduce stress and pain during labour. This approach offers both emotional and physical relief during delivery.
Preparing for a Waterbirth: The Essential Equipment
Before considering waterbirth, it’s crucial to ensure the right equipment and setup are in place. Here’s a step-by-step guide on what you need to prepare:
- Birthing Pool
The birthing pool is the most important piece of equipment. It needs to be large enough to comfortably fit both you and your birthing partner (if they wish to join you) and should be sturdy, non-toxic, and hygienic. There are specific pools designed for waterbirths, which can be rented or purchased. These pools are usually inflated and lined with materials that make them easy to clean. - Water Temperature Control
Maintaining the right water temperature is essential. The water should be warm but not too hot—ideally, around 95 to 100 degrees Fahrenheit (35-37°C). The water needs to be monitored regularly to ensure it stays at a safe, comfortable temperature throughout labour and delivery. - Hoses and Water Supply
You’ll need a reliable water supply to fill the pool, and hoses to bring fresh, clean water into the pool. Some hospitals or birthing centres have plumbing that can provide this directly, while homebirth setups may require careful planning and extra equipment. - Draining System
After the birth, you’ll need a way to drain the pool. Make sure there’s a method in place for efficient and sanitary removal of the water. It’s also important to have a backup plan in case you need to refill the pool if the water cools down too much. - Medical Equipment
Even though waterbirths are generally safe, you’ll still need medical equipment at your disposal, such as fetal monitoring devices, oxygen, and emergency supplies. Make sure your birth team (midwife, doula, or doctor) has everything they need to support you throughout the process. - Comfortable Environment
Consider setting the mood by dimming the lights or playing relaxing music. A calm and supportive atmosphere can make all the difference in how you experience labour.
The Mechanical Benefits of a Waterbirth
Now, let’s talk about the benefits of waterbirth, specifically the mechanical advantage it offers during labour and delivery.
- Buoyancy and Support
One of the most obvious advantages of waterbirth is the buoyancy that the water provides. As you step into the warm water, it helps lift some of your body weight, relieving pressure from your joints and muscles. This can be especially helpful for managing the aches and pains that come with labour. - Relieving Pressure on the Perineum
The warm water can help relax your pelvic muscles and perineum, which can reduce the risk of tearing during delivery. As your perineum softens, it’s easier for your baby to gently ease out, potentially minimising the need for interventions like episiotomies. - Increased Mobility and Freedom of Movement
In the water, you have more freedom to move and adopt different positions that may ease your labour. Whether you prefer kneeling, swaying, or sitting, the water supports your body and encourages mobility, which can help progress labour and reduce discomfort. - Relaxation and Pain Relief
The warm water can help relax your muscles, reduce tension, and offer pain relief. Many women report that being in the water allows them to feel more at ease and less anxious, creating a more positive birth experience. The soothing properties of water can reduce the need for pain medication, although you may still opt for it if needed. - Reduced Stress Hormones
Immersion in warm water can trigger the release of endorphins (the body’s natural painkillers), which may improve your emotional state and decrease the release of stress hormones, such as cortisol. This can help you remain calm and focused as you go through the stages of labour.

Advantages of Waterbirth
Waterbirth has many benefits, especially for women who desire a more natural, peaceful birth experience. Let’s take a closer look at some of the positive aspects:
- Natural Pain Relief
Many women find that the water acts as a natural pain reliever, reducing the intensity of contractions. You may find that you need fewer interventions like epidurals or medications, giving you a more natural experience. - Reduced Risk of Tearing
As we discussed, warm water helps relax the perineum and soften the tissues, which can reduce the likelihood of tearing during delivery. Additionally, the water can make the transition from labour to birth smoother for you and your baby. - Greater Control and Comfort
With the ability to move freely in the water, you can adopt the position that feels best for you during labour. This sense of control and comfort can help empower you during the birth process. - Positive Birth Experience
Many women report that the overall experience of labour in water is more peaceful, with the calming effect of the water helping to lower anxiety levels. The serene environment can create lasting memories of a more positive birth experience.
Disadvantages and Considerations
While waterbirth can be an incredible experience for many, there are some drawbacks and things to keep in mind:
- Not for Everyone
Waterbirth is not recommended for everyone. Women with certain medical conditions, such as infections, preeclampsia, or a high-risk pregnancy, may not be suitable candidates for waterbirth. Always consult with your healthcare provider to see if waterbirth is a safe option for you. - Potential for Infection
As with any birth setting, maintaining cleanliness is vital. Bacteria can be present in the water, and there is a slight risk of infection if proper hygiene is not maintained. This is why it’s essential to use clean, filtered water and work with a birth team that ensures all equipment is sterile. - Limited Pain Management Options
While waterbirth can offer significant pain relief, not all women experience the same level of comfort. For some, the pain may still feel overwhelming, and pain relief options are more limited in the water compared to an epidural or other interventions. - Potential for Delayed Delivery of the Placenta
In some cases, waterbirth may slightly delay the delivery of the placenta, which could pose risks in certain situations. However, this is a relatively rare occurrence and is something your healthcare provider will monitor closely. - Possible Baby Resuscitation Issues
If the baby doesn’t immediately breathe once born, it can be more challenging to provide resuscitation in the water. This is why it’s essential to have skilled medical professionals present who can quickly take action if needed.
Conclusion
Waterbirth is a wonderful option for those who desire a more natural, supportive birth experience. It provides pain relief, relaxation, and increased mobility during labour. However, it’s important to understand that it may not be suitable for every pregnancy, and there are some risks and considerations to keep in mind.
As with any birth plan, it’s essential to discuss your options with your healthcare provider and have a birth team that is trained in managing waterbirths. Whether you choose a waterbirth or not, the most important thing is that you feel informed, supported, and empowered throughout your labour and delivery experience.
Best wishes for a safe and positive birth journey!
