I labored in a tub but had to get out to push (hospital policy, ugh). My advice: have a pillow you won't mind getting wet around the edges. A real pillow, not some plastic bath pillow. I liked leaning over/against/on the side of the tub and the pillow resting on top of the ledge was such a comfort.
IVF/ICSI #1 - BFP, DS born Jan 2013
IVF/ICSI #2 - BFP, DD born Feb 2015 IVF FET - BFP, due April 2017
My niece was just born at home in the tub, my SIL said it was a great experience. In another group I'm on someone just posted about water births. I'm going to C&P it here, but be warned it's rather long. But hopefully you find it helpful
Waterbirth Class Key Points
Check out waterbirth international for good information. Their FAQ section is helpful.
Get in the water now. Start using water before labor as a means for relaxation or exercise.
Stay hydrated and take in calories (my hospital makes everyone NPO (nothing to eat) but they still recommend protein shakes and juice along with water hydration (plus most nurses at my hospital will look the other way if you are low risk and want to eat small snacks in labor, just totally depends on your nurse though).
As long as you're in the water you'll more than likely be required to have your nurse or midwife/OB in the room. Most facilities won't leave you alone.
If you have a sweat stash then the water is too warm. Labor actually progresses better when temp is 96/97 F vs pushing it up to the hotter acceptable range of 98/99 F
They don't have to use the bulb syringe to get goop out of baby's mouth. They've found that baby's clear that junk way more efficiently on their own.
Don't panic if baby doesn't cry after waterbirth, very common for them to be silent the first few moments.
Baby doesn't need an immediate blanket/hat because they were born into warm water vs an air conditioned room.
****IF you decide to get an epidural wait at least 1 hour after getting out of the water. Women commonly have their blood pressure drop when they get out of warm water. Add that to a drop in blood pressure from an epidural or IV pain med and you increase your risk for a c-section. Additive pressure drop from meds an temp change results in baby not tolerating labor as well. One step at a time.
Have cool rags for forehead or spray bottle to mist your face or back, nice distraction sometimes
Don't worry about pooping in the water (aka poop soup as my H referred to it in class....) since naturally started (vs induced) rarely have a bowel movement during pushing
Incorrect info that is commonly shared regarding waterbirth and water labor: 1. there really isn't a too soon in terms of getting into the water once admitted to the hospital. If your labor stops then you probably weren't in labor to begin with. The hospital hasn't ever seen (in the 12 years they've offered waterbirth) a well established labor stop, they've seen things slow a little but position changes usually help. Then again, you aren't admitted usually until at least 4-5 cm so anything earlier may respond differently. 2. The temp is not what results in baby taking vs not taking their first breath. It's the pressure of the water. Once their face is exposed to a lower pressure (ie air) their chest expands and they try to breath which is why shoulder dystopia potentially happens more often in out of water births - bc they expand their chest to breath while their torso is still in your vag.
3. Providers need to be hands off and allow baby to rotate after the head is out. Do not push baby out quickly, you still can tear but chances are less likely after being in water.
I had a water birth with DD at a birth center and highly recommend it. The water is a great pain relief and it allows you to position yourself really easily. I had no idea what position would work best but I ended up crouching with my arms over the side of the tub. I 100% am planning a waterbirth this time too!
F15 Siggy Challenge: What You're Looking Forward to Most After Baby Arrives: BELLY SLEEPING!
My husband and I have a midwife and we are planning a natural home birth. It is our first, I am very excited and nervous! Thank you for the tub information.
I'm so excited that all you ladies get to do this. I'm also jealous though, we live way too far from town for a home birth, and our hospital doesn't offer water baths. Sounds like a wonderful option though! Glad you guys are taking advantage of it!
I considered doing home birth, but my apartment walls are so thin it makes me self-conscious just thinking about it. I purposely nixed the idea of a water birth at home early on because I didn't want to risk flooding the apartment below me. (The lady above me used to have a large aquarium. When it leaked it resulted in a bunch of ruined dry wall and an electrical fire inside of my wall. Yikes!) My advice would be, if you are in an apartment, be sure to talk to your community manager to make sure you aren't breaking any rules, because it you are you are liable for damages!!
If my husband wasn't so freaked out I would so have this baby at home. And if we weren't so far from my hospital. There is a closer hospital but it doesn't have a nicu, and if you are going to a hospital it's because you need it
If my husband wasn't so freaked out I would so have this baby at home. And if we weren't so far from my hospital. There is a closer hospital but it doesn't have a nicu, and if you are going to a hospital it's because you need it
Truth? I spoke to a home birth CNM, and she said the most common reason for hospital transfer was that the mother was just tired during a long labor. She said in her practice, only about 10-15% of women need to transfer to the hospital, and only something like 2-5% of all of her patients have an emergent transfer. Most women who transfer, at least in her experience, do so because of prolonged labors and exhaustion rather than some emergency requiring the NICU.
But I agree that if you are going to be in a hospital over a home birth fin case of emergencies, which is what it comes down to for many women, why would you choose one without a NICU? That seems counter intuitive.
DH and I were considering the home birth. I did a bit of research and decided it wasn't for us. It's the 'what if's' that sway me. My first labour was fairly quick and easy with zero issues but I'm just not willing to risk it when minutes count.
I came across a website called hurt by home birth - the title says it all. These stories while very sad and tragic did not sway me against home birth. I only read a few but it seemed to me that the issues were a result of the actions of the midwife/nurse, people who came highly recommended and were trusted. If you are considering home birth it may be good to read some of these stories, not to sway you against it, but so you can gain some additional information and the signs to look for when things aren't going right. Like with any medical issues we need to be able to advocate for ourselves and not just blindly trust those in charge.
We're planning a home birth if we move in time. The plan is to move by OCT or NOV. If our plan falls through then we'll end up probably at the hospital -- though that is not what I want, but at least the hospital does have access to tubs now. If we're able to do the home birth with our midwife, I definitely want the birthing tub. I've never had one before, because the last time I gave birth they weren't all that popular yet.
My midwife said the same thing about her transfer rate, which was only about 5%, most of the time it's because mom's too tired or wants drugs, and only a few have actually been an emergency...but she's never lost a either a mom or baby -- which to me is a good sign. My midwife is also an EMT along with her midwife certifications, which makes me feel even more comfortable with her.
From what I've read of stories concerning home births gone wrong, they do all tend to center around a midwife that was simply negligent about complications. It also seems many times the mom's thought something was wrong and rather than listening to their own bodies they kept relying on the midwife to tell them to go to the hospital. I know full well if I feel like something is wrong, I'm going to go to the hospital, doesn't matter what the midwife says, even though I do trust her, and I have a feeling if I said to her "something is wrong we need to go to the hospital" she'd get me to the hospital.
Having gone through two births already, I know how it should go, how a normal birth without any complications feels. And while every pregnancy and birth is different, it's not so different that I wouldn't be able to tell if something was feeling off. If you're doing a home birth you do have to trust yourself not just your midwife.
Me = 34 DH = 37 DD = 15 DS = 13 Married since 6/21/13
Great tips ladies! Helpful stuff. Did anyone find pushing difficult in a larger tub? I saw one water birth (only one!) and the mom couldn't get good leverage and when a contraction came, she just raised her body out of the water and didn't push. It seemed like the water "ungrounded" her a bit. Any experience with that? Thoughts?
I got to watch one in a hospital in nursing school. I have been told it is a lot more comfortable than being in a bed and you can move around to get in a comfortable position which is hard in a bed. Also the warm water helps. The hospital I will be delivering at has nice big tubs so I am going try it! The one I watched she just held on to the people outside of the tub with contractions.
I labored in the tub with both of my girls. The tubs at our hospital were so big I couldn't imagine delivering in one, because I'm only 5'3" and I wouldn't be able to get enough leverage. I loved laboring in it though! The tub had jets and they felt amazing! We have since moved and I know our new hospital has tubs, but I haven't seen them. In the state of Nebraska it is a felony for a midwife to deliver a baby at home. I wish I could have a home delivery!
Great tips ladies! Helpful stuff. Did anyone find pushing difficult in a larger tub? I saw one water birth (only one!) and the mom couldn't get good leverage and when a contraction came, she just raised her body out of the water and didn't push. It seemed like the water "ungrounded" her a bit. Any experience with that? Thoughts?
That was my experience exactly. Laboring in the tub was wonderful, but I felt really ineffective pushing...too buoyant, no leverage. Having less water in the tub might have helped, but I just got out. Pushing was much, much easier out of the tub for me.
There are midwives that will do homebirths you just need to look
There are midwives that will do homebirths you just need to look
In Nebraska?
It isn't legal for midwives to practice home birth in all states. I mean, a woman can have her baby wherever she wants, but if a midwife assists in some states she can be prosecuted. I'm pretty sure Alabama and Nebraska have criminalized attending births at home, but I am not sure if there are more states as well.
CNMs, midwives who are also registered nurses, can legally practice in all states. CPMs are licensed to practice in only 28 states. CPMs are trained to practice in home births, but some CNMs do as well. Regular direct entry midwives, CMs, are only legally licensed in 3 states. If a woman is not a CNM in those states, even if home birth is legal, she can still get into booku (sp?) trouble for attending births as a medical professional.
I had a home birth with my first, and with this next one we are planning the same. I never used a tub at all the last time, honestly I just didn't feel like it. But having a baby at home is so wonderful and it's so nice to hear so many of you talking about it!
Re: Home Birth
IVF FET - BFP, due April 2017
Waterbirth Class Key Points
Check out waterbirth international for good information. Their FAQ section is helpful.
Get in the water now. Start using water before labor as a means for relaxation or exercise.
Stay hydrated and take in calories (my hospital makes everyone NPO (nothing to eat) but they still recommend protein shakes and juice along with water hydration (plus most nurses at my hospital will look the other way if you are low risk and want to eat small snacks in labor, just totally depends on your nurse though).
As long as you're in the water you'll more than likely be required to have your nurse or midwife/OB in the room. Most facilities won't leave you alone.
If you have a sweat stash then the water is too warm. Labor actually progresses better when temp is 96/97 F vs pushing it up to the hotter acceptable range of 98/99 F
They don't have to use the bulb syringe to get goop out of baby's mouth. They've found that baby's clear that junk way more efficiently on their own.
Don't panic if baby doesn't cry after waterbirth, very common for them to be silent the first few moments.
Baby doesn't need an immediate blanket/hat because they were born into warm water vs an air conditioned room.
****IF you decide to get an epidural wait at least 1 hour after getting out of the water. Women commonly have their blood pressure drop when they get out of warm water. Add that to a drop in blood pressure from an epidural or IV pain med and you increase your risk for a c-section. Additive pressure drop from meds an temp change results in baby not tolerating labor as well. One step at a time.
Have cool rags for forehead or spray bottle to mist your face or back, nice distraction sometimes
Don't worry about pooping in the water (aka poop soup as my H referred to it in class....) since naturally started (vs induced) rarely have a bowel movement during pushing
Incorrect info that is commonly shared regarding waterbirth and water labor:
1. there really isn't a too soon in terms of getting into the water once admitted to the hospital. If your labor stops then you probably weren't in labor to begin with. The hospital hasn't ever seen (in the 12 years they've offered waterbirth) a well established labor stop, they've seen things slow a little but position changes usually help. Then again, you aren't admitted usually until at least 4-5 cm so anything earlier may respond differently.
2. The temp is not what results in baby taking vs not taking their first breath. It's the pressure of the water. Once their face is exposed to a lower pressure (ie air) their chest expands and they try to breath which is why shoulder dystopia potentially happens more often in out of water births - bc they expand their chest to breath while their torso is still in your vag.
3. Providers need to be hands off and allow baby to rotate after the head is out. Do not push baby out quickly, you still can tear but chances are less likely after being in water.
Team Purple!!!!
IVF FET - BFP, due April 2017
F15 Siggy Challenge: What You're Looking Forward to Most After Baby Arrives: BELLY SLEEPING!
I considered doing home birth, but my apartment walls are so thin it makes me self-conscious just thinking about it. I purposely nixed the idea of a water birth at home early on because I didn't want to risk flooding the apartment below me. (The lady above me used to have a large aquarium. When it leaked it resulted in a bunch of ruined dry wall and an electrical fire inside of my wall. Yikes!) My advice would be, if you are in an apartment, be sure to talk to your community manager to make sure you aren't breaking any rules, because it you are you are liable for damages!!
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But I agree that if you are going to be in a hospital over a home birth fin case of emergencies, which is what it comes down to for many women, why would you choose one without a NICU? That seems counter intuitive.
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I came across a website called hurt by home birth - the title says it all. These stories while very sad and tragic did not sway me against home birth. I only read a few but it seemed to me that the issues were a result of the actions of the midwife/nurse, people who came highly recommended and were trusted. If you are considering home birth it may be good to read some of these stories, not to sway you against it, but so you can gain some additional information and the signs to look for when things aren't going right. Like with any medical issues we need to be able to advocate for ourselves and not just blindly trust those in charge.
In the state of Nebraska it is a felony for a midwife to deliver a baby at home. I wish I could have a home delivery!
CNMs, midwives who are also registered nurses, can legally practice in all states. CPMs are licensed to practice in only 28 states. CPMs are trained to practice in home births, but some CNMs do as well. Regular direct entry midwives, CMs, are only legally licensed in 3 states. If a woman is not a CNM in those states, even if home birth is legal, she can still get into booku (sp?) trouble for attending births as a medical professional.
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