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Should Hospitals Ban Water Births?

Should Hospitals Ban Water Births?

Giving birth is an intensely private, emotional and life changing moment, and one that no two people will ever experience in exactly the same way. How and where we labor and deliver has been something that has evolved through the years, from home births to hospitals and in some cases back to home again. Yet the more we focus on creating the most positive birth experience we can, and the more options that are put on the table, the more pushback there appears to be from the medical establishment. The debate over every aspect of birth is reaching fever pitch, from assisted midwife birth to VBACs (vaginal births after a c-section) to home birth. Now, we can throw water birth into the mix.

Both doctors and midwives suggest laboring in a tub as a positive experience that can relax a mother on the verge of birth, reducing pain and allowing labor to progress. For many women, this has evolved into a practice of actually giving birth in a birthing tub, a large tub much like a mini-pool or kiddie pool in a home or hospital where the mother-to-be can complete her full labor and give birth.

However, the ability to do that in a hospital may be no more. Due to a joint statement from the American Congress of Obstetricians and Gynecologists (ACOG) and the American Academy of Pediatrics (AAP) saying that they disapprove of the practice, deeming it potentially dangerous, hospitals are pulling back on their own participation in allowing water births on site.

Minnesota is just the latest to cut off that option for expecting mothers and, in their case, leaving many irate that their choices are being removed from them at the last moment. Allina’s birthing tub was a key feature of the hospital’s new birthing center, but now it’s being left empty. Last year the hospital system had almost 150 water births, but now they are being put on hold while they decide on whether the medical professional groups’ safety concerns are merited.

According to the Minneapolis Star Tribune, this isn’t the first time ACOG has released warnings about water birth danger. A similar caution was put out in 2005, yet hospitals continued to add the practice to their birthing centers. There has been no change in evidence over the subsequent eight years, yet now the hospital system has decided to close the tubs just in case.

Although there are other hospitals still offering the choice, mothers who are about to give birth are scrambling, since many of them have midwives who are only certified to do births at Allina hospitals. Either way, these mothers will lose something in their birth plan: the person who will deliver the baby or the way in which that delivery will take place.

Even in areas where the tubs will be allowed, the choice is likely to leave some medical providers questioning the mothers-to-be who choose to take that option, especially if some tragedy does occur during birth. Author Avital Norman Nathman, an advocate for birthing rights, wrote about the issue last month when the new caution from the medical groups was announced. “The ACOG and AAP statement isn’t a ruling, but rather a suggestions [sic], yet it means providers will take it into consideration when deciding what to offer,” writes Norman Nathman. “It does mean that some places will stop offering water births. It also means that water birth is now added to the pantheon of decisions one can make during birth that will be heavily scrutinized and judged.”

Perhaps the most ironic part of the warning from ACOG and AAP is that by releasing their recommendation that water births not be allowed, which would stop hospitals from offering them, they will push those who truly want a water birth to consider a home birth versus hospital birth, something that they also believe increases risk for mother and child.

Regardless of recommendations, birthing is about learning the risks and dangers inherent in every option (yes, including doctor led hospital birthing, inductions and other labor and delivery options considered mainstream and standard), weighing them, and deciding what best fits your current situation and the experience you hope to have while giving birth. And, above all else, remembering that everyone should be working together to bring this new life into the world with the least amount of risk, but also the biggest amount of joy.

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Photo credit: Thinkstock

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9:48AM PDT on Jul 23, 2014

I think a water birth would have been perfect for me, but I didn't have the choice option open to me.

12:38AM PDT on May 5, 2014

I think Mums (or Mums to be) should choose if they want anyone (other than doctors) to see their births.

12:34AM PDT on May 5, 2014

There must be a safe way to undergo water births.

6:11AM PDT on May 3, 2014

The greatest shame is that of litigation, yes we all want a healthy birth but complications are a real is all about accountabilty !!! And natural childbirth is that ...childbirth and deaths occur as a reality. This should not be about blame or guilt for an infants life lost....equally my heart goes out to the families that have endured the responsibility of a baby that's life as been miraculously saved by modern medicine only to be overwhelmed by the load of caring as a family for a severely disabled child for many years.

5:01AM PDT on May 2, 2014

Stupidity, morons and idiocy should be banned, definitely.

5:42AM PDT on May 1, 2014

I had water births for two of my three children and was very disappointed when I couldn't have a water birth for my middle child because the pool was already being used. I found it extremely helpful in overcoming the pain and stress of childbirth. I think as long as staff are well trained and mothers are aware of the pros and cons, water births should be an option. We need to stop "medicalising" child birth and give women the options they need to make the right choice for themselves.

5:56PM PDT on Apr 30, 2014

It should not be banned, and of course the water is changed between births. What a bunch of foolish objections.

5:53PM PDT on Apr 30, 2014

stop banning and unbanning things, you're causing much disruption. Provide evidence with embellishment; if found doing, the entire school is stricken off totally.

and seek evidence from your neighbours and how they did it; that is the point of culture, not some info vulture swooping down-under for bans and unbans.

7:57AM PDT on Apr 30, 2014

Gives me the horrors, that is just me. I keep thinking of all the other bodies that have been in the water, also the fluid dilution and spread. Ugh.
Not for me, I was very happy moving about and hanging onto the dressing table until the very last minute. Gravity helps.

4:00AM PDT on Apr 30, 2014

Yes. The baby could drown.

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