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Some hospital maternity suites and birth centers have jacuzzi-sized labor tubs. If the hospital of your choice does not offer one, ask for it. This is just one more way in which women can influence how birth business is done. An alternative is to rent one; check with local midwives or childbirth organizations for information. The tub should be large enough to bring out the mermaid in you at least 5. 5 feet wide. It's not only being in water that eases the discomforts of labor; it's the freedom to move that gives you the greatest benefit.
Have the water at bath-water temperature, which is usually around your body temperature. Try lounging on your back or side, or kneeling forward on all fours so that the water covers your uterus, at least up to your nipple line. Enter the tub when the intensity of your contractions tells you that you need some relief. For most women the best time to take the plunge is between 5 and 8 centimeters dilatation, when active labor is in full swing. You may also find water labor especially comforting during transition the most intense stage of labor. The freestyle movements of mother help baby to find the path of least resistance (and least pain). Lying in a labor tub can also be used to accelerate a slow labor. The splashing of the water on your nipples can trigger the release of contraction-stimulating hormones. And water is very effective in easing a fast- and-heavy labor, where the contractions threaten to overwhelm you.
If your labor stalls while you are comfortably floating in the water, get out and walk or squat on land to get your labor going again; re-enter the tub once labor gets going. Be sure to enter and exit the water between contractions and with assistance, so you don't slip. When you feel the urge to push, it's time to get dry. (Babies have been born into the water when there was suddenly no time to exit or because a mother was so comfortable she could not bring herself to leave the water. Babies do just fine, as long as they are lifted up out of the water and placed in mother's arms without delay. Baby simply goes from water to water and doesn't take a breath until his face meets the air. )
Unless your birth attendant advises you otherwise, it's safe to use water labor even after your membranes have ruptured. That's when contractions usually get more intense and you really need the relief of water. Maternity centers with much experience in water labor (and water birth) report no increased rate of infection in women using water after their membranes have ruptured, as long as the mothers are in active labor and proper infection control hygiene is followed.
It is rarely necessary to leave the water for routine tests. If you need an I. V. , a heparin-lock can be used in the veins of your hand, covered with a waterproof plastic bag, and sealed with a rubber band. If intermittent fetal monitoring is necessary, let it be done on a part of your abdomen that you can lift above the water; place a plastic bag over the handheld monitor if you aren't using monitors designed for underwater use.
If your hospital or birth center does not offer a labor tub or you're unable to rent one, at least try sitting in a regular tub or taking a shower. A jet of warm water is often especially effective in easing back labor. Don't expect all the pain of labor to float away into the water. Yet our personal experience and that of other women who have used labor pools suggest that water is one of the most wonderful laborsaving devices available.