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Vol. XXI, No. 1
Friday-Saturday, July 27-28, 2007 | MANILA, PHILIPPINES

Health

Waterbirthing: ancient philosophy on childbirth

Waterbirthing is a non-traditional concept where the baby is delivered under water. The mother’s wishes are prioritized, the natural process of birth is respected, and medical intervention and techniques are minimized as long as the safety of the mother and child are not compromised.

The mother usually enters the birthing pool or tub during labor with the water set at body temperature. She may step in and out as she pleases depending on the pace of her labor.

Dr. Rebecca B. Singson with patient Velvet Roxas who delivered her baby Voguelle without anesthesia.

In an interview with Dr. Rebecca B. Singson, she answered some of the most common questions pregnant mothers want to know about waterbirthing.

Q: What are the advantages of waterbirthing?

Waterbirthing can provide the hydrothermal effects of producing perineal and vaginal relaxation. It minimizes the need for medical intervention because when the woman is relaxed, she experiences less pain.

Q: What are the advantages for women and their babies?

Waterbirthing provides a low-risk alternative to delivering on bed or in a stirrup. The element of water angles the process of birth so it is viewed as a wellness rather than an illness. The process also restores the control of the birthing process to the mother. Since the water duplicates the amniotic fluid environment inside the uterus, waterbirthing provides a gentle transition into the world for the baby. There is also significantly lower blood loss in waterbirths which could be due to the lower incidence of perineal lacerations. Another reason could be that the hydrostatic pressure in the tub prevents vessels from bleeding. Women who delivered by waterbirthing needed fewer painkillers compared to any other birth method.

Q: What are some of the contraindications?

Waterbirthing is contraindicated in the presence of any documented fetal distress. Maternal fever of greater than 100.4 of suspected maternal infection or amnionitis or a positive HIV status also contraindicate waterbirthing. Vaginal, urinary tract and skin infections, excessive vaginal bleeding, heavy meconium staining or any conditions requiring continuous electronic fetal monitoring are also contraindications. Prematurity of the fetus and malpresentation also contraindicates waterbirthing.

Q: Is there any danger of the baby aspirating or drowning?

There is no valid report of a newborn drowning or dying as a consequence of a waterbirth. The baby continues to breathe while underwater through the placenta until the baby is brought out of the water. It is only when the face comes in contact with air that the first breath will be taken.

For inquiries, call 771-9204.

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