THE NEWZ Vol.21 English Ver.
5/17

 Pros and cons of water birthCurrently, in Australia you can give birth in water in the following situations:・In birthing facilities where midwives practice in groups・In medical facilities featuring birthing tubs or pools, staffed bytrained professionals, and endorsed (private) midwives with hospitalaccess privileges・In the comfort of your own home, with private midwives who havebeen endorsed.・In a private hospital with an obstetrician – very few support waterimmersion for labor and birth.・Free birthing at homeIf you are deemed high risk or do not fit any of the followingrequirements, hospitals, and birth centers will not permit water births:・A low-risk pregnancy that ended happily and a healthy baby・In a healthy weight range and in good health・Having just one baby that is arriving headfirst・When in labor, at least 37 weeks pregnant.Canada : In Canada, women have traditionally had the option of giving birth at home underwater with a midwife. Hospitals frequently have bathtubs or showers for laboring patients, but they are not usually used for giving birth. Things are beginning to shift in this regard. Birth pools are becoming more common in hospital maternity wards. A midwife can give birth in water in a hospital, but doctors are not likely to do so. It is expected of midwives to possess the skills necessary to tend to a woman who is in labor or giving birth in water. In addition to any regulations about the location of your intended birth, there are additional factors you should take into account. Underlying medical conditions can sometimes make a water birth excessively risky, for example. If you experience any of the following, you might not be eligible for a water birth.・Obstetrical complications such as intrauterine growth restriction,preeclampsia, macrosomia, high blood pressure, Group B strep-positive cultures, or an unproven pelvis・delivering a baby before the scheduled delivery date (less than 37weeks gestation).・The infant is breech.・You are over 35 years old.・You are expecting more than one child.‘High-risk conditions and complications during labor often requirecontinuous fetal monitoring and immediate intervention, whichis better done outside of the water,’ explains Edwin Fan, MD, anobstetrician and gynecologist practicing in Cambridge, Massachusetts. Water birth seems to be becoming better known in Japan little by little. It is important to discern the advantages and disadvantages, and it is likely to vary from person to person whether underwater birth is suitable or not. if you are considering it, we recommend that you consult with a medical professional before making a decision. We hope this article is of some help.4  We will look into the pros and cons of water birth. ・Reduces labor pain: One of the alleged advantages of water birthingis that the pain is lessened during the process because of the water’sbuoyancy and the relaxing effect on the muscles and tissue ・Reduces the need for medication: explains that there is a chemicaland hormonal response to underwater birth that affects oxytocinand regulates the intensity of labor pain. As the body relaxes, moreoxytocin is released and pain-suppressing endorphins flood the brain,which may in turn reduce the need for medication. ・Shortened labor: one study suggests that water birth plays a role inshortening the duration of labor in all three phases. These are relatedto water movement, muscle relaxation, and psychological factors. ・Reduced need for interventions: some studies have shown that waterbirth reduces the need for obstetric interventions such as artificialinsemination and perineotomy. The cons ・ Meconium aspiration: A baby who has had their first bowelmovement before birth inhales tainted amniotic fluid, leading torespiratory issues. When the baby has its first bowel movement beforedelivery, extra care must be taken, and clearing the baby’s airwayduring a water birth may be challenging. Pneumonia is another risk,brought on by bacteria from tub water, fecal contamination, andmeconium aspiration. ・Drowning: where water is present, there is a risk of drowning.In medical settings where water births are performed, this can beprevented by the delivery team keeping the baby’s head above waterto ensure that the baby gets enough oxygen to breathe as soon as he orshe is born. ・ Umbilical cord ruptures: during a water birth, the baby usually risesquickly from the head to the surface of the water. If the umbilical cordis severed, the fetus will continue to bleed until the bleeding stops,which can be life-threatening. ・ Infection of the baby: water birth means that the baby is born ina tub, sitting and pushing, and there is often feces in the tub. Babiesborn in such an environment may swallow contaminated water,increasing the risk of pathogen infection. ・ Insufficient resources for emergencies: water births have limitedcapacity to respond to emergencies during delivery (e.g. shoulderdystocia, maternal hemorrhage, need for cesarean section). This canhave negative consequences for parents and babies. How is water birth known in ...different countries? As I keep researching, the awareness and systems for water birth differ in each country. This time, I will focus on Japan, Australia, and Canada.Japan: water birth is not yet commonplace in Japan, and few facilities in Japan have dedicated pools for water birth.(Examples of facilities)Japanese Red Cross Society Japanese Red Cross Medical Centre (Tokyo), Seikoukai Ikura Clinic (Tokyo)Australia: there are more than 50 hospitals providing support for waterbirth. Who Should Not Have a Water Birth?Summary

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