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Water Water Everywhere: Hydrotherapy for Labor

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Elaine Zwelling
By Elaine Zwelling R.N., Ph.D., L.C.C.E., F.A.C.C.E.
Elaine Zwelling, R.N., Ph.D., has been involved in maternal-newborn health care for 40 years. She has a bachelor's degree in nursing from Capital University and a master's degree in nursing and a Ph.D. in Family Relations and Human Development from Ohio State University. Dr. Zwelling brings to the Pampers Parenting Network her experience of helping expectant parents enjoy their pregnancy, plan and create a positive birth experience, and learn about parenting their newborn baby. She is certified by Lamaze International as a childbirth educator, is a Fellow in the American College of Childbirth Educators, and has taught childbirth classes for 25 years. Dr. Zwelling was the director and faculty for the Lamaze International Childbirth Educator Certification Program of Florida; in that role she prepared many nurses to become childbirth educators.

Dr. Zwelling was a Professor of Maternal-Newborn Nursing for 23 years at both Capital University and Ohio State University in Columbus, Ohio. At these institutions she taught undergraduate and graduate students and conducted research. For eight years she was a Senior Consultant with Phillips &; Fenwick, a women's health consulting firm in Santa Cruz, California, specializing in helping hospitals implement family-centered maternity care. Currently Dr. Zwelling is a Perinatal Nurse Consultant with the Hill-Rom Company. In this position, she provides comprehensive support and consultation to hospital maternity units to create quality care environments equipped with the appropriate equipment for labor and birth and provides clinical education for nursing staff.

Dr. Zwelling is the co-author of a maternal-newborn nursing textbook, Maternal-Newborn Nursing: Theory and Practice, and has published many professional journal articles related to maternal-newborn health care, family-centered maternity care, and childbirth education. Dr. Zwelling is a recognized speaker at professional conferences and teaches continuing education seminars for childbirth educators and perinatal nurses throughout the country.

Dr. Zwelling resides in Sarasota, Florida, and has a grown son, lovely daughter-in-law, and two grandchildren.

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Have you ever noticed how wonderful it feels to soak in a tub of warm water when you're tense or in pain? The same is true during labor. In fact, studies have found significant benefits to laboring in water. Sitting in warm water or standing in a warm shower lets your muscles relax and decreases the pain of labor contractions. Water therapy (hydrotherapy) also can help your uterus work more efficiently: Some studies have shown that labor progresses faster when women are in water. Warm water can also help to lower your blood pressure if it's elevated.

 Coming Soon to a Hospital Near You

 Tub Tips

 Birthing in Water


Coming Soon to a Hospital Near You


Water therapy is now encouraged by many health care providers, but this wasn't always the case. For years women in the United States were confined to bed during labor. Today, many hospitals and birthing centers are trying to catch up with this change in attitude. They are building new women's birthing centers or redesigning old units to include a Jacuzzi tub or shower in each birthing room.


Tub Tips


As long as your labor is proceeding normally, it's safe to be in water. Your progress and your baby's heartbeat can still be monitored. If your birthing room has a shower, you can sit or lean against the wall with a pulsating spray directed toward your lower back or abdomen. If your room has a Jacuzzi tub, you can recline in the warm, bubbling water. The buoyancy and warmth of the water will lessen any discomfort you're feeling. You can just succumb to the soothing effects of the water, or you can practice your relaxation and breathing techniques at the same time. (Bring a bath pillow with you so you can lean your head back comfortably.)

Your labor partner can join you, too. He can sit in a chair next to the shower or tub, or he can get in with you if there's enough room. In this case, your partner might want to bring along a swimsuit. You won't be able to wear a swimsuit yourself, but if you're self-conscious about being undressed, you can keep on your hospital gown while in the tub or shower.


Birthing in Water


Spending time in a shower or tub during labor does not mean that you will give birth in the water. Most caregivers will ask that you get out of the tub before the baby is born, even though you may wish you could stay there the entire time! 

When you take your hospital tour, find out if you'll have access to a shower or tub, and if you think you'd like to use this comfort measure during labor, let your caregivers know.


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