Most people find great comfort and repose with water. Perhaps because we begin our lives surrounded in liquid in the womb, this basic familiarity stays with us throughout our lives. Human beings are comprised primarily of water. A three-day old foetus is 97 per cent water, and at eight months the foetus is 81 per cent water. By the time a human has grown to adulthood, the adult body is still 50 to 70 per cent water, depending on the amount of fatty tissue. Soaking in a tub of water to ease labour sounds inviting to most women. And for women who find water soothing and comfortable during labour, they usually want to give birth in water.
However, labouring in water does more than merely relax and comfort the woman. Resting in a warm tub of water actually facilitates the progression of the latter stages of labour. Many women report a sensation like an energy surge that moves through them as soon as they step into the water. While a woman in labour relaxes in a warm pool, free from gravity's pull on her body, and with sensory stimulation reduced, her body is less likely to secrete stress-related hormones. This allows her body to produce the pain-inhibitors, endorphins, that compliment labour. The hormones that are released during stress, noradreneline and catecholamines, actually raise the blood pressure and can inhibit or slow labour.
Being more relaxed physically, a labouring woman is able to relax mentally. Many women, midwives and doctors acknowledge the analgesic effect of water.
One obstetrical nurse who had a waterbirth, described sitting in a tub of warm water during labour as similar to "getting a shot of demerol, but without the side effects." Others have referred to the pool in labour as "a wetepidural." Women achieve a level of comfort in the water that in turn reduces their levels of fear and stress. Women's perception of pain is greatly influenced by their levels of anxiety. When labour becomes physically easier, a woman's ability to calmly concentrate is improved, and she is able to focus inward on the birth processes. Water helps some women reach a state of consciousness in which their fear and resistance are diminished or removed completely; then their bodies relax, and their babies are born in the easiest way possible.
Mothers feel not only relief, and although exhausted, they often feel exhilarated, ecstatic and delighted from having the full birth experience in such a wonderful way, and knowing the baby also has experienced little or no trauma. Doctors and midwives who attend waterbirths find that the mere sight and sound of water pouring into the tub helps some women release whatever inhibitions were slowing the birth, at times so quickly that the birth occurs even before the pool is filled. Often times women get in the pool to labor and the birth happens before they can get out of the pool. Another benefit of waterbirth is the elasticity that water imparts to the tissues of the perineum, reducing the incidents and severity of tearing and the need for painful stitches or episiotomies.
The ease of the mother who labours and gives birth in water becomes the ease of the child who is born in the water, as well. Their body responses are intricately linked. While the child is in the womb and when he is passing through the birth canal, the mother's experience influences the child's experience. The emotions the mother feels can also be felt by the child because the hormones her body secretes in response to her emotions are absorbed by the child. In a medically controlled birth, any drugs or synthetic hormones that the mother receives would also be received by the child. If the mother's delivery is easy and smooth, so too is the child's birth.
The baby emerges into the water and is "caught" either by the mother herself or the birth attendant. In the water, the child has freedom of movement within familiar fluid surroundings. A baby's limbs can also unfold with greater ease during those first moments when he leaves his mother's body and enters the water. The water offers a familiar comfort after the stress of the birth, reassuring the child and allowing his bodily systems time to organise. During the birth babies often open their eyes, move in all directions and use their limbs. The shock and sensory overload which are so often an inextricable part of birth are mitigated. (Childbirth Solutions Inc.)