Water birth at Genesis Dnepr — a delivery option in Dnepr and a management plan

What is a water birth:

a method of delivery using a special tub, where part of the labour takes place in warm water to help the woman feel more comfortable.

Who it suits:

typically candidates are those with an expected uncomplicated (physiological) pregnancy and no serious obstetric contraindications.

Can you discuss everything in advance:

yes — it is important to talk with your doctor and midwife about your current condition, possible limitations, the plan for fetal monitoring, and pain-relief options. The decision about a water birth is always made individually and can be revised during labour in the interests of the mother’s and baby’s safety.

What the water-birth format means

This is a method of delivery in which part of the labor takes place in a warm tub in a specially equipped room. It is suitable when a pregnancy is expected to progress physiologically and there are no contraindications. Before labor it is important to discuss indications, the fetal monitoring plan, and organizational details with the physician and the midwife.

Key point — part of the labor takes place in a warm, specially equipped tub
Difference from conventional delivery — changed positions and environment, with a possible relaxing effect
Plan of action — discuss indications, contraindications, and the monitoring protocol with the doctor and midwife
Organization — the tub, water temperature, and hygiene conditions are prepared in advance
Limitations — such births are not recommended for complicated pregnancies or if there are signs of fetal distress
Transition out of the water — may be necessary if operative intervention is required or the condition worsens

Be sure to discuss expectations and limits with your medical team before labor; the decision is individual and may change during labor.

Who might be suitable for water birth

Water birth can be an option when a pregnancy is expected to proceed physiologically and there are no contraindications. This approach is discussed in advance and chosen based on the clinical picture, the woman's preferences, and the readiness of the maternity unit. It is important to discuss expectations, pain-relief options, and the monitoring plan with the obstetrician and midwife before labor. The final decision is made individually and may change during labor.

A woman who wants to discuss the birth scenario and possible limitations in advance
A patient with a pregnancy without serious complications, when natural options are being considered
Someone who wants to preserve mobility and comfortable positions during contractions and pushing
A woman for whom partner presence is important for logistical or medical reasons
A patient who wishes to discuss pain-relief questions in advance with the doctor and anesthesiologist
A woman with previous birth experience that she wants to take into account when planning
A patient who prefers a calmer and clearer birth plan
Someone who wants to understand in advance who and how will manage the birth (doctor and midwife)

Discuss your expectations and questions with the maternity team; during labor the priority is the safety of the mother and baby.

When water birth may not be suitable or may require restrictions

In the case of water birth, the format may be unsuitable or require restrictions in a number of situations. This is normal medical practice: the choice of method is based on the safety of the mother and baby. It is important to discuss possible limitations with your doctor and midwife in advance and to understand that the plan may change during labour.

Obstetric complications during labour requiring increased monitoring or intervention
Signs of fetal distress on cardiomonitoring
The need for urgent operative intervention, including cesarean section
Contraindications to the chosen method of analgesia that make the water format undesirable
Infectious or organizational conditions preventing the use of the birthing pool
Limited access to the mother or fetus that would impede emergency procedures
Maternal conditions in which the priority is emergency safety rather than maintaining the original plan

Such limitations are part of routine clinical decision-making; the doctor and midwife will explain the reasons for changing the format and offer a safe alternative.

Who and how decides on the mode of delivery

The decision about the mode of delivery is made jointly by the patient and the medical team. The patient states her preferences, and the doctor and midwife/obstetrician assess the pregnancy, tests, and ultrasound. An anesthesiologist is involved for questions of pain relief, and a neonatologist when necessary. The final decision is based on the current clinical situation and may change during labor.

Patient’s preferences — to express her wishes and important expectations
Assessment by the doctor and midwife/obstetrician — pregnancy status, test results, ultrasound, and fetal monitoring
Involvement of the anesthesiologist — when planning an epidural or other methods of pain relief
Involvement of the neonatologist — when risks to the newborn are suspected or in preterm birth
The joint decision of the team and the patient is recorded in the birth plan
The plan may be changed during labor if indications for urgent intervention arise

The team tries to agree decisions with you and to explain the reasons for any changes.

The safety of the mother and baby is always the top priority.

What to discuss with your doctor before giving birth

This list will help you prepare for a conversation about your preferred birth format and specifically about water birth. Bring your latest test results and ultrasound reports so the discussion can be specific. Ask questions directly — it helps create a clear and safe plan.

Clarify which birth format you prefer and why.
Discuss the possibility of partner presence and the practical arrangements.
Ask about pain-relief options and whether an anesthesiologist consultation is needed.
Inform about previous deliveries, cesarean sections, or obstetric complications.
Clarify any chronic conditions and regular medications you are taking.
Bring and review the latest ultrasound results and laboratory tests.
Find out the plan of action if your condition worsens or in an emergency.
Ask when it’s best to go to the clinic/hospital and which symptoms should be considered urgent.
Discuss what to bring, which documents are needed, and postnatal accommodation conditions.

Write down the answers and save your doctor’s contact for clarifications before hospital admission. If anything remains unclear, discuss it again at your next appointment.

How preparation for the chosen birth format proceeds

Preparation for the chosen birth format is a sequence of clinical and organizational steps that are discussed in advance. If you are considering a water birth, it is important to understand the medical criteria and the logistics. Such preparation helps to form a clear plan and agree on key issues with the team.

Consultation with an obstetrician-gynecologist to assess the pregnancy and discuss the preferred birth format
Review of medical records and the maternity card to verify prior information
Gestational-age-appropriate examinations and assessment of the fetus’s current condition
Discussion of a detailed birth plan and the criteria for switching to a different format
Consultation with an anesthesiologist regarding pain relief options and possible contraindications
Partner preparation — role, visiting rules, and actions during labor
Packing necessary items and confirming documents for hospitalization

Preparation reduces uncertainty but does not guarantee that the chosen scenario will be maintained.

During labor, the team will act in the interests of the safety of the mother and the baby.

How a water birth proceeds

Below is a sample scenario of a water birth to help understand the main stages and expectations. The exact order and details are discussed in advance with the doctor and midwife and depend on the condition of the mother and fetus. Safety is always the priority during labor, so the plan may change as the process continues.

Admission to the clinic — registration and initial examination in the admissions area
Examination by the doctor and midwife — assessment of the cervix, fetal position, and the mother’s overall condition
Fetal and contraction monitoring — recording the fetal heartbeat and labor progress
Preparation of the birthing pool — checking the temperature and hygiene measures by staff
Monitoring of contractions — support and guidance from the doctor and midwife
Discussion of pain relief — clarifying options and possible limitations in advance
Pushing stage — support during pushing and, if necessary, transfer to a dry surface
Birth of the baby — receiving the baby from the water and promptly ensuring safety
Initial newborn assessment — quick evaluation of condition and thermal adaptation
The first hours after birth — monitoring the mother and baby, initiating breastfeeding, and transfer to the ward

This is a general outline; the order may differ in each case. The team will explain any changes and offer a safe alternative.

Pain relief during water birth

The issue of pain relief is discussed in advance at a consultation to take your preferences and the clinical situation into account. During a water birth some non‑pharmacological methods remain available, but certain types of anesthesia require separate arrangements. The decision about the optimal method is made by the medical team together with you and the anesthesiologist. The plan can be adjusted during labor if indications arise.

Discussion of pain relief options at the pre‑labor consultation
Consultation with an anesthesiologist when planning pharmacological anesthesia
Pharmacological methods are possible, including epidural anesthesia if there are no contraindications
Non‑pharmacological methods — positions, breathing, warm water and partner support
The choice depends on the condition of the mother, the fetus and the progress of labor
Ability to change the decision during labor if medical indications arise
Limitations with water births — some methods may be impractical or contraindicated
Monitoring and supervision ensure safety and a rapid transition to alternatives

It is not possible to eliminate pain completely, but the team will explain the options, help you choose and support you during labor.

How safety and monitoring are ensured during a water birth

Safety during a water birth is a combination of continuous monitoring and readiness to quickly adjust tactics. During labor the team monitors the condition of the mother and fetus using clinical and instrumental methods. If indications arise, the birth plan is changed in the interests of the safety of the mother and baby.

Monitoring by the doctor and midwife of the mother's overall condition and the progress of labor
Assessment of the fetal heart rate by regular checks and, if necessary, CTG (cardiotocography)
Monitoring the intensity and frequency of contractions to assess labor progress
Support and regular examinations to promptly detect any changes during labor
Readiness to quickly move the birth from the water to a dry surface if necessary
Having protocols for emergency intervention or operative delivery
Ensuring thermal and respiratory support for the newborn immediately after birth

The team will explain any actions and the reasons for changing tactics in detail. The priority remains the safety of the mother and baby, not adherence to the original plan at all costs.

What happens if labor doesn't go as planned

A birth plan is a guideline that may change depending on the situation. During a water birth, the team is prepared to quickly adjust their approach in the interests of maternal and newborn safety. The doctor and midwife will explain the reasons for any changes and offer available alternatives.

Plan review — the doctor and midwife will propose safe alternatives
Transfer from the water to a dry surface if necessary for rapid access
Stimulation of labor (augmentation) or cesarean section if progress stops
Restriction of the partner’s presence — the partner may be asked to leave the room temporarily
Epidural anesthesia may be unavailable or delayed for clinical reasons
Switching from upright or active positions to other positions if the condition worsens
Increased monitoring and involvement of a neonatologist if there are signs of risk to the baby

Changes to the plan are a normal part of safe labour management; the team will always explain the reasons and the next steps. You will be informed of the options and why a particular course of action was chosen.

Possible risks and limitations

Any format of childbirth has its limitations, and this is a normal part of clinical decision‑making. Risks depend on the condition of the mother, the fetus, and the course of the pregnancy. The obstetrician and midwife discuss possible scenarios in advance and the conditions under which the plan may change.

Limitations of a given format in case of obstetric problems or increased risk to the mother and fetus
Possibility of changes in management — the obstetrician and midwife explain when the plan may be altered
Need for intervention — during labor augmentation or operative delivery may be required
Analgesia/anesthesia limitations — some methods may be unsuitable for the chosen format
Organizational or infection‑control reasons may temporarily make a format unavailable
Do not base decisions solely on others’ experiences — every birth has its own specifics

These limitations are considered part of safe labor management; the team will explain the reasons and offer an appropriate alternative.

What happens immediately after birth

Immediately after the baby is born, a standard sequence of actions begins to assess and support the mother and newborn. In a water birth, the baby is gently lifted out of the water and provided with thermal care and an initial assessment. At the clinic, routine examinations are performed and the condition is monitored during the first hours after delivery.

First contact — skin-to-skin if the mother and baby are stable
Cardiotocography (CTG) and mandatory examination of the newborn by a neonatologist
Thermal stabilization and assessment of the newborn’s breathing, providing warming if needed
Monitoring the mother’s condition and controlling bleeding during the first hours
Assistance with the first latch and basic breastfeeding support
Completion of documentation, recording observations, and discussing next steps with the team
Transfer to the postpartum ward after stabilization and continuous monitoring in the first hours

The sequence may change depending on the situation; the team will explain each action and the reason for any changes. The safety of the mother and baby is the priority.

Role of the doctor and the delivery team

Labor is managed by a team in which each member is responsible for their part of the work and for safety. The physician and the midwife assess risks, monitor progress, and make clinical decisions. In a water birth the team additionally arranges the environment and monitoring, and involves necessary specialists if required.

Assessment — the physician and midwife regularly check the mother and the fetus
Monitoring progress — observing the course of labor and the fetus’s response
Decision-making — choosing tactics and changing the plan when indicated
Explaining what is happening — the team tells the patient what they are doing and why
Involving specialists — anesthesiologist, neonatologist, and operating room team as needed
Supporting labor — the midwife provides practical and emotional support
Ensuring readiness for interventions — rapid organization for transfer or intervention in an emergency

The team acts together and informs you about the key steps. The priority remains the safety of the mother and baby, not adherence to the original plan at all costs.

Benefits of water birth for the patient

Water births are often perceived as a calmer, more controlled delivery scenario in which key issues are discussed in advance. This format can reduce feelings of uncertainty if everything is reviewed with the team. It is important to remember that the final decision always depends on the condition of the mother and baby.

A clear plan of action discussed in advance with the doctor and midwife
Less uncertainty thanks to agreed criteria for switching to a different delivery method
The ability to arrange in advance for a specific doctor to be present
Possibility of partner presence, subject to medical and organizational conditions
Availability of non‑pharmacological methods and negotiable pain‑relief options
Ease of changing positions and staying active during labor according to individual indications
Continuous monitoring and the team’s readiness to move to an alternative quickly if necessary

These advantages help with preparation and increase confidence, but the final decision is always guided by the safety of the mother and baby.

What happens during a pre-delivery consultation

A pre-delivery consultation is a structured conversation in which you and the medical team review the current situation and possible delivery options. At the appointment they look over the maternity record, examination results, and discuss previous birth experiences. If a water birth is being considered, indications, contraindications, and criteria for switching to another format are discussed.

The goal of the consultation is to create a clear tentative plan and answer your questions.

Medical history: course of the pregnancy, chronic conditions, previous births
Review of the maternity record and the latest ultrasound and laboratory results
Clinical examination and assessment of the mother’s and fetus’s condition at the time of the visit
Discussion of your preferences, fears, and the partner’s role during labor
Explanation of possible limitations for the chosen delivery format and criteria for changing the plan
Help choosing a safe delivery format and agreeing on next steps
Instructions on when to go to the clinic, which symptoms should be considered urgent, and answers to your questions

The consultation may require a follow-up visit or additional tests. The physician and midwife will explain the recommendations and document the agreed plan of action.

Please note that online consultations are available for patients from other cities. We often receive requests from Zaporizhzhia, Pavlohrad, Kamenskoye (Dniprodzerzhinsk), Novomoskovsk (Samar), Kryvyi Rih, Nikopol, Marganets, Sinelnikovo, Pokrov, Zhovti Vody, and other cities.

Preparation for admission for a water birth

When preparing for a water birth, it is important to gather essential documents and discuss clinical details with your doctor. Bring your maternity record (exchange card) and recent test results so the team can quickly assess your situation upon admission. Confirm with your doctor any medications and organizational matters related to your chosen birth format.

Documents: passport, health insurance policy/card, and proof of pregnancy
Maternity record (exchange card) with pregnancy history and previous deliveries, if any
Latest ultrasound results and up-to-date laboratory tests
Items for the mother: basic personal items and essential supplies
Items for the baby: a basic newborn kit as agreed with the clinic
Items for the partner, if their presence is planned — according to the maternity hospital’s rules
Regular medications — prepare a list and discuss with your doctor whether to continue them

The day before your planned admission, confirm the time and conditions with the clinic. It’s best to review all preparation questions with your obstetric team in advance.

Conditions of the maternity unit and organization of care

The maternity unit is organized to combine monitoring with the possibility of a birth plan agreed in advance. When choosing a format, for example a water birth, both clinical criteria and organizational details are important. The team will explain which options are available and what restrictions may apply in your case.

Labor rooms with access to a specially equipped birthing tub
Postpartum rooms offering rooming-in for mother and baby
Continuous presence of a physician and a midwife to monitor and support labor
On-duty neonatologist for mandatory newborn examination and assistance if needed
Anesthesiologist consultation and availability of anesthesia when indicated and agreed
Option for partner-supported births, subject to medical and organizational conditions
Individual support and coordination of the birth plan prior to admission
Rapid organization of transfer to the operating theatre if surgical intervention is required

The unit follows clinical protocols, and the team will always explain which conditions apply to you.

The safety of the mother and baby takes priority over preserving the original plan at all costs.

When to seek immediate medical attention

This list will help you understand when you should not wait for a scheduled appointment and need to go to the maternity hospital (labor ward) immediately. During a water birth and in any other delivery setting it is important to respond quickly to warning signs. If anything causes concern, it is better to contact the clinic or go to the emergency department.

Bright red bleeding or heavy vaginal discharge
Your waters have broken, especially if the fluid has a foul odor or is blood‑tinged
Regular contractions that are increasing in intensity and coming close together
Severe, unrelieved abdominal or back pain
A significant decrease or complete absence of fetal movements
A sudden, marked rise in blood pressure or dizziness on standing
A severe headache that does not improve with rest
Visual disturbances: spots, flashing lights, or blurred vision
Marked weakness, difficulty speaking, or loss of consciousness
Fever or an elevated body temperature with chills
Any sudden change in how you feel that causes serious concern

If in doubt, don’t delay seeking care — a clinician will assess the situation and advise on next steps. In emergencies, the priority is your safety and the safety of the baby.

Frequently Asked Questions

Question: Can I choose a water birth in advance?

Answer: As a rule, the format is discussed in advance at a consultation, but the final decision depends on the assessment of the mother’s and fetus’s condition.

Question: Is a water birth suitable for everyone?

Answer: No, it depends on the course of the pregnancy and any contraindications; the physician makes the final decision after examinations.

Question: Can the birth plan be changed during labor?

Answer: Yes, the plan can change if medical indications arise; the priority is the safety of the mother and baby.

Question: Can we discuss the birth format before labor and prepare?

Answer: Yes, discuss your preferences and the results of examinations at the prenatal consultation to develop a tentative plan.

Question: Can I have my partner present during a water birth?

Answer: Often yes, but the partner’s presence must be agreed with the clinic in advance and depends on medical and organizational conditions.

Question: Can epidural anesthesia be used during a water birth?

Answer: An epidural is possible if there are no contraindications, but its use is discussed with an anesthesiologist and may affect the ability to remain in the water.

Question: Who decides about pain relief?

Answer: The decision is made jointly by you, the obstetrician, and, if necessary, the anesthesiologist, taking the clinical picture into account.

Question: What if the chosen pain relief method turns out to be unsuitable during labor?

Answer: The team will offer alternatives or adjust the plan in the interest of your safety and comfort.

Question: When is it best to go to the clinic when labor begins?

Answer: Usually you go when contractions become regular, when membranes rupture (water breaks), or if other worrying symptoms occur; exact recommendations are discussed at the consultation.

Question: What should I take to the maternity hospital?

Answer: Bring your identification documents, maternity record (prenatal care card), and basic personal items; ask the clinic for a specific list of items.

Question: Are documents and the maternity record required on admission?

Answer: Yes, the maternity record and identification documents help the team quickly assess your situation.

Question: Can I come to the appointment with examinations and test results already completed?

Answer: Yes, bring all up-to-date results — this will speed up and simplify the assessment.

Question: What happens if a cesarean section is required during labor?

Answer: The doctor will explain the reason and arrange the operative delivery; the priority is a prompt and safe solution for you and the baby.

Question: How long is the usual stay in the clinic after delivery?

Answer: The length depends on the course of labor and the condition of the mother and baby; timing is clarified individually at the consultation.

Question: What happens immediately after the baby is born?

Answer: If conditions are stable, a neonatologist performs the initial examination, necessary checks are carried out, and when possible first skin-to-skin contact and help with latching are provided.

Question: Can I get a second opinion if a birth management strategy has already been proposed?

Answer: Yes, you can request a second opinion from another specialist at the clinic or ask for an additional consultation to help make a decision.

Question: How can I prepare my partner to participate in the birth?

Answer: Discuss the partner’s role at the consultation, clarify visiting rules and organizational details so they know what to expect and how to support you.