Why More Moms Are Choosing to Birth in Water: The Ultimate Guide to Water Birth



Water birth has grown in popularity as more women seek natural, empowering, and gentle birthing experiences. But what exactly is a water birth? What are the pros and cons? How warm should the water be? Can you have one at home or in a hospital?

As a mom who experienced her third birth at home and in water, this is the kind of information I  researched about a water birth for myself- all in one place. Whether you’re a first-time mom or a seasoned birth warrior looking for a more peaceful experience, this post is your one-stop guide to all things water birth—supported by evidence, real-world advice, and resources to help you prepare.  


What Is a Water Birth?

A water birth is when a woman labors and/or gives birth in a tub or pool of warm water. It can take place at home, in a birthing center, or in a hospital. Some women labor in water and get out for delivery, while others remain in the tub for the actual birth.

The idea behind water birth is that warm water soothes the body, reduces pain, and allows for a calmer entrance into the world for baby.


Pros of Water Birth (Backed by Research)

1. Natural Pain Relief

Warm water promotes the release of endorphins and helps reduce the need for epidurals or other pharmacological pain relief.


Evidence: A 2018 Cochrane Review found that women who labored in water were less likely to request an epidural.

2. Shorter Labor

Water can help the body relax, which can speed up dilation and progress.


Study: Research published in Birth journal showed that water immersion during labor may shorten the first stage of labor.

3. Lower Stress & Increased Satisfaction

Women report feeling more in control, supported, and satisfied with the experience.


Evidence: A review in the Journal of Midwifery & Women's Health found increased maternal satisfaction in water births compared to conventional births.

4. Reduced Tearing & Interventions

Water softens tissues and allows for more gentle stretching, which can lead to fewer perineal tears.


Data: Some studies have shown lower episiotomy and tear rates in water births.

5. Gentler Transition for Baby

The water environment mimics the womb, which may help babies experience a more peaceful transition.


Fact: Babies born in water are immediately brought to the surface, and studies show no increase in breathing complications when done properly.


Cons and Risks of Water Birth

While water births are generally safe for low-risk pregnancies, they are not risk-free. It’s important to weigh these factors:

  • Limited Monitoring: Continuous fetal monitoring is harder in water.
  • Infection Risk: Poor hygiene or improper maintenance of water temperature/tub cleanliness may increase risk of infection.
  • Emergency Transfer: If complications arise, the mother may need to be quickly moved out of the tub.
  • Umbilical Cord Snap Risk: Rare, but can happen if baby is lifted too quickly before cord is fully relaxed.
  • Availability: Not all hospitals or providers offer water birth options.

Evidence-based note: The American College of Obstetricians and Gynecologists (ACOG) supports water immersion during labor but advises caution for actual delivery in water due to limited high-quality research on outcomes. Always discuss with your provider.


Water Temperature Tips for a Safe Birth

  • Ideal Water Temperature: Between 97°F and 100°F (36°C - 38°C)
  • Temperatures above 101°F can increase maternal heart rate and fetal stress.
  • Avoid cold water, which can cause shivering, stress, and discomfort.
  • Use a floating thermometer to monitor the water.
  • The tub should allow you to fully submerge your belly and move freely.
  • Keep hydrated: Even in water, you can overheat.


Where Can You Have a Water Birth?

1. At Home

With a licensed midwife and proper setup (birthing tub, clean water source, support team), many moms choose the comfort of their own space.

2. Birthing Centers

These centers often specialize in water births and offer a more relaxed environment than hospitals. Check with your local midwifery practices.

3. Hospitals with Water Birth Suites

Not all hospitals offer water birth, but some do—especially those with midwifery-led units. Ask in advance.

Pro Tip: Use directories like Waterbirth International or Evidence Based Birth’s Directory to find certified providers and centers near you.


 Questions to Ask Before Planning a Water Birth

  • Am I considered low-risk for birth complications?
  • Is my provider experienced with water births?
  • What is the plan if I need to transition out of the tub?
  • Can I use a birth pool at home, or should I rent one?
  • Will I be allowed to stay in the tub for delivery?
  • How are hygiene and temperature regulated?


What You’ll Need for a Home Water Birth

  • Inflatable birth pool (or deep tub)
  • Floating thermometer
  • Clean water supply & hose
  • Liner for easy cleanup
  • Towels, waterproof pads, and blankets
  • Birth partner & doula or midwife
  • Lighting, affirmations, music (optional but calming)

Check out our $1 water birth guide + affiliate water birth supply checklist here → Preparing for a Water Birth 101


Continue Your Journey

Water birth is a beautiful, intentional way to bring your baby into the world. If you’re interested in continuing your holistic, faith-centered birth journey, check out these blog posts and offerings from Evolution to Be:

We'd Love to Hear from You

Have you experienced or considered a water birth? Drop your story or questions in the comments. You never know who your journey might encourage.


⚠️ Disclaimers

This blog is for informational and educational purposes only and is not a substitute for your professional medical advice, diagnosis, or treatment. Always consult your midwife, OB-GYN, or healthcare provider before making decisions about your birth plan. Your health and your baby’s safety are of the utmost importance.

This post may contain affiliate links including the Amazon Associates Program. When you make purchases through links in this post, I may earn a small commission at no extra cost to you.  I only endorse products I enjoy. 


Greetings! Hi, I’m Britt Renea — a mother (of 3), nurse, writer, wife, and lover of all things beautiful, creative, and rooted in Christ. Through Evolution to Be, I invite moms to embrace a softer rhythm — one that allows them to simply be. We carry so much. We do so much. This space was born to speak to the heart of the mom who’s forgotten what it feels like to be seen… to be herself… to be whole. Whether you’re navigating motherhood, rediscovering your identity, or longing for a breath of honesty and encouragement — you’re welcome here. Evolution to Be is more than content. It’s community, conversation, and commonality. I hope you’ll stay awhile.