- With Mayo Clinic certified nurse-midwife
Mary M. Murry, R.N., C.N.M.
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Mary M. Murry, R.N., C.N.M.
Mary M. Murry, R.N., C.N.M.
Mary Murry is a certified nurse-midwife in the Department of Obstetrics & Gynecology at Mayo Clinic, Rochester, Minn.
Murry, a Cincinnati native, has been a nurse-midwife practitioner for more than 20 years and is an instructor at the College of Medicine, Mayo Clinic. She was a contributing reviewer and writer of the "Mayo Clinic Guide to a Healthy Pregnancy" book.
Her research interests include adult female survivors of sexual abuse, women's perception of pain in labor, and obesity in pregnancy.
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Pregnancy and you blog
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Nov. 16, 2010
Labor pain: Soak it away
By Mary M. Murry, R.N., C.N.M.
To me, water is the most relaxing element. When I was in labor with my son, I relaxed at home under a spray of hot water in the shower until the hot water ran out. What propelled me to the hospital was the thought that the hospital never ran out of hot water. If I'd had access to a tub while I was in labor, I would have soaked like a sea otter.
Today, many hospitals and other birth facilities offer tubs for water immersion during labor. During water immersion, you simply soak in warm water that's deep enough to cover your abdomen. The warm water can enhance your relaxation and help you cope with contractions. It might even decrease your labor pain. You're free to get in and out of the tub as you like, even after your water breaks. Unlike a water birth, however, the baby is delivered outside the tub.
If you're considering water immersion during labor:
- Get your health care provider's OK. Water immersion is safe for most pregnant women, but it's off-limits if you have high blood pressure or a fever.
- Enlist support. Make sure someone is available to help you get out of the tub, either at home or at the hospital. You're not likely to be especially graceful when you climb out of the tub. Add contractions to the mix and negotiating the tub on your own might be an accident just waiting to happen. If the tub is large enough, you might invite your support person to join you.
- Consider your clothing. If you don't want to be naked in the tub, consider wearing a sports bra. If your support person is in the tub as well, he or she can wear a bathing suit.
- Check the water temperature. Make sure the water isn't too hot. Generally, the upper limit is 101 F (38 C). At home, use a thermometer to check water temperature. Keep in mind that the tub water may feel warmer if your water breaks while you're in the tub.
- Don't worry if your water breaks. Amniotic fluid is sterile. If your water breaks while you're soaking in the tub, there's no need to change the water.
- Stay hydrated. To prevent dehydration, drink plenty of water while you're soaking in the tub.
- Time it right. Save water immersion for active labor. Soaking too soon may slow down your labor.
If you're using a tub in the hospital, your baby's heart rate may be checked periodically with a water-safe monitor. Cervical exams can be done in the tub, too. Guidelines may differ from facility to facility, however. If you're planning to use a tub during labor at a hospital or other birth facility, ask about the guidelines ahead of time so the only surprises will be the ones labor has in store for you.
4 comments posted
October 26, 2011 2:27 p.m.
Alaura I can see why you would be concerned. I think there are still choices for you. You could asked to be tested for allergies. You could speak with someone from the anesthesia department in the hospital you plan to deliver in. I would recommend you look at hypnobirthing as well as lamaze classes, Bradley method classes. Consider having a doula present to help you. Learn as much as you can about the labor process. Remember that knowledge really is power. Make sure you talk with your health care provider about your fears and concerns.
- Mary @ Mayo
October 19, 2011 12:36 a.m.
I'm 28 weeks pregnant and worried about labor pain as I'm allergic to pain medications, specifically asprin, acetomenophin, and ibuprofrin (please forgive any spelling errors). Taking even small amounts of any of these makes me swell up with hives for days at a time. I've never taken drugs so have no clue if other narcotics will have this effect. Any advice as to what I might be able to take for pain during and after birth?Besides marajuana, wich has been suggested to me, but I'm pretty sure medical won't allow that one. Please help.
- Alaura
April 18, 2011 5:11 p.m.
Thanks for the tips. I've wanted to do water labor since I've gotten pregnant. Now, I'm even more inclined to do so.
- Mrs. Frye
March 26, 2011 6:43 a.m.
Really nice post.. Like it.. Thnx for sharing
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