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Hygiene and safety

"Childbirth in water is not at increased risk, provided the preparation is good and proper hygiene protocols are followed.

Maternal and Newborn Outcomes Following Waterbirth:
The Midwives Alliance of North America Statistics Project,
2004 to 2009 Cohort

When you rent or buy a bath from us you are always sure of a hygienic bath, new and unused disposables and a safe working method. We deliberately do not reuse disposables, so there is no chance of infections. We base our protocols and working method on various reliable studies and protocols from, for example, England, America and Australia, where bath births have been taking place for decades and even legal matters have been laid down regarding bath births. The most important and reliable studies and sources are listed below.

Main points of attention

There is no increased risk in giving birth in water, as long as certain hygiene standards are adhered to. Below you will find the most important things you should take into account for a safe and hygienic bath delivery.

Make use of new disposables

Reuse of disposables (water hose, inner cover, water pump, anti-slip mats, thermometers, etc.) that have been in contact with (polluted) water offer a risk of infection if reused. Always make sure you have new, unused disposables.

Source: Cochrane review: Immersion in water in labour and birth, Elizabeth R Cluett, Ethel Burns, Published Online: 15 APR 2009. Assessed as up to date: 23 AUG 2011
Never reuse a water hose

Never reuse a water hose. Even if it has only been used for clean water. This is due to the possible growth of the legionella bacteria on the inside of the tube.

Source: edelimmersys.com & Texas Midwifery Board - Waterbirth Guidelines (PDF)
Provide clean water

Make sure you fill the bath with clean water. In the Netherlands, the water is generally of good quality. Never leave water in the bath for more than 24 hours.

Source: Cochrane review: Immersion in water in labour and birth, Elizabeth R Cluett, Ethel Burns, Published Online: 15 APR 2009. Assessed as up to date: 23 AUG 2011
Do not use heated baths

The use of baths with hot water elements is not recommended due to the possible growth of Legionella bacteria. By keeping the water at the right temperature with an element, instead of bringing the water back to the right temperature with fresh hot water every now and then, there is a chance of bacterial growth. The British government has included this in its advice on bath deliveries. Infection cases have been investigated by CDC Arizona.

Source: UK government & CDC Arizona