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Birth Pool Considerations

5/15/2025

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As you are looking at what you want for a home birth, using a birth pool for labor and birth is a great option.There are a few things you should be aware of when considering what’s involved in using a birth pool.

Is there enough space for a pool?
The birth pools I use take up a fair amount of space, 65 inches by 57 inches. That is about the size of a kitchen table with one leaf in place.

Is the floor strong enough?
Thinking through where you will put a birth pool is important. Birth pools can weigh a lot once they are filled with water and Mom gets in the pool. The birth pool I have available for my clients holds 127 gallons of water when it is filled to the appropriate level. That means when it is full, it weighs 1017 pounds before Mom gets in. 

How much access does the midwife need?
Another thing to consider is how much access to the pool does the midwife need? Does she need access from all sides or just two or three sides? You might need to move furniture, or  use a different location than originally planned.

What is needed to fill the pool?
You will need an unused length of hose that can go from the faucet you plan to use to fill the tub to wherever the pool is set up. You may need an adapter between your pool and the hose to connect it. Clients in my practice have used kitchen sink or bathroom sink faucets, as well as showers.

Once it's filled, how do we keep the water at the right temperature?
TThe most common way is to have large pots of hot water on the stove ready to use, bailing some water out of the pool and replacing it with the hot water. If you use this method, be mindful to mix the hot water in with the existing water and not to pour the water on Mom or helpers while adding it. There are submersible heaters, but these seem to be questionably effective, and you often have to be mindful not to let them come in contact with pool surfaces.

Does the water need to be sanitized?
If you are using tap water, there is no need to add anything to the water to sanitize it. If the pool is up for longer than 24 hours, or you want to be cautious, you can add two cups of regular salt to the water.

How does the pool get emptied?
You can create a siphon the old school way by sucking on the end of the hose until pool water reaches the end and then letting the water continue to flow by keeping the hose end lower than the water level (I don’t recommend that). You could use a siphon pumps to empty the pool. Don’t forget to make sure your hose is long enough to reach where you want the water to drain, whether that is a toilet, or outside in a flower bed etc.

What other considerations are there to be aware of?
  • Pets. Claws can quickly puncture the birth pool if your pet tries to jump on the sides of the pool, or get into the pool
  • Children. Birth pools when filled are a drowning risk, so you need to be mindful of that when using a birth pool with little ones in the home.

Hopefully this helps you think through what is involved in using a birth pool.  With a little planning, portable birth pools are very easy to add to your birth plan.

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Exercise During Pregnancy

5/1/2025

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​Exercise is wonderful during pregnancy.  If you already have a workout routine, I applaud you.  If you are looking for ideas, here are some excellent options to consider incorporating into your pregnancy fitness routine:
  • Walking: This is often recommended as a fantastic starting point and can be continued throughout your pregnancy. It's low-impact, accessible, and great for cardiovascular health.
  • Swimming and Water Aerobics: The buoyancy of water provides excellent support, reducing stress on your joints and back. Swimming works multiple muscle groups and feels refreshing, especially in later trimesters.
  • Prenatal Yoga and Pilates: These classes are specifically designed for pregnant women, focusing on gentle stretching, strengthening, flexibility, balance, and breathing techniques. They can help alleviate common pregnancy discomforts like back pain and improve posture.
  • Stationary Cycling: This provides a cardiovascular workout with minimal impact on your joints. You have more control over the intensity and can easily stop if needed.
  • Low-Impact Aerobics: Activities like modified Zumba or dance fitness classes designed for pregnancy can be a fun way to get your heart rate up.
  • Strength Training (with modifications): Maintaining muscle strength is important for supporting your changing body and preparing for the demands of motherhood. Use lighter weights or resistance bands and focus on higher repetitions. Avoid exercises that put direct pressure on your abdomen or involve holding your breath. Focus on functional movements like squats, lunges, and rows.
How to Progress in Exercise:
Progression should be gradual and based on how your body feels. Here are some general guidelines:
  • Start Slowly: If you are new to exercise, begin with shorter durations and lower intensity. Gradually increase the time and effort as you feel comfortable.
  • Focus on Duration Before Intensity: Initially, aim to increase the length of your workouts before significantly increasing the intensity.
  • Listen to Your Breathing: You should be able to hold a conversation comfortably while exercising. If you are too breathless to talk, you are likely pushing yourself too hard.
  • Pay Attention to Posture: Maintain good form throughout your exercises to prevent injury and maximize effectiveness.
  • Incorporate Rest: Allow for adequate rest between workouts to allow your body to recover.
Don't compare yourself to others. Every pregnancy is different, and what feels comfortable for one person may not feel right for another. Focus on what feels good for your body.  Incorporating some form of exercise into your day is so beneficial for you and for baby.
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    Author

    Gail Webster, CPM

    Gail is a Certified Professional Midwife serving Manhattan, Junction City, Fort Riley and other areas in Kansas.  


    When Gail is not occupied with birth work, she enjoys reading, quilting, baking, riding her motorcycle and spending time with family.
    ​

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