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The Optimal Water Birth Pool: Safety Seat
For emergency evacuation and monitoring
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Midwives often ask us what they should do if a woman is incapacitated while using a pool and needs to be removed from the water. Women using water birth pools should be carefully screened for contraindications. If they are not having a normal physiological labour, they should not use a birth pool. Careful monitoring will virtually eliminate the possibility of a woman collapsing in the pool. In the unlikely event that a woman is incapacitated while in the pool, there are two key issues: 1) The safety of the woman 2) Manual handling practicalities and regulations. The woman will need to be safely lifted out of the pool and moved to a trolley. However, manual handling regulations prohibit midwives from lifting heavy loads. In this situation time is of the essence. The pool cannot be emptied instantly, and a hoist cannot be moved into position, lowered and utilised within the required time. The answer is a raised seat at water level, which we call the safety seat. Women can be raised up gently through the water, along the sloping side wall, onto the seat. The buoyancy of the water supports them, lightening the load for attendants. Once a woman is on the seat she is safe. She can be transferred onto a trolley and cared for. The seat is also ideal for internal examinations and monitoring. Midwives can easily attend to labouring women without them leaving the pool. |