01/27/2026
In the hospital, Iâve seen women told again and again that once theyâre in active labor, they shouldnât use the bath because it âraises the risk of infection.â
Theyâre not wrong.
Water immersion does slightly increase infection risk but the increase is very small.
Large reviews (including Cochrane) show no significant increase in maternal or neonatal infection with water immersion compared to land birth, with overall infection rates remaining well under 1% in both groups.
On the plus side?
Water immersion is associated with lower pain scores, shorter labors, and a reduced likelihood of epidural use.
I fully support a womanâs right to make an informed decision about using a warm bath knowing both the benefits and the risks.
Hereâs where they lose me.
While moms are repeatedly warned about infection risk with the bath, I rarely hear the same level of counseling when it comes to interventions providers often want her to say yes to.
For example:
⢠After 8 or more cervical exams, the risk of intrapartum infection increases by about 1.7Ă.
⢠Epidural analgesia is consistently associated with a much higher rate of maternal fever, affecting 15â25% of people who receive one.
Those risks are substantially larger yet theyâre often minimized or not discussed at all.
This is the heart of the midwifery model of care.
Not steering women away from comfort measures out of fear.
Not presenting selective information to influence consent.
But offering balanced, evidence-based information so women can make decisions that align with their bodies, their values, and their vision for birth.
True informed consent means every option is explained with the same direct honesty. If you labored in water - what did it change for you?