Course Content
Course Introduction: Start here!
We are pleased to welcome you to this comprehensive professional training program in waterbirth. Whether you are newly incorporating water immersion into your practice or seeking to advance your clinical expertise, this course provides the essential knowledge and certification required to safely and confidently support families choosing waterbirth. Grounded in current evidence and best practices, it is designed to strengthen your clinical decision-making and elevate your care as a birth professional. Developed and taught by Waterbirth International Director and renowned birth care educator Barbara Harper, this course reflects over four decades of clinical experience, research, and global teaching. In addition to training thousands of midwives, nurses, and physicians, Barbara has served as a consultant for hospitals and birth centers around the world—advising on clinical protocols and supporting the design and implementation of new waterbirth facilities. Her work continues to shape safe, respectful birth practices across diverse care settings. So let's get started!
0/1
Course Breakdown & Materials
05:24
Part I: Foundations of Water Birth (Lessons 1-3)
Safety, Eligibility & Practical Considerations Part I lays the essential groundwork for understanding waterbirth as a safe, evidence-based option for low-risk pregnancies. Through three detailed lessons, you’ll explore the clinical rationale, research, and practical protocols necessary for safe implementation in any birth setting. Lesson 1: Labor and Birth in Water An in-depth look at the safety, history, and physiological benefits of waterbirth. This lesson covers maternal and neonatal outcomes, provider advantages, global C-section rates, and key research findings supporting the use of water immersion during labor and birth. Lesson 2: Inclusion Criteria and Contraindications This lesson defines eligibility and outlines both absolute and relative contraindications. It includes U.S. and U.K. hospital criteria, guidance on variations of normal physiology, VBAC considerations, informed consent protocols, and current positions from ACOG and ACNM. Lesson 3: Practical Matters Covers real-world applications and protocols such as fetal heart rate monitoring, water temperature, hydration, timing of immersion, and physiologic responses to water. You'll also examine hormonal effects, case studies like the Cluett trial, and best practices for recognizing and supporting normal physiological birth in water.
0/6
Lesson 1 : Introduction to Labor and Birth in Water
01:12:18
Lesson 1: Labor and Birth in Water
Lesson 2: Inclusion Criteria and Contraindications
01:12:42
Lesson 2: Inclusion Criteria and Contraindications
Lesson 3: Practical Matters in Waterbirth
01:04:27
Lesson 3: Practical Matters in Waterbirth
Part II: The Physiology of Birth: Sensory, Neurological, and Neonatal Adaptation
Part II explores how the unique environment of water influences the sensory system, neurological function, and neonatal adaptation at birth. Through three thought-provoking lessons, you'll dive into the ways water immersion impacts the brain, body, and newborn transition—supporting safer, more instinctive, and more peaceful birthing experiences. Lesson 4: Sensory System Stimulation Discover how water immersion stimulates the parasympathetic nervous system, promoting comfort, peace, and relaxation during labor. This lesson explores the Blue Mind theory, sensory perception, the "Pyramid of Comfort Techniques," and how being surrounded by water changes the brain’s chemistry to support a smoother birth process. Lesson 5: How the Brain Works in Labor This lesson offers a deep understanding of the laboring brain, focusing on hormonal changes, pain perception, and neurological adaptations during waterbirth. You’ll learn how to support the natural instincts of labor through an environment that encourages oxytocin release, emotional safety, and optimal physiological function. Lesson 6: Keeping Baby Safe: Fetal Breathing Explore the mechanisms that protect the newborn during waterbirth, including fetal breathing suppression, the dive reflex, and how the baby transitions from fluid to air. This lesson provides clear explanations of neonatal safety, addressing common concerns and emphasizing the science behind waterbirth as a safe option for healthy newborns.
0/6
Lesson 4: Sensory System Stimulation
39:31
Lesson 4: Sensory System Stimulation
Lesson 5: How the Brain Works in Labor
44:56
Lesson 5: How the Brain Works in Labor
Lesson 6: Keeping Baby Safe – Fetal Breathing Inhibitors
50:46
Lesson 6: Keeping Baby Safe: Fetal Breathing Inhibitors
Protected: Comprehensive Guide to Water Birth with Barbara Harper
About Lesson

Lesson 2 focuses on the clinical decision-making process behind determining who is eligible for waterbirth and when it may not be appropriate. Barbara Harper presents a detailed overview of hospital inclusion criteria, drawing from both U.S. and U.K. guidelines, and emphasizes the importance of individualized risk assessment in every birth setting.

This lesson breaks down contraindications into two key categories: absolute (such as maternal fever, untreated infections, or abnormal fetal heart rate) and relative or controversial (such as VBAC, malposition, or induction of labor). Barbara encourages providers to distinguish between true pathology and variations of normal physiology, always prioritizing safety while honoring maternal autonomy.

Special attention is given to the importance of informed consent and patient-provider communication. Participants are guided through how to educate families on the benefits, risks, and realistic expectations of waterbirth—especially when factors like gestational diabetes, PROM, or breech presentation are present.

Lesson 2 also explores professional opinions and institutional policies, including contrasting statements from ACOG and ACNM, offering providers a broader context for navigating institutional hesitancy. Through real-world case considerations and a hospital video demonstration, Barbara illustrates how nuanced eligibility decisions can support both safety and access.

By the end of Lesson 2, participants will be equipped with clear criteria and clinical insight to determine when waterbirth is appropriate, how to assess risk dynamically, and how to engage in informed, respectful discussions with birthing families.

Exercise Files
WBI Provider Course 2025 Lesson 2 workbook.pdf
Size: 3.17 MB
Previous
Next