She has to be 4/5 cm before she can go in the pool, have a hb of 9.5+ and an uncomplicated pregnancy, but she cannot go in until in active labour. She can only have paracetamol, kepake, entonox, if she's had opiates it must be 3 hours after that she gets in the pool.
Actions are to auscultate fh every 15 mins, bp 4 hourly pulse, 30 mins, don't really do VE's but they would probably do one after 4 hours/or if contractions waned off, just support and scoop poo lol, and out of the pool for placenta, although I've seen one just keep holding/breastfeeding the baby in the water against her skin and 10 mins later she pushed placenta into water, informed choice and all that, it was up to her and good for her for defying our wishy washy guidelines and protocols on waterbirth x

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