Geke Born-Beckerman is a midwife, sonographer, author and creator of podcasts in which she provides expectant parents with accessible information about pregnancy and childbirth. For Birthpools, she shares her knowledge and practical experience in guest blog posts about water births. You can expect both theoretical knowledge and practical tips for expectant mothers and healthcare professionals.

Image: Martine Spijksma

That giving birth in a pool has various benefits for the pregnant woman and her birth process is probably nothing new to you as a midwife. Yet many colleagues still see plenty of obstacles before renting out birth pools themselves. This is a missed opportunity! Because the easier it is for clients to access a pool, the more often they'll choose one. That's why I'd like to explain how we approach this at at our practice (Zuiver Verloskundigen).

Birth pool lead

First things first: appoint a birth pool lead. She keeps an overview, knows the answer to all questions from colleagues and clients, and stays in touch with Birthpools whenever needed. Twice a year she checks the pools we rent out for any damage.

How does the process work?

In short: contact form on the website > email to the birth pool lead > note in the Onatal calendar (our client care system) > pick up the birth pool > give birth > cleaning (by the client) > return the pool.

Requesting a pool

When clients want to rent the birth pool, we refer them to the "renting a birth pool" page on our website. There they'll find information about giving birth in water and can fill in the contact form. A completed contact form goes straight to our birth pool lead. She then communicates with the client and, once the rental is confirmed, sends an email with clear instructions on use and the cleaning requirement. She also lets the client know when she can pick up the pool and by when it needs to be returned at the latest.

No website or handy contact form? Setting up a separate email address works just as well (for example birthpool@midwiferypracticexxx.com).

Calendar in Onatal

In Onatal (our client care system) we created an extra calendar called "birth pools". In this calendar we can easily see whether a pool is available, and if so, which one. When a client reserves a pool, we schedule an appointment for her in that calendar from 37+0 weeks pregnant, repeating through 42+6. This way we know for certain that a pool is never rented out again too soon. Does the client return the pool? Then we cross out the appointment and all its repeats, so we can see the pool has been returned.

Excel file

In an Excel file, the assistants keep track of which pool belongs to which person. It's important that this file is kept up to date, so that at a glance you can see which pool is rented out until when. From there, the birth pool lead can make commitments for rental periods further ahead in time.

Payment

Renting a pool costs 75 euros with us. If clients can't afford this, or find it difficult, we work together to find a solution. For clients, the package plus the birth pool rental ends up around ten to forty euros cheaper than renting through national rental companies.

Because the easier it is for clients to access a pool, the more often they'll choose one.

Pick-up and payment

Clients can pick up the reserved pool from the assistant from 37 weeks pregnant. The calendar shows which pool is ready for them (number 1 through 5), and the pools have tags with the corresponding numbers. When picking it up, clients pay the 75 euro rental fee. We don't ask clients for a deposit. Through Onatal we created a "birth pool invoice" form, which the assistant can easily hand over. The amount is paid by card at pick-up.

No card payment or website with contact form? An email and a simple payment request work just as easily.

Returning the pool

Clients are responsible for cleaning the pool themselves after use. Because we communicate this clearly in the confirmation email and in the letter handed over at pick-up, this almost always goes well. On the rare occasion it doesn't, you can trace who had the pool and address it with them directly.

When the pool is returned, the assistant checks whether the box of tap connector pieces is complete, then puts the pool back in the cupboard. Ready to be lent out again right away!

Birth kit

For giving birth in a pool, clients need a birth kit with supplies in addition to the pool itself. Because we have limited storage space at the practice and rent out the pools regularly, our clients order the birth kits themselves. They do this through our practice link from Birthpools. This has no benefit for us, but it does make the product slightly cheaper for her. Also handy: you can agree with Birthpools on which kits you'd like to offer.

Earnings

Besides being a great service for your clients, renting out birth pools can also be a nice source of extra income for your practice. For purchasing and maintaining the pools (when needed), we use Birthpools' "Product as a Service" (PaaS) service. Through this service we bought a birth pool for 150 euros, along with the guarantee of always having working pools. Is the pool damaged? Then it gets repaired by Birthpools. Is the pool broken? Then the pool gets replaced free of charge. Ideal, since it means as little work for us as possible.

After buying the pool through the PaaS service, it's paid off after just a few rentals. After that, the only costs left are the time the assistant and birth pool lead spend on admin. So you could also decide to rent out the pool for less money, or even offer it for free as a service from the practice.

So, are you just as enthusiastic as we are? Below are a few frequently asked questions:

Does it mean a lot of extra work for you as a midwife?

No, it turns out to be very manageable. Anything you do for the first time obviously takes some figuring out, but by now we have standard emails ready to go, a clear overview of rentals through the Onatal calendar, and assistants who know exactly what to do. Now the only work is managing the mailbox and checking the pools twice a year. It's important to check in regularly and make sure the assistants keep a close eye on who has which pool.

Tip: have (the partners of) clients do the cleaning and returning. It saves you a lot of time and lugging pools around during your shift.

What if I don't have storage space at the practice?

No problem, we didn't have that either! For one or two pools that are almost always rented out, you don't need storage space. Tip: have clients order the birth kit online. That saves you storage space, and saves her an extra trip to the practice.

What if all the pools are rented out?

Then we point people to our affiliate link for bevallingsbaden.nl (Dutch birth pool rental company - on this page you can see which rental companies are available in your country), where they can order a pool and have it delivered at home. We also offer them a spot on the waiting list. Of course, it can always happen that a client gives birth earlier and returns the pool quickly, meaning it becomes available sooner than expected. We use the Onatal calendar for this waiting list too.

Are your pools frequently rented out? Great! That means your clients know how to find the pool easily. Then you can simply order an extra one through Birthpools' PaaS service. We started with one pool and are now renting out five!

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