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Sample Order for Durable Medical Equipment for Birthing Tub

Easy Steps to a Safer Pregnancy - View e-book or Download PDF - FREE!
An interactive resource for moms on easy steps they can take to reduce exposure to chemical toxins during pregnancy.

Other excellent resources about avoiding toxins during pregnancy

These are easy to read and understand and are beautifully presented.

This should be a .doc file, or here's the plain text:

Order for Durable Medical Equipment (DME)

Recommended for: ________Client’s Full Name
Due Date:  _XX/YY/ZZ_  DME ordered for: _ XX/YY/ZZ _ to _ XX/YY/ZZ
I recommend the use of an AquaDoula birthing tub during labor in order to provide pain relief and to facilitate an easier and safer birth. [See footnotes.]
You may arrange to rent a birthing tub from a national rental agency – rental packages cost about $375.00, depending on shipping costs.  See: aquadoula.com or aqua-eez.com for details of their rental programs.
Or you may arrange to rent an AquaDoula birthing tub with Deluxe Accessories Kit at a discounted price of $250.00 from my office.  [See http: for full details of tub rental.]

Pickup Date: _XX/YY/ZZ
Charge: _$250.00


The AquaDoula birthing tub is manufactured by Tubs To Go! / AquaDoula, 3101-111th St. SW, Bay N, Everett, WA  98204, 425-348-6729, fax: 425-348-5009,
e-mail: waterbirth@aquadoula.com  The purchase price is $1195.

This DME is not custom made.

Veronica G. Falcao, LM MS
Eternity in Bloom – Birthing Tub Rentals - (EIN) ??-???????

1) Blood pressure can be reduced within minutes by immersion in warm water.  (Rosenthal M. - Water immersion in labor and birth.  Female Patient 1991; 16:35-47)
2) Warm water immersion has been shown to decrease edema and increase diuresis (Katz V., Ryder R., Cefalo R., Carmichael W., Goolsby R. A comparison of bedrest and immersion for treating the edema of pregnancy.  (Odent M. Birth Reborn New York: Pantheon Books, 1984:45-6)
3) Reports reveal that when women float and move freely in a birth pool, their need is reduced for drugs to stimulate uterine activity and for pain relief (and hence the risks of anesthesia); they are less likely to have a bad tear or episiotomy, the rates of intact perinaeum are increased and fewer forceps deliveries and cesarean sections are performed.  (Kitzinger S., Letter from England: Is waterbirth dangerous.  Birth 1995 22:3 172-3)

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