After a 25-day-old infant in Texas died from a Legionella pneumophila serogroup 1 infection acquired last year during a home water birth, the Texas Department of State Health Services (TDSHS) issued recommendations for infection control and cleaning protocols for birthing tubs used by Texas midwife facilities.
The infant was 6 days old when admitted to a pediatric hospital with loose feces, cyanosis, and respiratory failure. After being placed on extracorporeal membrane oxygenation and receiving ampicillin and gentamicin, the infant died after a 19-day hospitalization (Fritschel E et al. Emerg Infect Dis. 2015;21:130-132).
More Midwife Education Needed for Home Water Births. JAMA. 2015;313(6):559. doi:10.1001/jama.2015.148