A warning has been issued about the dangers of giving birth in a hottub.
A team of Canadian doctors says the case of a newborn girl in London, Ontario, highlights the risk of hot tub births.
A report published in the Canadian Medical Association Journal says the infant was admitted to hospital 8 days after her hot tub birth with fever, poor feeding and fussiness.
The newborn ended up spending 5 weeks on a ventilator due to multiple organ failure caused by sepsis.
Tests found the baby was infected with legionella bacteria typically found in pools and hot springs.
Dr. Michelle Barton of Western University was the lead author in the study and says the case shows that underwater births may be harmful or even fatal — especially when prefilled, heated pools are used.