Manuela Mitre is comforted in bed by her husband Andre after her labour pains began at their home in Sao Paulo, November 6, 2013. The couple's second child, Gael, was born soon after at home in the presence of their two-year-old daughter, using a technique in which Manuela sat in a pool of warm water, which creates an environment similar to that inside the womb, according to the midwives who assisted. Picture taken November 6, 2013. REUTERS/Nacho Doce (BRAZIL - Tags: SOCIETY HEALTH)