Manuela Mitre (bottom R) is helped up by her husband Andre, midwife Cristina Balzano (top R) and paediatrician Ana Paulo (back L) after giving birth to her second child Gael while lying in a pool of water, at their home in Sao Paulo November 6, 2013. The couple decided to have their child born in warm water, which creates an environment similar to that inside the womb, according to the midwives. Picture taken November 6, 2013. REUTERS/Nacho Doce (BRAZIL - Tags: SOCIETY HEALTH)