The use of water during labor and birth has deep historical and cultural roots that span continents and centuries, reflecting its enduring connection to healing, renewal, and the natural rhythms of childbirth. From ancient civilizations to Indigenous communities, water has been honored as a powerful and sacred element in the birthing process. In more recent decades, the practice of hydrotherapy and waterbirth has experienced a global resurgence, driven by both cultural traditions and modern, evidence-based midwifery care. Today, water immersion is increasingly recognized for its ability to support physiologic labor, reduce interventions, and enhance maternal satisfaction. Understanding the historical evolution and international variations in waterbirth practices provides essential context for offering safe, culturally sensitive, and empowering care to birthing individuals around the world.