The use of water during labor and birth has seen a significant rise in popularity in recent decades, reflecting a broader shift toward personalized, physiologic, and low-intervention maternity care. Once considered an alternative or fringe practice, waterbirth is now supported by a growing body of evidence and increasingly integrated into mainstream birth settings—particularly in countries with strong midwifery-led care models. As more birthing individuals seek out empowering, natural options for childbirth, understanding the trends, demographics, and clinical outcomes associated with waterbirth becomes essential for providers, policymakers, and educators alike. Examining how waterbirth is being utilized across different regions and care settings reveals important insights into the evolving landscape of maternity care and highlights the role of water as both a clinical tool and a vehicle for respectful, evidence-based birth experiences.