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Labor Positions: In/Out of Bed, With/Without Epidural

Updated: Apr 1



A pregnant woman resting on her side with her eyes closed, holding a body pillows

Whether your birth plan includes using an epidural, or you prefer to experience labor without one, understanding the importance of labor positions is vital. We have gathered pictures and videos to assist you in preparing and visualizing your ideal birth, ensuring you have all the necessary tools at your disposal.


The Importance of Labor Positions


Whether in bed or moving around, is vital. Movement and using different positions can contribute to safety, comfort, and the natural flow of the labor process.


Whether you are looking for out-of-bed labor positions or epidural friendly positions, we've got you covered with a guide to keep you prepared for any and all situations!


Safety First: Navigating through labor safely is paramount. Correct labor positions can significantly minimize risks, ensuring both the mother's and baby's well-being. These positions facilitate proper alignment and descent, reducing complications and interventions.


Comfort is Key: Though labor is inherently challenging, certain positions can alleviate discomfort, allowing for more manageable contractions and periods of rest. Comfort in labor is not just about pain relief; it's about feeling supported, empowered, and in control.


Enhancing the Flow: Adopting positions that work with gravity and the body's natural movements can smooth the path, making each contraction more effective.


Labor Positions for Everyone


Whether you're a mother-to-be, exploring your options, or a birth partner, eager to provide comfort and support, remember: there's a world of positions out there, each with its unique benefits. These positions are adaptable, designed to meet the needs of every individual experiencing labor and contractions.



Out-of-Bed Labor Positions


pregnant woman leaning on wall, labor position

Standing and Leaning:


This position uses gravity to help the baby descend


Allows you or your partner to lean on something (or someone) for support during contractions


Typically not used for pushing, or birthing the baby





pregnant woman walking, labor position

Walking:


Can accelerate labor progression


Movement helps shift the baby into a better position for birth and can be a natural way to cope with contractions


Can be used for both early and active labor to help distract from contractions and potentially make labor feel shorter



Pro Tip: Remember, walking is part of our everyday lives. Staying close to home and continuing your daily routines in labor such; making dinner, putting away laundry, dancing, baking, organizing, or cleaning all involve walking and can serve as useful distractions. If you are curious about what walking and moving through labor can look like, we suggest taking a look at Farmhouse on Boone's video, Birth is Ordinary but Beautiful. She spends a good bit of her labor gardening, and in her kitchen making delicious things! Even if homemaking is not yours or your partner's style, she is a beautiful example of using movement to distract and promote the flow of labor.





pregnant woman on all fours using a birthing ball, labor position

All Fours


Can be adapted over the back of a bed, over a ball, on beds or on mats


Can be used to relieve back pressure, widen the pelvis, and rotate the baby


Can be used if your baby needs to be continuously monitored


Ideal for both laboring and pushing phases





Pregnant woman squatting, labor position

Squatting


Done with the assistance of a birth partner or a squatting bar


Squatting opens the pelvis wider, offering a direct path for the baby.


Combines the forces of gravity and the body's innate strength.





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Labor Positions in Bed (Epidural Friendly)


Even with an epidural, positioning remains a crucial element of the labor process. These positions ensure comfort, promote progress, and respect the body's need for movement.




pregnant woman leaning on her partner, labor position

Supported Side-Lying


This position is ideal for rest and relaxation while also keeping things moving


It is also ideal for pushing when the top knee is bent slightly and lifted, keeping the pelvis open and allowing for labor progression or birth.


Compatible with continuous monitoring



pregnant woman sitting backwards on a chair, labor position

Sitting with Support


Using pillows or a birth ball, this position can be maintained even with an epidural


It encourages the pelvis to open and can be comforting between contractions


Support getting in and out of this position might be necessary







pregnant woman on modified all fours in bed, labor position

Modified All-Fours


For those with an epidural, add pillows for support, and lean forward


Can exhaust arms and chest and can be difficult for fetal monitoring


Can relieve back pressure and assist with baby's positioning



Birth Your Way

Remember that knowledge is your ally. Bring up and discuss these options with healthcare providers. No matter the setting or time, it is your right to try any position you believe would be helpful or feel good. Movement, gravity, and openness in the pelvis are all keys to a smooth and progressive labor.


Share Your Stories With Us!

Share your journey, your insights, or seek answers from this supportive community. Are you seeking helpful birth positions for your next birth? Have you tried some of these birth positions with success? Share your stories with us below to start a conversation and help parents who will come after you!


Labor is not just about bringing a baby into the world; it's about embracing the power of labor positions for a safe, comforting, and empowering birth experience. Your experience matters. Exploring different positions throughout birth takes teamwork and support, and can highlight the incredible partnership between a mother and her support team. Birth your own way!




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