Choosing the best birthing positions can 1) encourage baby to rotate and 2) mom to dilate = therefore allowing for a less painful and shorter labor.

Who doesn’t want less pain?  Don’t we all want shorter labors? Let’s get started!

The Goals of Labor

Labor has two main goals.

1. The first goal of labor is for the mother to have powerful, uterine contractions that open the cervix to 10 cm.
2. The second goal of labor is for the baby to rotate to the best possible position for an easy descent through the mother’s pelvis.

The most ideal position for a baby to be in is head down, but also facing its mother’s back.  This is called occiput anterior.

If a baby is not in this position, labor will sometimes drag out since the work of each contraction is focused on rotating the baby into the best position.  (OR baby will come through in the less than ideal position, which can work, but will likely just take a bit longer. Ever heard of a sunny side up baby?)

Once labor has encouraged an optimal fetal rotation, labor will continue to progress.   By using birthing positions that encourage an optimal fetal position, less time will be spent on “spinning” the baby and more on dilation and descent.

TIP:  For information about things to do during pregnancy to encourage optimal fetal positioning and body balancing you MUST check out Spinning Babies’ Daily Essentials DVD.

5 Popular Birthing Positions for Reduced Pain and Length

When a woman instinctually changes birthing positions throughout labor she will likely choose positions that encourage labor progress but that also decrease her pain.  The following are 5 popular birthing positions for reduced pain and length.

NOTE:  EveryBODY and every birth are different.  Just like you, your birth will be unique!  There is no one “right way” to give birth.  As I say in my childbirth classes, whatever you have to do to get your baby out – do it!  That being said, the following birthing positions, on average, aid for a less painful and shorter birth.  However, you may find something else that works better for you.  If so, do it!  You are awesome and an amazing birth warrior!

Standing, Rocking and Leaning

First on the list of the best birthing positions for a less painful and faster birthing is standing, rocking and leaning.

• Standing is helpful because it uses gravity to aid in the descent of the baby.
• Leaning is helpful because it gives mom’s upper body a break while at the same time experiencing the benefits of gravity.
• Leaning on a bed, wall, birth ball or furniture is helpful, but some mothers really find pain relief by leaning on a support person.  Personal connection with a doula, friend or family member can make such a difference.
• While standing and leaning, rocking or swaying back and forth can be really helpful because it moves the pelvis, which encourages the rotation of the baby into the best position and at the same time relieves pain.
• Standing and leaning allows for back massage and/or counter pressure (double hip squeeze or sacral pressure) which is especially helpful when a woman experiences back labor.

Sitting and Rocking on a Birthing Ball

Next on the list of the best birthing positions for a less painful and faster birthing is sitting and rocking on a birthing ball.

TIP:  A birth ball isn’t anything fancy, it’s just a regular exercise ball you would find at the gym.  When buying a birthing ball, please make sure you buy the right size.  Your hips need to be higher than your knees. (see photo below)

• Sitting, compared with standing, gives a woman’s legs a rest but still takes advantage of an upright position, which encourages labor progress through gravity and an open pelvis.
• Rocking, while sitting on a birthing ball is helpful because it encourages fetal rotation and descent – which helps labor to progress.
• Also, the rhythm that comes from rocking on a ball can in itself be helpful with pain management.
• Another benefit of the birthing ball is that it provides mild pelvic counter pressure.  For some women this is a relief, for some it’s the opposite.  Whatever is helpful, do it!

Hands and Knees or Kneeling

The third position on the list of the best birthing positions for a less painful and faster birthing is hands and knees or kneeling.

• Hands and knees or kneeling is helpful because it allows the legs to rest a little more than if the mother were standing.
• In the hands and knees position the pelvis is open even while the mother is semi-resting.
• This position may provide relief from back pain caused from back labor.  In fact, this position may even resolve the underlying cause of back labor.
• A woman may enjoy kneeling while in a tub of water, as the water helps hold her body weight.  TIP:  Place soft washcloths or hand towels underneath the knees while in the tub.  This will help prevent the knees from becoming sore.
• Another way to kneel is with a birthing ball.  Instead of leaning into the back of a bed, stack of pillows, a person, etc., lean on the ball and let the belly hang.

Kneeling or the hands and knees is a great position to give birth in especially in the hospital! (To read about Mercy’s birth in the hospital head on over here!)

Sitting on the Toilet

The next birthing position for a less painful and faster birthing is the toilet.

(Thanks, LF for the photos!  You were a rockstar!)

• The toilet is a great place to labor because it is a place of solitude.  For a moment of peace, or to get off the monitors for a minute, many women head to the bathroom.
• Also, sitting on the toilet is where we have been trained to “let go” at an early age.  It makes sense that even in labor, we allow our bodies to “let go” there too.  It’s not uncommon for women’s labors to accelerate rapidly while in the bathroom!
• Because women need to drink at least 8 ounces every hour, it can be more convenient to just stay in the bathroom. When it comes time to pee, there’s nowhere to go!
• Also, the toilet is one of the best laboring positions because it is an upright position which takes advantage of gravity, but it also encourages rest.  Facing the back of the toilet can be helpful too (if at home) to rest the top half of the body.  Simply place a pillow on the back of the toilet and take a tiny nap!

Side-Lying

Finally, another one of the most popular birthing positions is the side-lying position.

(Thanks HF for the photo, you were a birthing warrior!)

• Many people hope to labor in the side-lying position, especially if they’ve taken a Bradley Method childbirth class.  Much of the pain coping techniques taught in this class revolve around total body relaxation in a side-lying position.
• This position can be very helpful, especially in a long labor, or towards the end when the mother is exhausted.
• The side-lying position allows for rest, but doesn’t compromise the pelvis because it keeps it open, compared with lying flat on the back.
• Another great thing about a side-lying position is that makes using a peanut ball a no-brainer.  Simply place a peanut ball between the legs, which will open things up really well.  According to a friend of mine, “the peanut ball gets shit done”.  A peanut ball helps labor to progress very quickly!
• Side-lying doesn’t only have to be in bed – many women do it in the tub too.

5 Popular Birthing Positions for Reduced Pain and Length

Choose the most popular birthing positions to encourage dilation and an optimal fetal position therefore allowing for a shorter and less painful labor.  Just to recap, these are the top five birthing positions for a natural birth.

1. Standing, Rocking and Leaning
2. Sitting and Rocking on a Birthing Ball
3. Hands and Knees or Kneeling
4. Sitting on the Toilet
5. Side-Lying

ADDITIONAL RESOURCE:  Penny Simkin’s popular book The Birth Partner is an excellent read for pregnancy but also to use during labor.  There are many illustrations of various birthing positions.  I often bring it to my childbirth classes I like it so much!  It’s also an excellent book for book for dads wishing to be a very “hands on” birth partner.

Leave me a comment and let me know what birthing positions you preferred and how it was helpful.  Thank you!