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Positions for labor and birth

  • standing_position.jpg


    Standing takes advantage of gravity during and between contractions.

    It makes contractions feel less painful and be more productive.

    It helps your baby line up with the angle of your pelvis.

    Standing may increase your urge to push in the second stage of labor.


    Walking has the same advantages as standing.

    The movement causes changes in the pelvic joints, helping your baby move through the birth canal.


    Standing and leaning forward on partner, bed, birthing ball

    This position has the same advantages as standing.

    It is a good position for a back rub.

    It may feel more restful than standing.

    This position can be used with electronic fetal monitor.

    slow dancing position

    Slow dancing

    Stand with your arms around your partner's neck or at your side, head resting on his or her chest or shoulder, with his or her hands rubbing your lower back.

    Sway to music and breathe in rhythm if it helps.

    It has the same advantages as walking.

    Back pressure helps relieve back pain.

    Rhythm and music help you relax and provide comfort.


    The lunge

    Stand facing a straight chair.

    Place one foot on the seat with your knee and foot to the side.

    Bending raised knee and hip, lunge sideways repeatedly during a contraction, holding each lunge for 5 seconds.

    Have your partner hold the chair and help with balance.

    You'll feel a stretch in your inner thighs.

    This position widens one side of the pelvis (the side toward which you lunge).

    It encourages rotation of baby.

    It can also be done in a kneeling position.


    Sitting upright

    This position is good position for resting.

    It has more gravity advantage than lying down.

    It can be used with electronic fetal monitor.


    Sitting on toilet or commode

    This position has the same advantages as sitting upright.

    It may help relax the perineum for effective bearing down.



    Set the head of the bed at a 45-degree angle with pillows used for support.

    It has the same advantages as sitting upright.

    This is an easy position if you're on a bed.

    Rocking in a chair

    This position has the same advantages as sitting upright.

    Rocking movement may speed up labor.


    Sitting, leaning forward with support

    This position has the same advantages as sitting upright.

    It is a good position for back rubs.


    Kneeling on all fours

    This position:

    • helps relieve backache
    • assists rotation of baby in posterior position
    • allows for pelvic rocking and body movement
    • takes pressure off hemorrhoids
    • still makes it possible to have vaginal exams
    • is sometimes preferred as a pushing position by women with back labor

    kneeling_leaning_support kneeling_leaning_ball

    Kneeling, leaning forward with support on a chair seat, the raised head of the bed, or on a birthing ball

    This position:

    • has the same advantages as all fours position
    • puts less strain on the wrists and hands


    Side lying

    • is a very good position for resting
    • is convenient for many kinds of medical interventions
    • helps lower elevated blood pressure
    • may promote progress of labor when alternated with walking
    • is useful to slow a very rapid second stage
    • takes pressure off hemorrhoids
    • facilitates relaxation between contractions



    • may relieve backache
    • takes advantage of gravity
    • requires less bearing down effort
    • widens pelvic outlet
    • may help baby turn and move down in a difficult birth
    • helps if you do not feel an urge to push
    • allows freedom to shift weight for comfort
    • offers an advantage when pushing, since upper trunk presses on the top of the uterus


    Supported squat

    • Lean back against your partner, who supports you under the arms and takes all your weight.
    • Between contractions, stand up.
    • This requires great strength in your partner.
    • This lengthens your trunk, allowing more room for your baby to maneuver into position.
    • This lets gravity help.


    • Your partner sits on high bed or counter with feet supported on chairs or footrests and thighs spread.
    • You lean back between your partner's legs, placing your flexed arms over your partner's thighs.
    • Your partner grips your sides with his or her thighs.
    • You lower yourself, allowing your partner to support your full weight.
    • Between contractions, stand up.
    • This has the same advantages of a supported squat.
    • This requires less physical strength from your partner.

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