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Epidural Birth? Explore 4 Safe & Effective Birth Positions!

Planning on having an epidural and wondering about the best positions to give birth in? You’re in the right place! Today, we’ll be discussing four (yes, three plus a bonus!) safe and effective birth positions for those who opt for an epidural.

Why Positions Matter Even with an Epidural:

When you have an epidural, it primarily blocks the C fibers, which are the pain fibers of the nerves. This ensures you don’t feel pain. However, the epidural does not affect the D fibers of the nerve, which is responsible for pressure sensations. This means that even with an epidural, you’ll still feel the pressure of the baby descending and passing through the birth canal, which is great news! This allows you to actively participate in breathing your baby out without needing to hold your breath and strain.

The Birth Positions:

  1. Sideline Position: In this position, you lie on your side. A physio ball or peanut ball under your leg can help achieve an internal hip rotation, which opens up the pelvis outlet. This makes it easier for the baby to descend.
  2. On Your Back: Laying on your back with your knees falling out to the sides can also be effective. Ensure that you feel relaxed in this position so that your pelvic floor can open easily.
  3. Semi-Fowler Position: Here, you are propped up at about a 45-degree angle. This position can be combined with a slight internal rotation of the hips to optimize the opening of the pelvis.
  4. Bonus – Deep Squat with Trapeze Bar: Some hospitals have a trapeze bar at the end of the bed, enabling you to squat while holding onto the bar. If you’re comfortable in a squat position, this could be a potential option, although it might be challenging for some.

Practice Makes Perfect:

Before your due date, consider trying out these positions at home. Check which one feels the most comfortable for you. Remember, comfort and relaxation are key, especially during labor.

If you’re interested in more birthing techniques, especially the concept of breathing your baby out, I’ve linked a helpful video in the show notes. This method can make the pushing phase more manageable and might prevent complications like tearing.

In conclusion, your comfort is paramount during labor. By practicing these positions beforehand and finding what’s most suitable for you, you’re preparing your body for a smoother birthing experience. Even with an epidural, being proactive and informed about your options can make a world of difference!


Allison Feldt

Body Motion Physical Therapy

"We Help Women Through Fertility, Pregnancy, Birth, Postpartum and Beyond So They Can Live Active, Confident, Healthy Lives Without The Need For Medication Or Surgery"

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