Top Positions to Try During Labor

Our top positions to try during labor? Childbirth is a process that can last a varied amount of time based on many factors. During labor, the birthing person might need to try a variety of different comfort measures. Even moving between each of these positions can help ease discomfort and be a welcome distraction. We’ve put together a guide on some of our top recommendations complete with variations and things for a support person to consider.

Positions for laboring in bed

Throne

Description: Throne position is a secret weapon of doulas everywhere! This position utilizes the movement of hospital beds to get the laboring person into a comfortable position for resting or waiting. This one is easy to remember, since the very idea of the position is in the name. We’ll be putting our birthing individual on a “throne”.

How to Get There (hospital bed): Have the birthing person sit in the bed. Using the controls on the hospital bed, raise the back up between 45 and 90 degrees. Have the birthing person lean forward for the initial adjustment and lean back to raise or lower the back to a comfortable position. Drop the lower part of the bed all the way to create a “throne”. The goal is a seated position.

Especially Helpful for: After an epidural or medication! This position is perfect for when you’re waiting for dilation but are comfortable enough with medication on board to rest. This is also helpful for getting baby to descend by letting gravity work its magic.

Variations: While this can be great for medicated births, this seated position is also excellent for non-medicated births in other spaces. One notable variation is sitting backwards on the toilet! Since our pelvic floors are trained to relax on the toilet to allow us to use the bathroom, often we’ll use this position to move dilation along. Note: this position can get intense very quickly as baby descends, make sure someone is nearby to help the birthing person off the toilet quickly if needed.

Side Lying

Description: As the name suggests, this position is very simply lying to the side for the birthing person. Another resting position, this helps take the pressure off of the pelvis and back for the birthing individual. We highly recommend a pillow or two between the legs. This one doubles as an excellent pushing position! The top leg can be held by the individual, their birthing partner, a nurse, or a doula to allow the pelvis to open in a more comfortable position.

How to Get There: Simply turn gently to one side or the other! To keep labor moving, a great idea is to move from one side to the other periodically.

Especially Helpful for: This is a great position for early labor, resting after an epidural, or while waiting for pushing urges to emerge. 

Variations: Adding a peanut ball or a stack of pillows that brings the upper knee facing upwards is a surefire way to help with dilation and progression of labor. This position is well-loved by our clients who choose medication as it allows them to rest well while laboring down. This can also be used for an unmedicated birth but, just as with the throne position on the toilet, it can get intense very quickly. Ensure someone is nearby in case a shift needs to happen quickly.

Hands and Knees

Description: Put those arms and legs to work! Laboring on all fours is an excellent way to open the pelvis. This position also could be great for getting baby oxygen and some physicians recommend it for easier positioning of monitors.

How to Get There: Very simply put, this position is fairly simple to get into! In the bed, rotate a little bit at a time with some support on one or both sides. Have someone nearby to move pillows or blankets as needed until the birthing person is in position.

Especially Helpful for: Active laboring! This position is a very active one and gives the birthing person the sensation of doing something instead of being swept away by laboring. Note: this one can get tiring! This is a great position to prepare or “train” ahead of time by lifting light weights or doing movements that strengthen the arms.

Variations: Lean over something to give your arms a rest! Our best suggestions are a stack of pillows, a birthing ball, or the back of the hospital bed. This position could also translate well to water if choosing hydrotherapy with the birthing person leaning over the side of the pool or bath.

Positions for out of the bed

A partner works with their pregnant partner to support them during labor.

Partner Supported

Description: Lean on me! Standing can get tiring but letting gravity do its job can be very helpful. Enter: partner support! Whether you lean on someone standing in front of you, behind you, or use a bedsheet or rebozo, getting support from someone else can make standing or squatting much easier.

How to Get There: For partner-supported sitting, simply have the partner stand in front of or behind the birthing person to support. It may be helpful for the partner to have their back supported against the wall.

Especially Helpful for: Taking a break from walking or while a contraction is happening. 

Variations: Use a bedsheet or rebozo under the birthing person’s arms to offer extra support that is easier to manage for the partner.

 

Hands and Knees Redux

Description: This position is a great one to do outside of the bed as well! Enjoy all the same benefits of hands and knees in the bed but with more freedom of movement.

How to Get There: Simply sit on the floor swinging legs around and using support to evenly distribute weight onto both hands and knees. Consider putting down a yoga mat or folded up blanket to support the knees and soften the surface.

Especially Helpful for: Active laboring and hip squeezes!

Variations: Lean over a birthing ball or chair to ease the strain on wrists.

 

Birth is not a one-size-fits-all and your comfort is a top priority. When practicing these positions, take note of what feels comfortable and what feels like too big of a stretch. Remind yourself and your birthing partner that what feels good outside of labor may change very quickly and vice versa. Stay in tune with your body as labor progresses and move naturally. Your body is wise!

Early Labor | What Should I Do?

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Early labor can often leave us with the question of, “When do I head to the hospital?”. Clever reminders like “511” remind us that contractions should be 5 minutes apart and 1 minute long for 1 full hour before you head in. As doulas, we are huge advocates for distraction through early labor. Often, when you focus on distractions you’re able to discern when you can’t ignore labor anymore.

When your pregnancy is healthy and labor is going normally, we love to encourage clients to try to make their contractions go away. True labor won’t stop just because you put your feet up! In addition to staying hydrated, eating nourishing food that feels good to you, and laying down for a bit, here are a few of our favorite ways to enjoy a distraction during early labor.

Schedule an Appointment

An excellent way to relax and distract yourself is to get yourself to a self-care appointment. Book a pedicure, a prenatal massage, or find a salon near you that does blow outs. These appointments are wonderful for distraction but they also help create a flow of oxytocin in your body. Oxytocin is a wonderful pain relief and also calming hormone and it can be stimulated by skin-to-skin contact. Be sure you’re in contact with your birth team and consider having someone else drive (just in case!)

Warm Shower or Bath

The warmth of a shower or bath can ease tension and relax your muscles, helping you stay comfortable as early labor progresses. Water has a calming effect and can provide gentle relief, especially for back pain or cramps. Sitting or standing under a warm shower allows the heat to target your back and abdomen, while a bath can create a more immersive, weightless experience that helps you relax between contractions.

Safety Note: Be sure to keep the water at a comfortable, warm temperature (not hot) and stay hydrated if you’re soaking for a while.

A pregnant individual does a yoga and meditation routine.

Movement and Gentle Exercise

Moving around can be surprisingly effective in early labor. Gentle stretches, walking, a prenatal yoga video, or using a yoga ball can help release muscle tension, encourage a more optimal baby position, and may even help labor progress. Slow dancing with a partner or swaying your hips in a figure-eight motion can bring comfort and connection, grounding you through each contraction.

Tip: If you have a yoga or birth ball, sit and gently rock your hips, move them in a figure 8 motion, or bounce lightly to ease any pressure in your lower back or hips.

Create a Calming Environment

A soothing environment can make a big difference in how you feel. Dim the lights, play calming music or sounds, and use soft, cozy blankets or a favorite pillow. Try lighting a candle that has a soothing scent to create a spa-like atmosphere if you’re interested in aromatherapy. Choose things that bring you comfort and help you feel safe.

Tip: Make a playlist with a mix of calming and upbeat songs. The calming ones can help you relax, while the upbeat tracks can lift your mood if you’re feeling restless.

A pregnant woman in early labor reads a book sitting on a couch.

Mindful Distractions

Early labor is the perfect time to engage in activities that keep your mind occupied without draining your energy. Simple activities like reading a favorite book, watching a comforting movie, or doing a craft project can keep your focus off contractions while still allowing you to relax. Some people enjoy adult coloring books, knitting, or easy puzzles that bring a sense of calm.

Tip: Make a list of short, enjoyable tasks you can do easily and stop anytime, so you’re prepared with options if labor progresses quickly or you start needing to focus more on your contractions.

These techniques can help you stay comfortable and relaxed at home as labor begins. Remember, there’s no right or wrong way to experience early labor; do what feels best for you. Take things one contraction at a time, stay connected to your body, and know that each step brings you closer to meeting your baby.

Unsure if it’s really labor? Check out our blog “Am I actually in labor?”

Newborn Classes and Childbirth Education for New Parents

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There isn’t a handbook for pregnancy, birth, or parenthood and that can be overwhelming. If you’re finding yourself with notebooks or spreadsheets full of information to wade through, you’re not alone. We have access to an entire internet full of recommendations, be they current or outdated. Finding reasonable, science-backed answers can feel like an uphill battle and a lonely one at that. Are childbirth classes really necessary? Are newborn care classes worth it?Where can I find newborn classes and childbirth education in Baltimore?

That’s a call only you and your partner can make.

Childbirth Education

What is Childbirth Education?

Childbirth Education Classes are educational programs taught by experienced instructors well versed in the field of Pregnancy, Birth, and Postpartum. Childbirth Education curriculum varies and classes attended are generally chosen based on your preferences. Some focus heavily on a larger, trademarked curriculum such as Evidence Based Birth or Lamaze, while others are completely unique to the instructor such as Doulas of Baltimore’s signature Complete Childbirth Education Series.

Childbirth Education classes can be taught in person, online, in a group setting, or on an individual basis. There are many options and approaches, the bottom line is finding one that someone you trust teaches.

 

What should my class cover?

While there are many different types of curriculum, and the benefits of childbirth education still require more official study, it’s well known that access to education increases positive outcomes. When looking at classes, ensure yours covers these basic topics:

  • Decision making strategies to ensure you remain an active participant in your birth story
  • Tips for staying healthy and comfortable in late pregnancy
  • Physiology and the process of labor and birth
  • Common interventions and medication options
  • How to create and communicate your birth preferences
  • Hands-on coping, comfort and relaxation techniques 
  • Preparing for the postpartum experience

 

Whether you’re planning on going through childbirth without an epidural or are open to medication, understanding these key topics can help you create the birth and postpartum experience that will set you up for success.

 

Doulas of Baltimore is hosting our Spring session of our Complete Childbirth Series on Saturdays beginning April 6th, 2024 in Baltimore and our One Day Baby 101 workshop in Frederick. Our Complete Childbirth Series runs 4 weeks and covers 12 hours of science-backed education in an affirming and open environment. Our Baby 101 workshop is a one day intensive that gives new parents all the essential information they need. Learn more and register here!

Newborn Care Classes

What are Newborn Care Classes?

Newborn Care Classes are educational sessions for anyone who needs updated information on the care and keeping of newborn babies. Experienced teachers lead these classes who have taken professional training and work in the field. There are many different options for taking these classes including Hospital-based programs and more uniquely designed curriculum created by individuals. Ensure the source and how frequently the materials are updated are considered when searching for your classes. Safety standards for newborns and infants change regularly and ensuring you have the latest information ensures you’re able to keep your baby safe and those around your baby updated.

What should my class cover?

All Newborn Care classes should cover the basics of baby care such as feeding and diapering as well as:

  • Preparing your home and family for a newborn
  • Common baby gear and gadgets
  • Normal newborn characteristics
  • Hygiene including diapering, bathing, and dressing
  • Crying and newborn communication
  • Comfort and bonding techniques
  • Newborn sleep patterns and safe sleep
  • Feeding options and techniques
  • Hunger and satiation cues
  • Common feeding obstacles

 

Doulas of Baltimore has an opportunity for Newborn Care Education this Spring. Join us in Baltimore for our 4 Week Essential Newborn Care Series. This class runs 4 weeks and covers 12 hours of science-backed education in an affirming and open environment. Learn more and register here!

 

When considering the question, “What childbirth classes should I take?” consider who is teaching it, what the course covers, and if the curriculum is aligned with your birth wishes. If you’re searching for infant care classes for new parents we recommend ensuring that the course is based in science and has up-to-date information on safety and development for newborn babies. We recommend if you’re searching for Newborn classes and Childbirth Education in Baltimore or Frederick, consider Doulas of Baltimore!

 

We believe education is one of the most important things you can invest in. Above all when we educate ourselves we empower ourselves to make sound decisions, enter any situation with confidence, and create a great environment for a positive experience. Generally taking classes with your birth partner prior to giving birth can deeply connect you to one another creating a sense of safety and support.

Pinterest graphic about classes for new parents to take

Doula Support & Childbirth Education Are Like Cookies & Milk

Some things in life are made better when they’re together. Milk and cookies. Peanut butter and jelly. Macaroni and cheese. Doula support and childbirth education. All solid choices independently but the combination of the two is unmatched. Maybe you haven’t heard of that last one, but I promise you, it’s just as cohesive of a relationship as milk and cookies! 

Hiring a birth doula helps ensure you and your partner are supported and confident during your pregnancy and birth journey. Just knowing that you will have someone whose sole focus is YOU during this process can relieve so much unanticipated stress. 

In order to ensure you receive the most out of your experience with a birth doula, it is beneficial to ALSO invest in a quality childbirth education workshop!

Here are three reasons why you (and your partner) will benefit from the combination of doula support and childbirth education workshops:

Your DOB doula is intimately familiar with our childbirth education curriculum. 

She is able to help you recall 3rd trimester health and safety information and communicate your preferences and priorities for your birth experience with your care provider through your pregnancy. Recognizing that your body was preparing for labor (hello too many trips to the bathroom!) meant you were able to give your doula a much appreciated heads up at 9 pm instead of 3 am! During labor, your doula can offer reminders to use your  B.R.A.I.N. to make decisions and ensure your partner feels confident with how and when to use the hip squeeze they learned during Comfort Measures. 

Your childbirth education workshop will set the framework for what to expect. 

Having a foundational knowledge of the ‘what ifs’ of pregnancy and birth can help you to avoid potentially serious complications. Unfortunately, not every aspect of pregnancy, labor, birth, and/or postpartum always goes perfectly according to plan. For example, because you’ve taken a childbirth education course together, your partner was able to recognize that the persistent headache you’ve had for the last 24 hours, may be outside of the range of normal and requires a call to your provider. Having the knowledge of what is expected at each stage of this journey helps you to better understand the process, communicate your concerns, and make decisions that are best for your family.

A well-prepared partner means better support for you.

Taking a workshop together takes the responsibility to inform and educate your partner, off of your shoulders. Chances are that you, as the birthing person, have shouldered much of the responsibility in researching and preparing for the birth of your baby. You may have sent resources – books, podcasts, TikTok videos, and articles in their direction but most partners benefit more from receiving information directly from a unbiased professional. 

Having access to a professional birth doula throughout your pregnancy, labor, birth, and postpartum experiences means having a sounding board for thoughts, questions, and concerns.

But the saying is true, you don’t know what you don’t know. Taking a childbirth education workshop and conferring with your doula can help you to devise questions for your providers so you aren’t left responding “I don’t know; what should I be asking?” at the end of your next prenatal visit!

3 Ways Independent Birth Classes Stand Out

There are pros and cons for all the birth classes on the market, and depending on what you are looking for from a class (your personal goals for your birth, your schedule, and the like) many of the mainstream birth classes can be unappealing.

You may feel like taking a childbirth series is one more thing to do before your baby arrives, but this is one thing that could make an incredible difference to your birth experience.

Childbirth education classes share information that is not just about the physiological birth process, but the myriad of options that could be present at the birth of your child. And, if you pick a quality class, it is about much more than that.

Most parents are asking their providers for recommendations of where to attend, and for many, that means signing up for the hospital’s class. But not every childbirth class is created equal.

We want to share why choosing an independent professional childbirth education class could be one of the best things you do for you and your baby.

1) All The Options

Because our childbirth classes are taught outside of the hospital, our instructors are free to share all options and not only those that support hospital policy. As independent instructors we focus on sharing information, explaining the many options available during labor and birth, and the various scenarios that may arise. This way our students feel informed and prepared to enter their own experience.

We are invested in getting you the knowledge for the type of birth that you desire, and the delivery you will have.

Are you looking for a low intervention birth?

Are you curious about epidurals?

Are you curious about what to do before you get an epidural?

We give easy-to-understand knowledge, and tools to help you bring your plan to life, and, if necessary, help to navigate the unexpected.

2) Specialized Birth Educators

Once you decide to take a childbirth class, why not rest assured your instructor is someone connected and knowledgeable about birth in your area. To be a childbirth educator with Doulas of Baltimore, years of study, hundreds of hours teaching, and first-hand experience helping families in labor are what make the difference.

The nuance of birth is such that there is no pattern that everyone will follow. However, with enough time working with families, a new kind of skill develops which your teacher is happy to share with class attendees. It may be silly to say, but that ability is having trust and confidence in birth. When you know what is possible, and learn the necessary skills to discuss needs and wishes with your care providers, you increase the potential for an excellent birth experience.

3) Partners Enjoy Them

There’s a stereotype that non-pregnant partners are uninterested in attending or participating in birth classes. We find birth partners engaged in our classes and happy to feel more confident when class has ended!

We do not shove you into a classroom with grainy videos of birth from the 1970s, and we don’t make a screen the focus of the class. We know your time is valuable, and endeavor to make our time together result in you having more confidence about your child’s birth. And more confident about how to interact with one another during your baby’s birth.

If you’re not convinced yet, read testimonials from former students and don’t hesitate to reach out with any questions. If you are ready to get started – head straight to our class registration page!