02/19/2026
I love this! 🥰 If you are thinking of getting an epidural it doesn't automatically = laying on your back.... you still have some ability to move around ❤️
The “throne position” 👑 + epidural + a mirror = an incredibly effective (and empowering) way to push.
When you have an epidural, you can’t always feel where to push, but that doesn’t mean your body can’t still do it beautifully.
Sitting upright in the throne position (head of bed raised, hips open, bottom close to the edge and the bottom of the bed lowered down) works with gravity, helps baby descend, and reduces pressure on your tailbone compared to flat-on-your-back pushing.
Add a mirror, and suddenly everything clicks 👇
You can actually SEE your pushing efforts.
You can watch baby move down with each contraction.
You get real-time feedback on what’s working.
And that visual connection often helps moms push more effectively than just being coached to “push like you’re pooping.”
I’ve seen moms go from:
“I don’t think I’m doing anything…”
to
“Oh wow — I SEE the head!!!”
It can also be incredibly motivating. When you see progress, you dig deeper. You focus. You work with your body instead of guessing.
Bonus benefits ✨
➡️Opens the pelvis
➡️Uses gravity even with an epidural
➡️Helps protect the perineum with controlled pushing
➡️Reduces the need for aggressive coaching
➡️Can shorten pushing time
➡️You can catch your baby!
And yes, you can absolutely do this with numb legs. Your team will support and stabilize you.
Even with an epidural, you can still be an active participant!
Sometimes all you need is to change positions! 👑
Pic from TT