05/13/2026
Laboring Down
What is it?
This is the practice of waiting to push for about 1-2 hours after being told you are fully dilated or until you feel the need to push.
Why can it make your pushing time shorter?
This allows time for your contractions and gravity to help move your baby lower into your pelvis. This means your baby is closer to the end of the birth canal. Sometimes just because you are 10 cm does not mean your baby is low or even ready to come through the birthing canal. This can cause long pushing times and maternal exhaustion. Studies show laboring down reduces pushing times by an average of 27 minutes.
Laboring down not only reduces your chances of shorter pushing times and maternal exhaustion, but it also improves your chances of a successful vaginal birth, reduces chances of c-section, and also reduces the chances of needing a vacuum or forceps assisted birth.
Is it safe to labor down?
It is NOT safe to labor down if your baby is in distress or is not moving down the birth canal. In some cases if you have a uterine infection it may not be recommended to labor down as you risk the infection progressing during this time.
Can I labor down with an epidural?
Yes! Laboring down with an epidural is one of the best things you can do to help you succeeding in a vaginal delivery.
What should I do while laboring down?
During this time you want to be in a position that opens the lower inlet of the pelvis. Recommended positions are: laying on your side with a peanut ball between your legs, being on your hands and knees, and walking or standing and rocking your hips to help gravity encourage baby down the birth canal. (These are just a few ideas, there are many more possible positions)
It is best to consult with your healthcare provider to see if laboring down is an option for you.
