Need to talk? Call 1800 882 436.
It's a free call with a maternal child health nurse. *call charges may apply from your mobile

Is it an emergency? Dial 000
If you need urgent medical help, call triple zero immediately.

beginning of content

Positions for labour and birth

5-minute read

There's no rule to say you must give birth flat on your back in a hospital bed. You can choose to move around and into different positions throughout your baby's birth. It's your prerogative. Birthing positions can help you to feel in control, reduce pain and open your pelvis to help the baby come out.

Which position is best?

In the past 100 years, women in Western countries have usually given birth lying down, mostly on their backs. However, in previous centuries they gave birth in an upright position, as women in many other cultures have traditionally done.

Today, you can choose the position that makes you most comfortable, unless there is a medical reason not to. Many women find positions instinctively during labour and birth. You may also choose to practise some of them before you have your baby.

It is recommended that you walk, move and change positions frequently during the various stages of labour.

Positions for stage 1 labour

Early labour

During the first stage, your cervix gets thinner and dilates (opens up) to about 3cm. You may still be at home and choose to stand in the shower, sit in the bath, walk around or find another position that's comfortable for you.

Unless there is a medical reason to do it, lying on your back is not recommended in the first stage of labour because it can reduce blood supply to your baby and potentially lead to a longer labour. You can, however, rest during this early phase to conserve energy, which you'll need later. Choose a comfy position lying on your side or sitting with your feet up.

Keep moving and changing positions to prevent fatigue and ensure your muscles don't get too sore. You may find yourself standing upright or bent over while rocking and swaying, sometimes called the 'dance of labour'. This can help both you and the baby by easing pressure on the pelvic area and encouraging the baby to move into the correct position in the pelvis.

Active labour

As you move into established, also known as 'active' labour, your cervix dilates from 3 to 10 cm and contractions become more frequent and stronger.

Your maternity team will encourage you to choose your own positions during this phase and may make suggestions to help you. Try to choose an upright position since it has many benefits, including:

  • allowing for the baby to move down and into the right position
  • bringing on stronger contractions and potentially a shorter labour
  • decreasing the chance of needing an epidural
  • giving you less severe pain or backache
  • reducing the likelihood of a forceps or vacuum-assisted birth
  • decreasing the chance of problems with the baby's heart rate
  • helping to open your pelvis for the next stage

Here are some positions you could choose:

  • kneeling, using a chair or birthing ball (yoga, or 'fit' ball) for support
  • swaying or walking and holding a support person during contractions
  • standing and moving in the shower to help reduce pain
  • sitting or kneeling in a bath, to reduce pain and make you buoyant, making it easier to change positions
  • squatting, using a birthing stool, ball or squatting bar; this can help the flow of oxygen to your baby, reduce back pain and move the baby correctly into position
  • sitting and rocking on a chair or edge of the bed
  • sitting backwards on a chair, with arms resting on the chair-back
  • leaning forward over the bed
  • sitting on a chair leaning forward
  • lunging with one foot up on a chair or footstool
  • kneeling on hands and knees to help reduce back pain

If you want, your birth partner can massage you, help guide your breathing, and support you while you are in these positions.

Positions for stage 2 labour

The second stage is when your cervix is fully dilated and as your contractions happen, you'll push so your baby can move through and out of your vagina.

Maintaining an upright position can open your pelvis and make it more comfortable for you to push. It can also help angle or tilt the pelvis to help the baby come down and lead to a faster birth.

If you are in bed, you can still kneel or go on all fours. You can also sit, semi-recumbent, on the bed, or lie on your side with your top leg bent.

If your baby is positioned facing your back (posterior) or halfway between your back or front (lateral), being on your hands and knees can help, particularly with back pain.

What could stop me moving or choosing my own positions?

  • An epidural usually makes your legs feel heavy and numb so you will need to lie on the bed. However, new mobile, or 'walking', epidurals are now available to allow you to get up and move. You will need to check whether your hospital provides this.
  • An electronic monitor may be placed around your abdomen to check the baby's heartbeat and this may restrict your movement. Ask if your birthing facility has a mobile monitor, which will let you move around.
  • If forceps or a ventouse (vacuum) is used to help your baby out of your vagina, you will need to lie on your back. The same applies for a vaginal examination or episiotomy.

How to practise using positions for labour and birth

  • Join an antenatal class.
  • Search for images and videos on the internet and practise at home.

Learn more here about the development and quality assurance of healthdirect content.

Last reviewed: February 2020

Back To Top

Need more information?

Anatomy of pregnancy and birth - pelvis

The pelvis helps carry your growing baby and is especially tailored for vaginal births. Learn more about the structure and function of the female pelvis.

Read more on Pregnancy, Birth & Baby website

Giving birth - first stage of labour

Find out what happens during the first stage of labour.

Read more on Pregnancy, Birth & Baby website

Making a birth plan

Many expectant parents develop a written plan covering what they would like to happen during labour and birth. Know what to include if you create your own plan.

Read more on Pregnancy, Birth & Baby website

Labour and birth classes

Labour and birthing classes (also called antenatal classes) will help you prepare for the birth of your baby. Learn here about the different classes available.

Read more on Pregnancy, Birth & Baby website

Having a baby at a birthing centre

Birthing centres are usually more home-like than hospitals and are run by midwives. In some centres, water birth is an option.

Read more on Pregnancy, Birth & Baby website

Pregnancy care & birth at birth centres | Raising Children Network

Birth centres support healthy women with low-risk pregnancies to give birth in a home-like environment. Pregnancy care at birth centres is led by midwives.

Read more on website

VBAC: vaginal birth after caesarean | Raising Children Network

For many women, vaginal birth after caesarean – VBAC – is a safe and positive way to have a baby. Our guide explains VBAC’s possible benefits and risks.

Read more on website

Premature birth: emotional preparation | Raising Children Network

If you know your baby will be born early, you can prepare yourself mentally and emotionally. Practise relaxation and take a tour of the NICU. Find out more.

Read more on website

What happens to your body in childbirth

During childbirth, the body’s hormones and muscles, as well as the shape of the pelvis, all work together to bring the baby safely into the world.

Read more on Pregnancy, Birth & Baby website

Dads: premature birth and premature babies | Raising Children Network

After a premature birth, it can be hard for dads. Our dads guide to premature babies and birth covers feelings, bonding, and getting involved with your baby.

Read more on website

Call us and speak to a Maternal Child Health Nurse for personal advice and guidance.

Need further advice or guidance from our maternal child health nurses?

This information is for your general information and use only and is not intended to be used as medical advice and should not be used to diagnose, treat, cure or prevent any medical condition, nor should it be used for therapeutic purposes.

The information is not a substitute for independent professional advice and should not be used as an alternative to professional health care. If you have a particular medical problem, please consult a healthcare professional.

Except as permitted under the Copyright Act 1968, this publication or any part of it may not be reproduced, altered, adapted, stored and/or distributed in any form or by any means without the prior written permission of Healthdirect Australia.