Best Labor Positions with an Epidural: Stay Comfortable and Keep Labor Moving.

You might think getting an epidural will completely numb your lower body, but fortunately, that’s not the case anymore!

Epidurals have come a long way.

Now days, you'll receive an initial dose of medication in your epidural space, keeping you comfortable for about 90 minutes. After that, you can decide when to press a button for more medication or choose to wait if you're comfortable.

With the support of your doula and nursing staff, you can still change positions (when safe) to help your baby engage in your pelvis and move down.

Here are some of the best positions that are safe, effective, and comfortable for moms with an epidural.

Labor Positions:

Side-Lying with a Peanut Ball
This is a great option for moms who can’t be on their feet.

Placing a peanut ball between your legs while laying on your side helps open your pelvis while keeping you comfortable enough to rest or even sleep. This position also allows your partner or doula to do hip squeezes which not only release pressure but open your pelvis for baby.


Semi-Reclining - Alternating Legs with a Peanut Ball
A gentle recline with the support of pillows allows you to rest but still work with your contractions to help baby’s head put pressure on your cervix. Alternate placing one of your legs on the ball every 20/30 minutes.

The Throne - Simulates Sitting On The Toilet
When you have an epidural you will most likely have a catheter to drain away urine and keep your bladder out of baby’s way. Since you won’t be getting up to use the toilet aka the dilation station, this is a great alternative.

Hands and Knees
Even with an epidural, some moms can shift into a modified hands-and-knees position with the help of pillows for support. It helps with back labor and encourages baby’s descent. You will need to be supported by pillows and will may require extra help from the staff to move and monitor your well being.



Whether or not to get an epidural is a completely personal decision. If you are worried about not being able to move, rest assured your birth team will do their best to help you move around because we know that the right positions can make a difference in your comfort and labor progress.

Don’t hesitate to ask your doula or care team for help adjusting and finding the best position for you.

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