Women have a range of options to help them cope with labour. Some women choose non-pharmacological methods alone, while others combine these with medical pain relief.
The importance of the birth environment
The environment in which labour takes place can have a significant impact on a woman’s experience of labour and her ability to cope.
A calm, private, and supportive environment can promote the release of oxytocin and endorphins, which encourage labour to progress and provide natural pain relief. In contrast, stress, fear, excessive noise, bright lighting, or frequent interruptions may increase adrenaline levels and make labour feel more difficult.
Creating a positive birth environment may include:
- Dim lighting.
- Maintaining privacy.
- Reducing unnecessary interruptions.
- Playing calming music.
- Using familiar items from home.
- Aromatherapy, where appropriate.
- Continuous support from birth partners and healthcare professionals.
- Feeling informed, respected, and involved in decision-making.
Hypnobirthing
Hypnobirthing uses breathing techniques, deep relaxation, positive affirmations, and visualisation to help women manage labour. Many women find it helps them feel calmer, more confident, and more in control during labour and birth.
The Northern Trust offers virtual ‘Calm and Confident’ hypnobirthing classes for all women booked to birth in the trust.
Find out about our Midwife-led hypnobirthing programme.
Breathing and relaxation techniques
Controlled breathing, mindfulness, relaxation exercises, and visualisation may reduce anxiety, encourage focus, and support the release of endorphins.
Movement and position changes
Walking, swaying, rocking, kneeling, using a birth ball, and changing positions regularly can improve comfort, support labour progress, and encourage fetal descent.
Water immersion
Using a warm bath or birthing pool can provide effective pain relief by promoting relaxation and reducing muscle tension.
Massage and touch
Massage, therapeutic touch, and counter-pressure to the lower back may help reduce tension, promote relaxation, and provide comfort during contractions.
TENS (Transcutaneous Electrical Nerve Stimulation)
TENS involves a small battery-operated device that delivers mild electrical impulses through pads placed on the lower back. It is most effective during early labour and can be used alongside other methods of pain relief.
Continuous labour support
Emotional reassurance, encouragement, advocacy, and practical support from birth partners and midwives can improve confidence and help women cope during labour.