The best way to prepare for birth isn’t more random tips — it’s a clear, step-by-step understanding of what to expect, what your options are, and how to navigate it all as a team. That’s where real confidence comes from.

Social Media

We do it, we ALL do it — I was just on social media looking at my son’s chances of getting a job he’d had a final interview for. Why? I have no idea — I’m just saying we all look to social media bout what to expect from life.

But, just like videos on social media have nothing to do with my own son’s chances of getting a job — it also can have some issues in preparing for birth.

But why?

You Don’t Get the Full Story

The videos that do the best on social media are often short (at least under 90 seconds — but often closer to 30 seconds) and include a hook that draws you in that often peaks your interest on a topic you’re interested in (but doesn’t fulfill on that promise).

Ultimately, you often get a small nibble of information which leaves you with more questions. Then, you head into the comment section to learn more only to find so many more questions and often a LOT of people with a LOT of opinions (not facts).

This can leave you feeling overwhelmed and like you can NEVER learn what’s important for your upcoming birth.

Social media can be:

• An OK way to supplement your already prepared and confident brain (I recommend this)
• A great way to share how you’re feeling and not feel so alone
• A nice way to find people you trust to help you learn MORE — you may have even found me there (find me @pregnancynurse on all the platforms).

But it really, really can’t be your main way to get prepared.

At the very least try to get videos on Youtube vs the short reels. You’ll at least get more of the full picture on a topic. You can find my channel (with a TON of videos) here. But I want more than even that for you!

Clips give you pieces. Preparation comes from seeing the whole picture.

It Can’t be Trusted.

When I first started really working as a content creator in 2014 (I’m old, I know) I learned that “if you are willing to write on a topic, that means you’re an expert”.

And I was like…. what?

Sure, that might be true on things like what diapers are best, or what hair product works best in curly hair… but when it’s something as important as your baby…? Or, possibly even your life?

Here we are in 2026 and this is honestly just a standard. There are so many people out there saying acting as experts who’ve….

• Doula’d in a few births
• Maybe just had a few kids of their own (or honestly, just one)

And these might be fine people to have a chat with at your local mom’s group, but when you’re looking for actual foundational advice for your pregnancy, labor & birth and managing postpartum — they’re not who you give that trust to.

My best tips:

• Look for experience — as a labor nurse you really don’t become competent until about 8 years into your practice — so, you should be looking for real experience in the labor room (not a physical therapist, or an RN who has not worked L&D).
• Combine that with initials — I’m an RN-BSN which means I am licensed and I have a bachelor’s degree. I have met minimum requirements a few times, which means I meet a standard.
• No Outliers — their advice should be fairly standard, and should empower you to make choices for yourself. Not pushing you into one specific way to birth.

Social media often shares opinions — not context. Learning from an expert helps you understand the “why” behind what’s happening, so you can make informed decisions that feel right for you.

Focus Just on Planned Stuff

This one catches a lot of people off-guard because the planned stuff is actually the foundation for a lot of classes. Things like:

• Stages of labor
• How baby progresses down the birth canal
• How to manage the planned pain of labor.

These are things that happen in almost all births.

We know they’ll happen — so it is smart to prepare for them. But they should only be a small section of your class!

There was a recent study that showed that out of 65 birth classes they looked at — NONE covered the unplanned events. And I’m not talking about crazy rare things — I’m talking cesareans, inductions, episiotomies. I outline that in this article.

Now, clearly a sample size of 65 isn’t big — but it’s something. AND they clearly didn’t look at the class I recommend as it has a chapter on caesareans and inductions.

The reality is that a lot of pregnancy, labor, birth and postpartum is unplanned. You need a class that is going to talk about the unplanned things that might happen. And yes — I did say postpartum. Just as important to know what to do if that’s going wrong too!

It’s not the unexpected that makes labor feel overwhelming — it’s not being prepared for it. When you understand what situations like induction or cesarean actually look like, you can approach them with less anxiety and more confidence instead of trying to process everything in the moment.

Want to know more about those unplanned events? — check out these posts:

• Episiotomy vs a Natural Tear: Which Is Better?
• What To Do If Labor Isn’t Progressing?
• What You Need to Know About Wired vs Wireless Monitors in Labor
• Your Complete Guide to Epidurals in Labor: Everything You Need to Know
• 3 Tips to Using Movement During Labor WITH an Epidural

Alone

This final one is easy to do.

Schedules are crazy, partners may not be super jazzed to learn about this — or think learning about this is up to you.

But I’m here to say that you can be as prepared as you can be — but if 5 nurses run in your room (see unplanned events above) and that partner starts to freak out, that freak out will start to pass-on to you too.

And I don’t want that for you. I want BOTH of you to feel cool, calm, collected.

Of course, this dives right into the fac that most people are “preparing” on social media and may send a few important topics to their partner, but the partner is left with those bits and pieces, and questions that overwhelm them.

That’s why a class, you can take together, and get all the important stuff is so important. I recommend this one (it’s specifically there to do with a partner — even if it’s your mom or a friend). It only takes a few hours, and if time together is at an absolute premium in the bundle there are key point videos where it’s like getting the cliff notes of labor!

One of the biggest shifts couples notice isn’t just what they learn — it’s how much more connected and prepared they feel together. When you’ve talked through what to expect, your options, and how to support each other, you’re not trying to figure things out in labor — you’re working as a team.

I just wanted to say how glad I am that you’re here. That you’re even thinking about getting prepared.

I know you’re going to pick the right path for you, and have a wonderful journey into parenthood.

What other crappy ways have you seen people prepare — tell me in the comments!

The post The 3 Worst Ways People Prepare for Birth appeared first on The Pregnancy Nurse®.

Now, before you go saying that I hate “natural birth” >> let me remind you that I also have a post on reasons to avoid the epidural as well. I want patients to have a well-rounded knowledge of what an epidural CAN and can NOT do for them at their birth…. and then make the choice on their own.

Ok, let’s jump into those benefits!

Rest

This is a HUGE thing that a lot of people don’t talk about — the fact that you’ve labored for hours, without good rest and you’re just dying for a nap but those contractions are relentless.

Many people get the epidural because they’re just tired and they need to sleep.

They also know that it’s not like they’ll be able to sleep for weeks after this baby is born, and it might be good to fill up their gas tank a bit with some rest before baby is born.

Honestly, all of that is valid.

If you’re aiming for an epidural-free birth I always encourage people to rest as much as possible in the beginning (perhaps gaslighting themselves into believing they’re not in labor). That is often easier said than done though.

BTW, a recent study showed that hardly any birth classes talk about the unplanned things of birth — unplanned cesareans, inductions and yes — epidurals. That’s why I recommend this. I think you’ll love it (in fact, it’s guaranteed).

Being Able to Pee Afterwards

Now, this isn’t true for everyone — sometimes that epidural lays claim to the muscles that help your bladder relax. BUT I will say the worst cases I’ve seen of patients being unable to pee after birth come from people who get local anesthesia on their perineum at birth (this is often given if you’re tearing or they need to do an episiotomy).

SO, you may have an easier time to pee after baby is born. It’s not guaranteed.

BUT if you’ve heard this as a “risk” it can be better than other options.

Not being able to pee after birth is actually not all that uncommon. Your nurse will have a few tricks she can try to help you (if you don’t pee, there’s a chance you’ll bleed more, so we like to minimize that).

Want to know more about birth? — check out these posts:

• Common Choices During Labor
• How to Push During Labor (What No One Explains)
• What To Do If Labor Isn’t Progressing?
• Secret Keys to Labor that No One Talks About
• What You Need to Know About Wired vs Wireless Monitors in Labor

Decreased Blood Pressure

Some of you may be experienced increased blood pressure, especially as you head towards your due date.

And, as you can imagine the pain of labor can also make that blood pressure drive upwards.

One of the big benefits of the epidural is it can help manage that blood pressure as well.

Yes, there are medications that we can give to lower your blood pressure in labor, but sometimes they work or don’t work depending on how you’re experiencing pain.

I’m just here to say that if your blood pressure is trending upwards, it may be something you want to consider. If your blood pressure gets too high it can have serious consequences including heart issues, and possibly a stroke (although super rare). SO, we want to avoid that for sure!

And be sure to check out my article about 5 things you need to know about preeclampsia that goes along with this one!

Not Having to Pee

Clearly, pee is a big deal when a person is pregnant or postpartum.

But a LOT of people really LOVE that we put a catheter in you to drain out the urine once you’re numb from the epidural (or they may put one in every couple of hours depending on your hospital and your requests).

This means uninterrupted sleep! I will admit that when I was pregnant and a nurse, I’d get jealous of my patients who had an indwelling catheter (learn more about catheters here) in — knowing I’d be up a few times in the night to pee!

Some of you might be thinking that’s a big NO THANKS to an epidural — because a catheter doesn’t sound fun. I have a whole post on if you can refuse a catheter — because you DO have options!

I’m just here to say a lot of people are big fans of it!

Everyone is so different — this is why having a birth plan can be so helpful to know what’s important to you:

Helps Your Body Relax!

This is the big one, my friends.

Imagine the last time you were in a lot of pain — maybe it was a kidney stone, or a bad bout of tummy troubles? Did you find yourself wanting to relax into that pain — or did you tense up like a ball of tinfoil around your body?

Most people don’t find relaxation easy in labor.

If you’re unable to help relax that pelvic floor you’re not going to let baby descend into the birth canal, or let that cervix dilate.

Which is super tricky. Honestly, learning to relax is important in all parts of labor, even early labor or ligament pains. That’s why I recommend a birth class that covers natural pain management (this one does).

However, sometimes all the breathing and relaxation in the world just doesn’t help that pelvic floor relax and an epidural can be a great option to help with that.

Often, in patients who aren’t progressing we will recommend an epidural to see if it can help them relax, and help baby move down into the birth canal. Often I’d check that patient an hour later and baby will have moved into the pelvis nicely — they just needed some help relaxing.

This is the part where I remind you that you can’t tell yourself that “Sally down the road was able to relax — why can’t I?”

We don’t know what Sally was doing, or how her baby was positioned, or how big it was. All you can do is make the right choice for you, and also know that both natural pain management and an epidural have proven to be effective and safe for labor pains. Anyone who says otherwise is misinformed.

That’s honestly all an epidural is – it’s a little help. It often ends up being the villian or the hero in labor stories but it is just a little help!

Want to know more about epidurals? — check out these posts:

• Epidural Myths vs. Facts: What Social Media Gets Wrong About Labor Pain Relief
• Why People Get An Epidural Even When They’re Not Planning On It
• Why Labor Pain Can Feel So Different For Each Person
• 5 Simple Tips for a “Natural” Labor & Delivery
• Is an Induction More Painful than “Regular Labor”

So, as you can see there are benefits to an epidural that we don’t talk about. I’m not saying that any of these are a reason to get the epidural — and honestly, I don’t think you have to make up your mind on your plan right now either way. I have a whole post on What to Do If You Can’t Decide if You Want an Epidural or Not? << and the spoiler alert is, that’s fine….

Get educated on what it will be like, when you might want it or not want it, and look forward to a great labor day.

Most of labor is like that. Education is key, and learning to make choices in the moment will be a huge skill both in labor and postpartum to help you thrive as a new family.

So, did you learn anything new about the epidural in this one? Tell me in the comments!

The post The Benefits of an Epidural No One Talks About appeared first on The Pregnancy Nurse®.

And yes — this is from both my own 3 births, plus watching thousands give birth in the hospital and talking to millions online. It’s something I think about a lot.

I even did a video on it:

Low Pressure

This is the first thing that came to mind. I felt FAR too much pressure to:

• Clean my house (my husband should step it up more — I’m not saying I’m cool living with it dirty)
• Still attend all the functions
• Put myself into labor
• Manage full life postpartum

Those are just the few that came off the top of my head.

But the reality is you’re going a full on human inside of you, let that be your main goal. Allow the rest of your team to come in and do the other things.

And stop thinking you control so much (like labor) it’s just putting too much on you, and you don’t need that. You control a lot less than the world makes you think you do.

Now, this doesn’t mean you lay on the couch all day. Still use movement to your advantage. I was actually really good at doing stretching and some working out, plus my job was pretty movement-filled. But I wish I’d allowed myself more naps without feeling like I needed to do more….

Want to know more pregnancy tips — check out these posts:

• The Three Biggest Mistakes Labor Patients Make—And How to Prevent Them
• Mistakes You’re Making That Makes Labor Longer
• 5 Mistakes People Make Preparing to go to the Hospital to Have Their Baby
• 5 Mistakes People Make in Their Third Trimester

Live in a State with Maternity Leave

Clearly, you can’t really control this — but gosh, living in California with paid maternity leave was a world different in Utah where I had very few maternity leave benefits.

I had enough sick days to spread out and pay for my health insurance while I was off.

Lucky me.

I’m just saying when you’re considering where to live, especially if you want a family, this should be part of the discussion. That is all.

But, once you’re pregnant it sort of is what it is…. (and I get that).

Check out my full post on maternity leave.

Taken an Out of Hospital Birth Class

My hospital birth class just sucked.

It really made me a great patient, rather than preparing me for birth or to make choices on possible intervention.

Now, not all birth classes are like that. I taught for my hospital and I really tried to prepare them for both what to expect, and how to manage the hospital chaos. But, I think those types of classes are rare. Most nurses don’t re-design the curriculum (or have mangers who let them)…

I recommend this class. Plus, it prepares your partner too, which is a big win.

Want to know more about birth class benefits? — check out these posts:

• Do You Need a Birth Class if You Plan to Get an Epidural
• Alternatives to Hospital Birth Classes
• How a Birth Class Changes Pregnancy, Labor, Birth & Life With Baby
• 6 Lies You Hear About Birth Class
• Why are Birth Classes So Expensive?
• Do Birth Classes Improve Birth Outcomes? What do the studies show?

Kick Counts

I wasn’t the best kick counter — even though Kaiser gave me a laminated book to do them in (let’s remember smart phone apps weren’t really a thing when I was having babies).

I wish I did them better. I tried.

And honestly, that’s all we can do — but the data makes me realize the outcome could’ve been worse because I didn’t pay as close attention to fetal movement as I should have.

I may have been too busy with the dumb things in #1….

Again, your main job is to grow a healthy baby and monitoring fetal movement is one of the best ways to do that in your third trimester. AND Kick counts is an evidence-based way to do them. Grab my cheat sheet on how to do them here:

As a note, I also wasn’t great about SIDS precautions either. I think we can always look back at our parenting journey and wish we’d been a little safer. I definitely tried though, but I should’ve taken the bumpers off. I knew better.

Use a Midwife

I’m talking a Certified Nurse Midwife.

I just think they’re the bomb. There are SO many benefits to them. Most of all they tend to use less interventions and still have really great outcomes with birth.

I’d love one that is tied in well to an OBGYN office as well. More and more practices are allowing midwives to handle care, and consult an OBGYN or a perinatologist when necessary. But, you can still see them, they can help with your delivery, etc.

It works well for overworked OBGYN’s, and allows us to get better care.

I wish I’d used one, but they weren’t available where we had to have our baby — so, such is life.

If you’re not in love with your doctor, and you’re not past 30 weeks yet — check out a midwife in your area.

Again, a certified nurse midwife — abbreviated CNM — they can deliver in the hospitals and provide REALLY great care!

Check out this video with more info:

Get Induced if Needed

If you know anything about my birth story, I resisted an induction even at 12 days overdue and even when I decided on one I cried and cried.

Wasted life.

I had prodromal labor for weeks, my cervix was 5 cm — I honestly just needed my water broken to have that baby but instead I insisted that nature was the way.

I tried all the things to put myself into labor… but why on earth didn’t I just consent to an induction?

I don’t know — but studies really have proven that they’re safe after 39 weeks. I was 100% miserable being pregnant and thought I was going into labor every night. Plus, my cervix was ripe and ready.

I was dumb, I wanted control over things. Like an angry toddler I thought “I do it mySELF” — but ultimately I needed them to break my water. But oh no, there are more dumb Hilary stories ahead — keep reading!

Want to know more about preparing your body? — check out these posts:

• 4 Things You Can Do to Prepare Your Cervix for Labor
• Best Sex Position to Induce Labor?
• Pumping To Induce Labor? Will it work?
• Does Evening Primrose Oil Induce Labor?

Done Perineal Massage

I tore a lot with my first, although he was a forceps delivery, so it’s hard to know if that could’ve been avoided, but perineal massage has been proven to prevent the larger tears. I think it’s worth the effort.

Although the pre-labor-nurse-me might have felt icky about it.

The labor nurse me would’ve been fine with it.

Go Through a Birth Plan with Partner

I wish I’d thought through what I wanted for birth with my partner.

Honestly, I kept him pretty out of the loop — and he maybe could’ve talked some sense into me about the whole not being induced situation as I sat crying to him that my body wasn’t going to go into labor.

That’s what a partner is for — they’re there to talk thinks over. I wish I’d used mine more, but hey — I’m The Pregnancy Nurse — I’ve got this (spoiler alert: I did not).

We all need a partner, and I have a handy birth plan series for both of you right here:

Checked my Vitamins Better

I honestly just took whatever prenatal vitamin Kaiser sold in their pharmacy — but I wish I’d checked the levels better. The more research I’m finding out about Choline and other vitamins — I just think prenatal vitamins are something I could’ve done better on.

I like this guide from my friend Mckenzie who is a Dietician. She gives you the levels you should be striving for, and some good options to take (even if you can’t keep down those giant pills).

Want to know more about prenatal care? — check out these posts:

• Charlie Horses in Pregnancy: What you can do to prevent them?
• Pregnancy, Tylenol® & Autism: What Expecting Moms Need to Know
• Allergies During Pregnancy: What’s Safe and What’s Not
• 7 Habits of Happy Pregnant Women
• Month-by-Month Pregnancy Timeline & To Do List

Prepare Partner More

I WISH (especially on my first) I’d prepared my partner more about what he could do to help me both during pregnancy and birth.

I wish I’d taken a class that talked to him at all.

They were sort of an afterthought in my birth class. Honestly, it wasn’t all that helpful:

A birth class is a GREAT way to do this (even though so many are bad at it). I recommend this one.

Let them Break my Water Earlier

So, as I said above I was resisting that induction and boy oh BOY did I resist them breaking my water.

I knew as soon as my water was broken I couldn’t just go home — I had to have that baby.

So I didn’t let them do it, even though they asked a few times — I said no.

But, as soon as I let them do it — boom. Baby.

As soon as I let go my own control I had my baby.

Honestly, a life lesson. I’m a controller and maybe they did know best.

My bad. I’d do it differently next time.

Prepare for Postpartum

I’m always horrible at this. With my second baby I moved 10 days after he was born, and a few days before birth my mom said — “You know you can’t lift anything when you guys move” — and I was like — I’d honestly never considered my own safety in that scenario…

And yes, I was a labor nurse.

I just thought I could be superhuman. I wouldn’t bleed. Not me, I’ve got stuff to do.

Buying myself pads is always an afterthought.

BTW, if supplies are on your list of things to get — grab my checklist here:

Want to know more postpartum tips — check out these posts:

• First Poop After Delivery: Make it less-hard (literally)
• Your Guide to Your Postpartum Plan with Free Template
• Self Care During Postpartum & Pregnancy
• C-Section Recovery: Tips You’ll Need
• Postpartum Essentials for a Great Recovery

I just wish I’d prepare better for postpartum because I’m really bad at….

Give Myself Grace / Be Kinder to Myself

I know I went over this a bit at the beginning but these are words I type to new moms countless times during the day.

Please be kind to yourself.

Give yourself grace, this is really hard.

They were words I never said to myself.

You’re 5 days out, you should be driving the kids to school, why are you crying so much?

That’s what I said to myself.

I also wish I’d gone on anti-anxiety meds after my last baby. I was having panic attacks almost daily, but I knew it wasn’t postpartum depression so I thought I should just power through. That was a mistake. It’s not right for everyone, but it would’ve made my transition easier.

But, I’m here to say — let other people help. It makes them feel good, and you deserve it. You’re re-populating the earth single-handedly.

And I’m also hear to say that give you a few months and you can be that village that other people so desperately need. We have to be kinder, and more willing to help each other out. Give others grace.

It makes a better world for all of us. I love helping out new moms, it’s one of my greatest joys as a human. Please let me (or someone like me) do it for you.

Be sure to take a birth class that prepares you for realistic expectations postpartum. Far too many of us believe life will be like the photos we see on Instagram. It’s likely not. I recommend this class.

So, those are what I wish I’d done differently. What did I miss? Tell me in the comments!

The post If I had a Baby Again this is What I’d Do Different appeared first on The Pregnancy Nurse®.

This is part of my Complete Guide to Epidurals — so if you have more questions don’t miss that!

I also have a video on this topic:

Before we jump into this I see a lot of people who have literally no business speaking about epidurals online. Most often this is chiropractors who really love to scare patients and feel like it’s their place since it is placed in your back. Please take your advice from an expert in the field — someone who places epidurals, or sees LOTS of laboring patients (that’s me!), or manages their postpartum medical care. Please don’t take it from someone who uses scare tactics to build their social media following (and often sell you something). I’m not here for that. I hope you’re not either.

Ok, let’s get going on the myths!

You Have (Get) to Decide Today

I feel like people on social media want you to decide the minute you get that positive pregnancy test if you want an epidural that day. The reality is you should:

• Learn about the epidural
• Get some natural pain management tools & techniques (don’t worry, talking about that more)
• Be open to what happens as you’re in labor

Remember labor comes in all lengths, and pain levels.

Some people have excruciating labor from the first contraction on, and some people manage it pretty easily until they’re into active labor.

That doesn’t mean that one is weak and one is “strong” — it’s just different — how baby is positioned, the nerves they have in that area and how much sleep they’re able to get.

I’m a huge fan of deciding based on the facts when labor happens.

But I am ALSO a big fan of thinking through what you’d like, and any preferences you have (like scared of needles, or not being “tied” to the bed)….

That’s why I have a birth plan mini series that’s totally free for you right here:

I actually have a whole post on what to do if you can’t decide if you want an epidural that will give you more on that topic. And remember, all of this is after seeing patients from all cultures, and walks of life for 20 years in the labor room. Plus three kids of my own. I get this.

Long-Term Back Pain With It

Ok, this is the biggest one “I had back pain” after the epidural.

Here’s the truth:

1 — You will likely have some back pain at the site of insertion for the first few weeks after birth.

This would be normal any time we puncture the skin with a needle and bug the surrounding area as we place it. You’ll also have this type of pain where your IV placement is. However, studies show…

2 — Those who get the epidural don’t have rates of long-term back pain higher than those who didn’t.

People come back and say it’s “right at the spot where they placed the epidural” but the reality is that particular area gets the worst of our expanding bellys and our bodies trying to stay upright for MONTHS of pregnancy.

Our backs take a huge burden during pregnancy, labor, birth and life with baby (looking at you giant car seat). They need some TLC after baby is born.

• Make sure that you’re using good posture and lifting techniques with breastfeeding, baby gear and baby tasks.
• Use mild stretching once you feel up to it postpartum, and work into a good core program after baby is born
• Possibly using physical therapy to help (I wish a physical therapy appointment postpartum was a standard of care and I won’t rest until it is).

I never did well at this — and I’m working my way through the Mommy Tummy Fix right now. When you’re ready — Join with the FREE 7-day trial. See what you think, the cancel and join the lifetime option and use code NURSE30 to get $30 off the lifetime access (bringing it to $119). It’s never too late to help our backs my friends! (this is a partner link)

Yes, with any procedure there is a chance of having some irritation to the areas surrounding it, but when done correctly the epidural doesn’t cause long-term back pain.

That baby did, and you just need to take care of yourself to rehab it “back”. I hate this, but it’s true. For many of us, this is a life-long persuit.

Want to know more about epidurals? — check out these posts:

• Why People Get An Epidural Even When They’re Not Planning On It
• Do You Need a Birth Class if You Plan to Get an Epidural
• 3 Tips to Using Movement During Labor WITH an Epidural
• Epidurals During Pregnancy & Labor
• How Many CM Do You Need to Be to Get An Epidural?

Slows Down Labor

People say the epidural will slow down your labor — but studies don’t bear that out.

This Cochrane review showed that it may increase it by about 15 minutes. It did show an increased instrumental delivery (but that may be for a variety of reasons including that people with a mal-positioned baby are more likely to get an epidural) but not that it prolonged labor.

Source: Anim‐Somuah M, Smyth RMD, Jones L. Epidural versus non‐epidural or no analgesia in labour. Cochrane Database of Systematic Reviews 2011, Issue 12. Art. No.: CD000331. DOI: 10.1002/14651858.CD000331.pub3. Accessed 19 January 2026.

Honestly, in some case that I have seen, it does seem to “slow” it a bit — in my mind I’ve always thought it was because of the increased amount of fluids we gave prior to giving it. You’ve got to think that “dilutes” the amount of oxytocin in your blood stream — but once that’s taken care of labor most often chugs along nicely. And in some cases, we end-up start Pitocin to make it keep going. I think that’s a risk you do take with the epidural.

AND in some cases I think it speeds it up by quite a bit. Patients are finally able to relax, which allows baby to descend (sometimes quickly) into the birth canal.

So, “overall” statements about this doesn’t help anyone. We have to take it on a case by case basis, and know that we’re not quite sure what our body will do with the epidural.

Increased Cesarean Rate

I hear this all the time and honestly — like I said before this may be true because:

• People who are being induced early tend to get an epidural due to the length of labor
• Early inductions come with a medical reason which may increase their need for a cesarean overall

However, that same Chochrane review didn’t show an increased cesarean rate. I would guess that they may have eliminated people who had risk factors for a cesarean before showing the epidural alone didn’t increase your risk.

This one did show some correlation in increased cesarean rate if you get it before active labor, or 4 cm. It showed it increases malposition — which is why movement in labor is so important. Honestly, I’m also a fan of waiting until you’re at least 4 cm to get it — which is why everyone needs some natural pain management techniques — more on that coming (but I recommend this).

These studies contradict themselves a LOT — there doesn’t really seem to be a clear-cut answer for a lot of this, which is why I prefer the Cochrane review that pulls out big themes across many studies. That, and deciding what’s right for us based on those big themes.

I hope this article is helping you realize there’s a lot more to “getting an epidural” than just being “weak” or lazy…. I hear that sometimes online and it just makes me angry. There is no room for that kind of talk in my life.

I liked this quote from that Cochrane study:

We found substantial heterogeneity for the following outcomes (meaning in patients who got the epidural –they saw): pain relief; maternal satisfaction; need for additional means of pain relief; length of second stage of labour; and oxytocin augmentation. This could not be explained by subgroup or sensitivity analyses, where data allowed analysis. No studies reported on rare but potentially serious adverse effects of epidural analgesia.

Meaning:

• Women who got an epidural had better pain relief (100% agree with this)
• Longer pushing time (looks like by about 7 minutes)
• More needed Pitocin to keep labor going
• No real serious side effects noted.

Their final conclusion:

Epidural analgesia appears to be effective in reducing pain during labour. However, women who use this form of pain relief are at increased risk of having an instrumental delivery. Epidural analgesia had no statistically significant impact on the risk of caesarean section, maternal satisfaction with pain relief and long‐term backache and did not appear to have an immediate effect on neonatal status as determined by Apgar scores. Further research may be helpful to evaluate rare but potentially severe adverse effects of epidural analgesia on women in labour and long‐term neonatal outcomes.

And, if you’re looking for more info on instrumental delivery — check out this video on forceps and vacuums.

I am a HUGE believer that much of the increased risk happens because patients aren’t adequately assisted in moving after getting an epidural. And frankly, some patients just don’t want to move. Please make sure that you’re using movement in your labor. It. is. huge. I also think partners can be a huge help for movement. I talk about that a lot in here.

Want more studies and info — I found this article very helpful as well! It links to a bunch of them — just be mindful the data is all over the place!

Inductions do increase epidural rates, mostly for how long labor ends up being — and a lot of patients aren’t expecting it. If you’re considering an induction grab my induction checklist so you’re prepared for what to expect for yours:

The Scary Needle

I hear a LOT about the scary needle, and how people are afraid of needles.

The reality is that needles can look awfully scary, but they do something that takes away a LOT of pain, and I’ll just say that good amount of people very quickly get over a fear of needles when labor pains are happening.

Which is fine. Needles are scary, if I wasn’t in pain I’d say no thanks — but when I am in pain, let’s take away the pain!

Your “Pain Tolerance” Will Get You Through

I see a lot of people in the comment section saying they have painful periods and they think they will be fine with the pain of labor.

All I am here to say is that if you hope to go without an epidural, you need some training on how to do that. I have a class I recommend that includes it.

I also think you need training on how to manage your labor. Waiting for your water to be broken, not adding Pitocin. I think all of those are important skills to have if you’re wanting to not get an epidural.

And I think that last part is overlooked, unfortunately. And yes, that class also talks about managing your labor, making the right choices for you in the moment. Because sometimes it IS right to break your water, and sometimes it will sabotage not wanting an epidural — and knowing what’s right for you can make all the difference!

If You’re Planning on an Epidural You Don’t Need a Birth Class

I don’t know where we got started on that but everyone needs some natural pain management

And everyone needs a class that helps them manage their labor and make the right choices for them.

The reality is that if you’re planning on an epidural you don’t need a bad birth class — that is correct, but you will want one that:

• Teaches natural pain management techniques (so many stop with just this)
• Helps you know what to expect as you get the epidural (because it can be scary)
• Helps you make choices in labor that are right for you.

All pregnant couples need a birth class, and yes — I said couples because you’re in this together. This is the one I recommend.

While we’re here — the epidural isn’t your only option. I go over all the options here:

Harder Recovery

I hear a lot that people had a harder recovery with the epidural.

And honestly, that varies birth to birth.

After 24 hours I don’t think, as a nurse, I’d be able to pick who got an epidural and who didn’t by just taking care of patients without a history on them.

Yes, the first couple of hours (sometimes longer, sometimes less) as the epidural is wearing off will be very different as we wait for your legs to be able to hold your weight.

But, honestly — after that. I don’t see it.

Often people get it on their first, and then not their second and then are like — gosh, that was so much easier, but the reality is that first babies tend to be harder and that is with an epidural or without.

Want to know more about epidurals? — check out these posts:

• Weird Side Effects from The Epidural That No One Talks About
• What to Do If You Can’t Decide if You Want an Epidural or Not?
• Should You Get the Labor Epidural Before They Break Your Water?
• Is a “Walking Epidural” A Real Thing?
• How Bad Does the Epidural Hurt? What to expect during placement.

Better Births Without It

Finally, I hear this one a lot. Baby does better, mom does better — they’re happier.

Honestly, again — I see this going both ways.

Some people like the “high” they feel accomplishing something they’ve worked for.

Some people get so stressed during labor they almost collapse after baby is out and have an out-of-body experience when baby is born (and don’t get to enjoy that hard work).

Better births come from preparation, and making the right choices for yourself. They don’t come from the pain management you choose. That, I can say as fact after watching birth after birth for 20 years in labor and delivery.

I’m glad you’re here learning the truth with me… it means a lot. And, I think it will make for a better birth for you.

So, what myths have you heard? I’d love to hear them in the comments. Maybe this post will need a part two!

The post Epidural Myths vs. Facts: What Social Media Gets Wrong About Labor Pain Relief appeared first on The Pregnancy Nurse®.

BTW, if you love some labor tips — check out my insider tips for a great birth:

I should also mention that with ANY choice you should discuss your options with your healthcare team. Some of these might really not be appropriate for you and sometimes emergencies happen (that’s why you’re in a hospital after all) — I just wanted to remind you of that before we get going!

What to Wear

This is a big one. As a nurse I have a gown laid out for every patient I see — and most take that option. You have to realize it’s important we do this. Many patients come to the hospital unprepared to be there. They won’t have their own gown or are prepared for this visit.

But, this does NOT mean you need to wear it.

Pro gown tip: It opens in the back. This allows our monitor cords to come through with some privacy for you. Plus, if you’re bleeding it doesn’t get on the gown if you leave it open on a pad on the bed.

We’ll often say bra and undies off when we tell you to get in the gown. Does this mean you HAVE to take that all off? No.

Some options here:

• Commando — go fully naked. It happens. Most people don’t start this way — but many end-up this way and we don’t mind at all.
• Wear a bra — if your bra doesn’t have metal, the risk of wearing it is pretty low. You just need to know there is always a chance we will have to cut it off, so I don’t recommend wearing your favorite bra.
• Wear your own gown — many people bring their own gown. That’s AOK with me — I just want you to know that labor is a messy process. Many will choose to throw the gown away (even if it’s washable) just because of ALL the things that get on it.
• Wear something else — I love a shelf bra tank top. Keeps your top covered, and we cover your bottom half with a sheet anyway (if that’s important to you).

I actually have a few posts on what to wear during labor:

• What to Wear For a Cesarean Section
• Do You Wear a Bra During Labor?
• Your Guide on What to Wear in Labor & Delivery and Your Hospital Stay
• How to Wear a Pregnancy Belly Band

Hopefully this is getting you started realizing you’ve got options! BUT we don’t often offer all of them because most patients are grateful for the hospital gown.

Ok, let’s keep going….

Where to Be

Well, you’re in the hospital — but you have options as to where your body will be (or what position you’re in).

I will admit that often, because we want to make sure that you and baby are safe, we love to have you lay down and quickly find baby on the monitor. However, after that — I think you’re good to move about the room (just like the stewardess always says).

That’s right, you can find the position that works for you.

Now, does that mean your baby will let us monitor them in that position? Not always. However, at that point you then decide what type of monitoring you want.

I have a few posts on that:

• What You Need to Know About Wired vs Wireless Monitors in Labor (this gives a lot of tips even if your hospital does not have wireless monitoring — or it doesn’t work — which happens a lot)
• Intermittent Auscultation: Who it’s for (and why it’s better) — this is getting a lot of play in the news lately, but the reporting is poor so get the full story from that article.

A few facts you need to know:

1. If baby isn’t on the monitor there are things we can NOT do — which include running an induction or an epidural. If you decline monitoring with those, we will have to stop those things. Nurses could lose their license without them.
2. Even with wireless monitoring, there are some positions the baby just can’t be monitored in, and it varies baby to baby.
3. Your nurse may need to frequently adjust the monitor — we hate it, you hate it. You can always ask if there’s anything you can do to help. Sometimes just you resting a hand on it keeps us away a bit longer. And — sometimes your belly ends-up looking like arts and crafts with tape, and other things helping us keep baby on.

I always say that fetal monitoring (especially obtaining it– is an art, not a science) — and sometimes we have to get very creative.

There is a monitor called a fetal scalp electrode that goes into the very tip of the baby’s scalp to monitor their heart beat — and this normally allows more positions as we’re attached to baby. However, it does require your water broken, and can be a bit more invasive (and a bit more risky if you have GBS).

I also want to add that I am a HUGE fan of movement in labor — you just have to know that sometimes it requires some creativity. Which can still be done, even if you need wired monitoring. Positions can be tricky. There’s labor movement cards in here to give you ideas of positions to choose between.

Letting Them Break Your Water

I wish providers were better at giving a choice on this. Often I hear “I’m going to break your water” vs — “Would you like me to break your water”? But remember, it is ALWAYS your choice.

Honestly, if you’re in the hospital an your provider is going to check you — ask if they’re going to break your water. Some do it without asking. It’s wrong, but at least you have that conversation ahead of time.

I have a couple of posts that dive into this more:

• Should You Let Your Provider Break Your Water?
• Should You Get the Labor Epidural Before They Break Your Water?

Here’s the Cliff Notes of what you need to know:

• Breaking water is almost always a choice (there are a few times we sometimes have to do it urgently — but you’ll sense it’s different).

• Studies show that breaking it in early labor isn’t particularly helpful at making labor progress faster. However, if you’re early in labor and not progressing, they may think it might help. It’s worth a try if they do. I go more into the the studies in this post.

• Often your contractions feel more painful once your water is broken. Think of it as squeezing a full water balloon vs a mostly-empty one — you can just squeeze harder, that’s what your uterus is doing.

• Some babies don’t love having the water broken and it can (although rarely) lead to a c-section — so, you want to be sure of your choice — that the pro’s outweigh the cons.

• It is true that as you progress into active labor (so, this is past 6 cm normally) sometimes breaking water is necessary to let labor progress. Sometimes the bag of water is bulging and just can’t push on the cervix enough to open it up and let baby descend.

So often I’ll hear doulas say on social media “don’t let them break your water” — but as I hope you’ve seen, this is a nuanced discussion that requires knowing what’s going on at THAT moment. This is why you have experts in the room — doctors, nurses and YOU (you’re an expert in your own needs).

Let me just say that far too often people make these choices simple when they can have a lot of complicating factors. I really recommend learning more about all your options in labor — I recommend this.

Want to know more about hospital routines — check out these posts:

• How to Push During Labor (What No One Explains)
• How to Feel Confident Making Choices During Labor
• What To Do If Labor Isn’t Progressing?
• Secret Keys to Labor that No One Talks About
• The Three Biggest Mistakes Labor Patients Make—And How to Prevent Them

Eating

This one gets a lot of talk online — and honestly, for good reason.

For a long time we just haven’t given anything more than clear liquids (think: liquids you can see through) to people in labor. BUT the studies are showing this isn’t necessary for most people.

Clearly the choices are:

• Eat real food (either brought in from home/restaurant or what the hospital provides)
• Just drink clear liquids
• Don’t eat at all

And all of those choices are right for some people.

Decent chance of a cesarean section (think twins, or a baby that has been having issues for a while in labor) — not eating is probably your best bet so you don’t have issues with anesthesia.

Real food makes you want to die, but could use a little sugar boost — maybe ask for a popcicle?

Starving? Eating some real food might be awesome for you! More and more we’re seeing that a little food can help your body get the energy it needs to help labor progress — especially if it’s been a long time.

Hospital Pro Tip: Your nurse can actually only do what your doctor orders. SO, if they say you can’t eat she can’t provide you with food. That doesn’t mean you can’t eat — it’s just part of how the hospital works. But always understand the risks and the benefits, even before you do simple things like eating.

Why is this a big deal? Mostly anesthesia worries that if you were to have a cesarean section and need general anesthesia you can vomit and that can go into your lungs. It’s less problematic if you haven’t eaten, but clearly we don’t want food in our lungs — which is why anesthesia is adamant about this.

However, there really aren’t many patients who go to general anesthesia…. so…. there’s that.

Again, talk about your options, and make the choice that is right for YOU!

Other Choices….

Now, labor is full of choices — and I think it’s awesome to think of them ahead of time. Which is why I have a free birth plan series where I walk you through it and how to use it:

But, a birth plan is not a plan for your birth. It’s just you thinking through your options about what you’d like. It’s honestly like looking a menu over in advance — knowing, sometimes the restaurant is out of things and you’ll have to choose something else. But, you know what “mood” you’re in.

You then have to know how to apply those choices to the circumstances (and knowing some of your options). Having a foundation of knowledge for your birth is a key to this one. I recommend this.

So, what other choices are you thinking about for YOUR labor? I’m actively working on making content around choices in labor — so I’d love to know what you’d like to know more about. Tell me down in the comments!

The post Common Choices During Labor appeared first on The Pregnancy Nurse®.

Now, I think this post will be MOST helpful with a video — don’t worry it’s in the works. Stay tuned (and subscribe right here).

Really quick as a reminder labor is split into 4 stages:

1 – Early Labor: Up to about 4-6 cm

2 – Active Labor: from 4-6 cm to 10 cm

3 – Pushing: Once you’re 10 cm until baby is delivered ** That’s what we’re talking about today!

4 – Delivery of the placenta: This is the easiest phase, most people find

We’re going to go back to our elementary school report days and go over the important stuff — when to push, where to push, and HOW to push?

Want to know more about the phases or stages of labor — check out these posts:

• Stages of Labor Duration: How long does labor last?
• How Long Does it Take to Push Out A Baby?: The 3rd stage of labor
• 4 Things You Can Do to Prepare Your Cervix for Labor
• How to Prepare for Childbirth

I also have a video on this same topic:

When?

So, as you can see on my chart above — once you hit 10 cm it’s time to push. BUT, like most things in pregnancy, it’s not always that cut and dry.

For a long time it’s been thought to delay pushing for a bit — especially if baby is still high. And then you start to push with your body once baby is a bit lower. The idea here is to save mom’s strength, let her uterus do the work for a bit and then once baby is engaged, mom will push.

However, new studies are showing that delayed pushing can increase infection rates, and postpartum hemorrhage rates.

Cahill AG, Srinivas SK, Tita ATN, et al. Effect of Immediate vs Delayed Pushing on Rates of Spontaneous Vaginal Delivery Among Nulliparous Women Receiving Neuraxial Analgesia: A Randomized Clinical Trial. JAMA. 2018;320(14):1444–1454. doi:10.1001/jama.2018.13986

That doesn’t mean that delayed pushing isn’t right for some people. People who may want to consider it:

• You’re already exhausted, maybe you got a late epidural and you just need a nap
• People who have NO urge to push (maybe we turn down the epidural and give you 30 minutes to feel that pressure)
• The baby is still VERY high — maybe try some movements to help baby descend before you start pushing.

As a reminder it is always up to you when you start pushing. If they say you’re complete and it’s time to push, and you feel ready — then you make the choice to push.

If you’re complete and they say it’s time to push and you have NO energy you have a conversation about how things look like for you.

Honestly, I think some labor nurses have used “laboring down” as a way to get the next shift to deliver their patient. I’ve seen people laboring down for hours — and that’s never been good care. Yes, in certain circumstances maybe 30 minutes with good position changes, and maybe rest for mom can be a game-changer and leave her less tired.

But, sometimes it’s a lazy way to do nothing.

But, you didn’t hear that from me.

Love how I pull back the curtain a bit on labor and delivery. I think tips like this can be REALLY helpful. We’re all just human and understanding how the “system” works can be a big win. I recommend this to help out!

Where?

Well, if you’re here — it’s likely going to be in the hospital that you’re pushing — but I’m talking more about the position you push in.

And frankly — this one is up to you.

I hear a lot of people saying that it hurts your pelvic floor to be in a specific position during pushing.

The reality is that all types of pushing does put a lot of pressure on your pelvic floor — and it’s different for every patient.

Pushing needs to sort of be put into 2 different categories (or periods of time):

Pushing before baby starts to stretch the perineum — this is most often done with your nurse (or sometimes midwife) at the bedside. This tends to be the longest part of things (especially on your first baby).

Pushing once the perineum is really stretching (often called crowning) — This is most often when the doctor is called for delivery.

While both types of pushing can cause issues with your pelvic floor, I think it’s important to remember that birth in general can cause issues with the pelvic floor. I recommend patients try a few positions (even more if they don’t have an epidural). If you find a position that is working for you, I say use it.

During labor there aren’t any studies that show one position is better than another for all patients. Every study I have read notes a lot of it is based off patient preference in how they are feeling best pushing. Often called shared decision making.

Also, patients with an epidural are limited in how they push. We can sometimes get you onto all 4’s to push, but within 15-20 minutes your hips hurt enough you want to try something else. You can still use a peanut ball and change sides or sit up and use a squat bar. There are options, just not things off of the bed as your legs won’t be able to hold you up. I have a whole post on using movement during labor with an epidural.

I hear a LOT about pushing from physical therapists on social media. I think it gets a lot of views, but they really haven’t read the studies OR actually pushed with patients — so, be mindful of that one. I’ve done both.

It’s important to know that protecting your perineum from a tear is different than pushing prior to crowning. How you push prior to baby crowning isn’t going to make a big difference in how you tear (although I recommend a few things including a cold compress in my post on how to prevent tearing).

Here are a few studies with links and the main conclusions:

This study showed that not being on your back reduced tearing and episiotomies.

Familiari A, Neri C, Passananti E, Marco GD, Felici F, Ranieri E, Flacco ME, Lanzone A. Maternal position during the second stage of labor and maternal-neonatal outcomes in nulliparous women: a retrospective cohort study. AJOG Glob Rep. 2023 Jan 17;3(1):100160. doi: 10.1016/j.xagr.2023.100160. PMID: 36825260; PMCID: PMC9941360.

This one showed that at delivery all 4’s and or kneeling was the best to prevent tearing (and I’d agree). It also showed that squatting made tearing worse.

Fay Lodge Melanie, Haith-Cooper. The effect of maternal position at birth on perineal trauma: A systematic review British Journal of Midwifery. 02 March 2016

This one showed that pushing more upright or laterally (on your side) was more helpful. It strongly recommended against laying on your back with feet in stirrups.

Huang J, Zang Y, Ren LH, Li FJ, Lu H. A review and comparison of common maternal positions during the second-stage of labor. Int J Nurs Sci. 2019 Jun 20;6(4):460-467. doi: 10.1016/j.ijnss.2019.06.007. PMID: 31728401; PMCID: PMC6839002.

Now is the part that I pull back the curtain and tell you this: Most doctors are really trained best to deliver you in a supine position. It makes it easy for them, they’re used to it and they do their best work in preventing tears at delivery at this point.

Your delivering provider does do a lot in preventing tears at delivery. Both in helping the perineum stretch and talking you through how to push right there at the very end to prevent you from tearing. It’s important to know that.

Many doctors scoff at the idea of not delivering patients on their back — but this is something you can bring up at prenatal appointments. Ask your provider if they’re comfortable delivering in other positions than with you on your back with your feet up in the stirrups. See what they say.

There’s lots of things you might want to ask your provider about for your delivery — doing a birth plan can be really helpful to start these conversation. I have a free series I give you a printable and walk you through it (there is a spot for delivery position preferences on my sheet):

As a note — how a provider delivers does say something to their routines of birth, and how open they are to letting the patient make the choices. As you have these discussions you may realize this isn’t the provider for you. While you may not be able to switch, it might be worth it to at least look around and see what your options are.

As a note: After delivery almost all patients will end up on their back with feet in stirrups so the doctor can clearly see if you have torn and if a repair will be needed. It’s important they do that as if a tear goes undetected (because you’re squatting) it could be really bad — we want them to be able to visualize the space well. But it does not mean you have to deliver that way — just that we’ll move you like that after delivery.

In summary on “where”:

• Try a few different positions as you start to push, see what feels good and helps baby descend well.
• Your DELIVERY position may be different than your pushing position (but trying to be side-laying or on all 4’s has been show to reduce perineal trauma)
• Talk with your provider about how they prefer to deliver

And, if you’re thinking you’d like to know more about labor & pushing positions I have some labor movement cards in here that can get the ball rolling on using movement to your benefit during labor.

How?

There are two types of pushing. And honestly, they’re pretty similar to how you poop when you’re constipated — so you can try them out now and see which works best for you.

Here’s a couple of studies that talk about it:

Closed- or open-glottis pushing for vaginal delivery: a planned secondary analysis of the TRAnexamic Acid for Preventing postpartum hemorrhage after vaginal delivery studyFroeliger, AlizéeSentilhes, Loïc et al.American Journal of Obstetrics & Gynecology, Volume 230, Issue 3, S879 – S889.e4

Chloé Barasinski, Anne Debost-Legrand, Denis Savary, Pamela Bouchet, Sandra Curinier, Françoise Vendittelli Does the type of pushing at delivery influence pelvic floor function at 2 months postpartum? A pragmatic randomized trial—The EOLE study AOGS 09 November 2022

Again, neither one really showed a huge benefit overall in the population. Some people really hate one or the other — so, decide which is right for you when you’re having your baby.

That second one did show some benefit to open glottis pushing on subsequent babies (vs your first) which makes sense. Often you’re only giving a few pushes and it makes sense to make it a bit less forceful on those deliveries.

To boil the act of pushing down — there is:

Open-Glottal Pushing: This is where you do a deep moan as you push. You’re not holding the air in — you’re more moaning and pushing down towards your bottom with your diaphragm.

Closed-Glottis Pushing: This is more like when you take a deep breath in to jump in the pool as a kid. You’re pulling that air in, and then pushing down with the air in your lungs on your diaphragm to push on the baby.

Pro Tip: I see some people saying “forceful pushing” can cause tears — and I want to be REALLY CLEAR that this is just at delivery time. During the other hours of pushing (especially on your first) you WANT to be forceful, you NEED to be forceful to get that baby to move. At delivery your provider will coach you with small pushes when your perineum needs time to stretch.

As for the two types — I think it’s smart to try both and see which you like better. You can even switch during your pushing time if you feel like one is getting less-effective. All of that is fine. You don’t have to stick to one type or position of pushing and go with it — you can adjust as you’d like!

I see a TON of stuff about pushing online. Most of it is from physical therapists who have not seen a lot of patients push (they’re going more on theory and possibly their own birth rather than a wide swath of people). The reality is that pushing is VERY personal — it’s just kind of how you get it done. Try a few things, see what works, ask for ideas from your team if you’re stuck and remember it can take quiet a while — even if you’re a GREAT pusher (especially on your first baby).

You know, I keep saying first baby, but my second baby was quite a bit bigger than my first baby — and it still took some time with him as those tissues needed to stretch more. So, you can’t always COUNT on it being fast — that being said, my 3rd was very quick (and smaller). So, you never know!

I love that you’re here learning about pushing — but I bet you’d love a teammate for this, not just someone over there scrolling Tiktok saying — go Kylie go! I recommend this to get them engaged in this process as well. I think you’ll find it so helpful!

So, what are you plans for pushing? Tell us down in the comments. And, tell me if you’d like me to include anything else in the video (or in future videos). I am here to help you guys out!

The post How to Push During Labor (What No One Explains) appeared first on The Pregnancy Nurse®.

I also have a YouTube video on this same subject:

As a note, the epidural isn’t the only thing you can get for pain — I go over some of the most common pain management options right here:

They’re Exhausted

This is one I see a lot.

You’ve had false labor for days

You haven’t been able to sleep.

The anxiety of “when” has been killing you and you really need the rest.

So they get an epidural.

And honestly, this is smart! If you’re exhausted, and it’s available I think it’s smart to get. You’ve got pushing in front of you and then managing a newborn. It’s a LOT!

It’s REALLY hard to sleep during labor, although if you think just one small nap would do wonders, sometimes IV pain medicine can help out with this too.

Far too many people stay up timing contractions in early labor, my best tip is to ignore them until you can’t — and sleeping is one of my favorite ways to ignore them!

Want to know more labor tips? — check out these posts:

• How to Feel Confident Making Choices During Labor
• What To Do If Labor Isn’t Progressing?
• Secret Keys to Labor that No One Talks About
• The Three Biggest Mistakes Labor Patients Make—And How to Prevent Them
• Labor Anxiety? These 3 Things Help You Feel in Control

They’re Being Induced

The reality is that you start your induction from minute one in the hospital.

Which makes it hard to:

• Ignore (you’re just sitting there, like a “watched pot”)
• Sleep through (the hospital is HORRIBLE for sleep)
• Get comfy — because we have to have the monitors on the baby in order to induce you (and this is something you can’t refuse)

Often inductions are very long too. Clearly, it depends on what your cervix is when you come in (see my article on Signs You’re Ready to Be Induced for more info).

Inductions are just trickier to make it through without an epidural for a variety of reasons. That isn’t to say you can’t make it – but it is important to know it’s hard.

I think it’s important to know what you are facing (because it’s different for everyone). That’s why I made this induction checklist:

And, if you’re looking for some positivity, check out this podcast from someone who was induced without an epidural:

They Came In Too Early

Some people think the minute contractions start, it’s time to pack that bag and head into the hospital. I mean, that’s how it happens on the movies, right?

I’m here to say that for most people, the best place for you to be in early labor is at home.

Don’t forget to use your provider — it’s great to call them and check in, tell them what’s happening and get their advice on when you should head in. As an experienced nurse I could tell by your voice if it was time to head in (most often).

The thing is, this is scary. It’s especially scary for partners. They feel like you’re paying the hospital and your provider to manage the labor — so, why not use them?

Well, the hospital just isn’t relaxing, it doesn’t let oxytocin flow in early labor. It doesn’t have your people, your things, your food, your smells. It also has medical staff poking and prodding you…

So, it’s important to get some tools to help you wait at home for a bit in early labor. What to do, what to eat, and what to watch for…

I’m so glad that you’re here, but this is one partners can use some education on too. That’s why I recommend this. It has a whole chapter on early labor and managing it at home. It’s so helpful — for both of you!

They Weren’t Prepared

So many think they can muscle through labor, like they have for cramps since puberty — but I’m here to say that you really need to get prepared.

And, like all good preparation, you have to practice. It takes time and effort, and often a good teacher to get you both prepared (because you want a partner in this, not just a cheerleader).

This has a whole natural pain management bonus video included that has proven to help people manage labor pains and make good choices for themselves in the hospital. So helpful!

It’s there!

The reality is that at home, there’s no epidural.

If you deliver at a birth center, there’s no epidural.

But at the hospital it is there.

I see people all the time telling their partner not to let them get it — but honestly, my friend. You’re an adult. If you make the choice to get it, then get it. You don’t need someone holding it back from you like you’re a toddler. You can really make that choice. Epidurals have been proven to be effective, safe ways of pain management.

Lots of people are awfully scared of epidurals, which is a shame. There’s a chapter in here that explains about how they work and even walks you through it using some common household items to make it less scary. I think you’ll love it.

The reality is that you can have a lot of hopes and wishes (and preparation) about your birth, but until you’re in the actual situation it’s hard to know what is really the best choice for you. So, staying open to things is the smartest thing you can do.

Want to go over your hopes for a perfect birth – -check out my free birth plan series:

It’s important to know what you’d like if things are working out, but also know how to make choices on your own when the time comes. This teaches you both how to do just that. I think you’ll love it (in fact, it’s guaranteed).

The post Why People Get An Epidural Even When They’re Not Planning On It appeared first on The Pregnancy Nurse®.

Before we start, I want to explain something really important:

Data gives us wide swaths of information across a full population (at least good ones do).

However, you really need experts to apply it to YOUR situation with a lot of experience — and that’s where your doctor comes in. Like I always say in my disclosure:

This (or any article on The Pregnancy Nurse) should be taken as medical advice, this purely educational. Please talk with your provider about your specific needs and circumstances.

The hope is to take the data, apply your current and past medical situations and make a plan together moving forward. But, how do you do that? I’ve got tips!

A Foundation of Information

Ok, the first thing you need to know is just a foundation of how birth happens, what to expect in the hospital and how to get the most out of your stay.

Now, I know you’re thinking — where do I get that, because my birth class just covered pain management?

And that’s awesome — but a good birth class covers so much more…

And, as a note I think a good birth class should also engage your partner and getting them prepared as well — which is why I recommend this one.

When you’re tallying if a class is helpful, you want to watch for:

• Understanding 3rd trimester testing (because FAR too many births are going off the rails at this point)
• How to labor at home in early labor (safely)
• What to expect from admission at the hospital (this part already leaves far too many families freaked out)
• Common interventions & supplies (these can be really scary if you don’t know how routine they are in L&D)
• Pain management options including natural pain management techniques (you deserve to know your options in advance)
• What to expect at an induction (even if you’re not planning on one, you just never know)
• What happens at a cesarean birth (again, even if you’re not planning on one)
• What happens at delivery
• How to manage your postpartum stay (and get the most out of it)
• What to expect when you get home, how to stay safe and even thrive as a new parent!

Now, you’re thinking — “This is a full college class, Hilary” — and I’m here to tell you that you’re really getting surface information. You don’t need to know the chemical make-up of oxytocin, but you do want to know how it affects your birth and how to promote it.

I think a good birth class can be done in just a few hours.

I think it’s also smart to make sure you “vibe” with the teacher. The class I recommend actually has a secret free chapter right here that gets you understanding 3rd trimester testing.

Do a vibe check. Like what you see — jump in and get it done!

Want to know more about birth education — check out these posts:

• Do Birth Classes Improve Birth Outcomes? What do the studies show?
• Do You Need a Birth Class if You Plan to Get an Epidural
• Alternatives to Hospital Birth Classes
• How Much Do Birth Classes Cost?
• Are Childbirth Classes Covered by Health Insurance? 

Remember What Your Job Is

Ok, here is where I remind you that your job is to give that baby a safe, happy place to grow and thrive in your womb.

It’s not your job to understand fetal monitoring.

It’s not your job to read all the studies about everything you’ll confront at birth.

That’s why you’re hiring an expert.

For instance, I know nothing about tree trimming, but we have a few really close to our house and we get wild winds here in Phoenix. So — I hire an expert to trim it right and keep our home safe. I just know to call him before monsoon season hits.

You really need to look at your doctor as nothing different. They’re just an expert in the room that does know all those things and you call them in when you need help.

They are not, under almost ALL circumstances, making choices for you.

Somehow doctors decided that since they sometimes (and I mean RARELY) make life-saving choices in situations they get to make all the choices. Honestly, I think most of those doctors are retiring, but they are still out there.

Sometimes you’ll hear them say dumb things like :

• We’ll schedule your induction at 37 weeks (vs — let’s consider an induction at 37 weeks)
• We’ll section at 8 if I don’t see progress (vs, I’m concerned about how baby’s descending, let’s review it at 8)
• We’re going to break your water (vs, what do you think about me breaking your water?)

Honestly, not sure who the “royal we” is in this situation, but I’m not a fan. And you don’t have to be a fan either (and feel free to correct them — nicely, that’s honestly the only way they will learn).

So, to boil this section down:

• It’s your job to get a foundation of knowledge (like we talked about above)
• It’s your job to ultimately make the choices

Oh, I also think it’s smart to think about what you’d like in a perfect world with a lot of these things — building a birth plan can do that. I can also help with that right here:

This doesn’t mean things go according to that “plan”…. and you’ll still have to make choices the day of. So let’s keep talking!

Informed Consent Isn’t EVERYTHING

Before “big” choices your provider should provide informed consent.

And honestly, even before smaller ones, they should at least provide some balanced info that should include:

• Risks — things that could go wrong with their recommendation (they often forget this part)
• Benefits — why they are recommending it
• Alternatives — what else could we do (often, this is to wait)

The thing is, this should be very medically-minded. For an induction it might look like:

I think we should perhaps induce you. The baby seems to not have enough fluid around her and that can be a problem as they stay in the womb including possibly stillbirth from the cord getting squished. You’ve said that fetal movement seems less lately and that has me concerned. However, there is a risk to an induction of labor including increased pain, longer being in the hospital and possibly postpartum hemorrhage. We could also wait if you would prefer. I could order an ultrasound in a couple of days to check again. Either way, I want to be sure that you’re doing your kick counts.

Now, that is a very simple statement. But what’s important to you?

They said you might be in the hospital longer, but some people think that means a few extra hours, when it really could be a few extra days.

Keeping in mind that while your provider has a guess they don’t really know how long your induction will take (please let me know if you find a good crystal ball out there).

So — how do you find out what’s important to you? You ask questions.

If my provider gave me that informed consent, I’d ask:

• I was hoping to avoid an epidural — do you think this increases the chance I’ll need one?
• I hate being in the hospital, how long would you guess I’ll be there? What should I prepare for?
• How low is that fluid number, how concerned are you about that? How often do they measure wrong, could we get an NST to see how baby is looking?

As you can see in those questions I asked, I use my foundation of info to know about 3rd trimester testing, I knew that I preferred not to have an epidural in my perfect birth “birth plan”, and I also knew enough about inductions to know that sometimes they’re pretty long — I’d done my part to get to this point.

I think far too many people get that informed consent and then feel like it’s a multiple choice test where they then have to choose option A or option B.

When in reality this an essay test, and you should now ask questions to get more information.

You also don’t have to make a choice right then.

You could ask the doctor to see their next patient while you discuss it with those you love (even making a phone call is fine), or even go home to make the choice in a few hours as you sit on it (again — making sure your provider doesn’t see any big issues with a few hours wait – this low fluid scenario could be mild, or really problematic).

So, keep asking questions until you get clear on:

• What your risks are
• What is going to happen moving forward
• Any complications you need to keep an eye on

Bytheway, far too many people go in for an induction and just don’t ask the questions to get the full picture of what the plan is. I made an induction checklist to do just that:

Changing Minds & Hearts

Here’s the one. The one my husband hates.

You can always change your mind.

Ok, not always. Once they start a cesarean you can’t really walk that back, and once they break your water it’s broken — but in MOST cases you can say, this isn’t working for me I want to stop.

That may mean taking a breather to talk about things a bit more.

It may mean going home.

BTW, going home is one of my favorite keys that people just don’t talk about enough.

But you can change your mind.

Once again — I think far too many patients get stuck on “I made this choice” and forget that they can change their mind once they really see what they’re facing. Often providers don’t bring it up — but it is an option.

Now, is it always a safe option? I don’t know. That’s up to you to decide with your expert team. The good news is once you’re admitted to the hospital you also have a labor nurse you can include in this conversation.

As a note, it is NOT your nurse’s job to give you informed consent, that is you doctor or midwife’s job. BUT they can educate you, talk over options and help you navigate the “system” — be sure to use them!

Ok, it’s honestly a lot more simple then this article made it seem:

1. Get that foundation on information. I recommend this.
2. Remember, your job isn’t to be the expert, but it is to make the choices (with their expert advice)
3. Once you get informed consent, be sure to ask questions about what’s important to you (because it’s different for everyone)
4. Remember you can most often change your mind — very few choices are final.

That last one always gives me a lot of comfort as a human.

Honestly, I think you’re going to do so great because you’re getting prepared already. I’m so glad you’re here. Please subscribe so we can continue to hang out for the rest of your pregnancy!

Also, check out my YouTube vide for more on this topic:

The post How to Feel Confident Making Choices During Labor appeared first on The Pregnancy Nurse®.

But first, how do I know so much about fetal movements? Hi — I’m Hilary — The Pregnancy Nurse . I have been a nurse since 1997 and I have 20 years of labor and delivery nursing experience, I am also the curly head behind Pulling Curls and The Online Prenatal Class for Couples. ​ I have explained fetal movement to tens of thousands of families (if not millions at this point) and I know when you should see your provider — so I’m excited to share this info with you!

I also have a video that answers MANY common questions:

What is the Normal Daily Fetal Movement Count?

This is entirely depending on what is normal for you.  Meaning if it normally takes an hour to feel 10 movements, that’s your “norm”.  When it varies a lot from your norm you need to talk with your provider.

But, as with all of pregnancy it’s more complicated than that — so let’s talk more about it.

BTW, kick counts are AMAZING and I have a free cheat sheet right here:

When to worry about fetal movement?

This is the big question right.  If fetal movement is your best indicator of fetal well-being, when should you worry?

First off, babies go through sleep/wake cycles (just like they will when they are born) — so it’s normal for baby to be asleep for a while and not to feel it for a bit.  But, then it wakes up and the kicks begin again.

That’s why it’s so important to do kick counts.  

Here’s the basic process on how to do fetal kick counts (recommended to start doing these after 28 weeks). I have a whole post on when to start doing kick counts.

1. Get comfy laying or sitting down (try to limit other stimulus while you’re doing kick counts, it can be a good “quiet time”).  Meaning, I recommend doing this screen-free for the most part (harder if this takes longer than 30 minutes)
2. Note the time.  Just like it’s 6:49 pm (seconds not needed) — for me I’d have to write this down somewhere, or start a timer because pregnancy brain.
3. Start feeling the kicks.  Count them as you feel them.  You can use an app or your fingers (back in my low-tech days I used my fingers). 
4. Note when you get to 10 movements.  Aka, it’s now 7:15

Kick Count Pro Tips:

• You’re looking for ANY movements (not really just kicks) except for hiccups.  These movements will change as baby gets bigger/the uterus gets smaller for them.  This means turning, shifting, rolling — all of those count.
• Hiccups are very rhythmic small movements — if you’re not sure what they are talk with your provider at your next visit.  Most people are very aware of what they are — just tiny little “bumps” that happy every few seconds for a while.
• I like to do this after I’ve eaten, and I like to have a glass of ice water next to me to perk baby up.  Plus, hydration is the best. If you notice a time that baby often moves a lot, that’s a good time to aim for (simply because they will take less time).
• A lot of people like to use an app like the count the kicks app (or many popular pregnancy apps also have a kick count option.

I see a lot of people saying how to do kick counts WRONG online — so make SURE you follow the rules (don’t forget that cheat sheet you can download right here):

What time of day to do kick counts?

I think it’s best to do them at a time where you feel many movements already.  I chose to do mine after dinner — it made it real fast to get them to move 10 times.

What is the normal daily fetal movement count in the third trimester?

This is the big question — you hear your friend only takes 10 minutes to get their kicks in, but yours takes an hour — is that OK?  Most professionals say you want to feel those 10 movements in 2 hours.  So, if you’re doing it in under 2 hours and you’re able to feel at least 10 minutes movements, that’s a good sign.  Average is probably under one hour though — but it really only matters what YOUR average is.

But again, the big question is what is normal for YOU as you count kicks.  If it takes 10 minutes normally, and 2 hours the next day — that’s an issue and you need to talk with your provider asap (and if you can’t get hold of them go to the hospital).  But if it takes an hour today, and then an hour and 5 minutes tomorrow that’s pretty similar.

The hospital wants to see you if you’re not feeling baby move.  I get just as nervous when patients come-in saying they haven’t felt baby move and I want to get that baby on the monitor as soon as possible.  I am really serious about this, don’t feel weird about it.

Prefer video — I have the basics in here too:

What does it mean if there is increased fetal movement at 38 weeks?

I have a whole post on increased movements before labor (and if it can be a sign of labor).  The theory is that baby may shift more as they get into the birth canal.  Also, sometimes you feel baby more as they get bigger.

However, if baby’s movements really seem drastically different (honestly crazy amounts MORE or any less) always call your provider.  Remember, fetal movement is your best indicator of fetal well-being.

We talk about those tests they can do on baby plus all the signs of labor in The Online Prenatal Class for Couples. It really can help any anxiety you have about baby or delivery with rock-solid information for both of you!

When to worry about fetal movement in the second trimester?

Kick counts aren’t actually recommended until you enter your third trimester (about 28 weeks).  Prior to that fetal movement just isn’t as consistent for most people.  Some days baby will feel crazy, but they may move position a bit and then you don’t feel much the next day, and all of that can be normal.

However, if you ever feel like fetal movement is really different do call your doctor!

Fetal movement at 24 weeks what is normal?

At 24 week some people will have just started feeling baby move (this is often due to a posterior-lying placenta that cushions you from their movements).  Some people will feel baby moving like crazy for weeks. Because it is so different for for each person it is just not possible to pinpoint “normal”.  And, like I said above as baby shifts position in the uterus (because there’s still quite a lot of room in there) it can change day to day. 

As your baby gets bigger the movements will become more consistent.

What does baby movement feel like?

It varies from person to person but early on most people describe it as a “flutter” (honestly, not that different from gas).  Then it moves to smaller kicks and then advances from there.

All of pregnancy (including simple movements) can be a bit confusing — so join me in my tailored-to-you pregnancy newsletter — you can pick where you are and I’ll send you info JUST for you:

When can you feel baby kick from outside?

Everyone pictures that magical moment when your partner can finally feel baby like you can — and darn it, it DEPENDS (seriously, I get that this is the worst answer).  It depends on how your uterus is lying, where the placenta is, and how your body fat is located around the uterus.

That day WILL come though, and sometimes my husband would watch my stomach feeling like an alien had taken me over — frankly, he wasn’t far from wrong.

This is another good thing to do with your partner.

How many times a day should i do kick counts?

Just once.  You should monitor for fetal movement all day long.  But that’s not really possible to concentrate on baby all day long — so kick counts are a special time for just the two of you (or three+ of you if you have multiple babies in there). I actually think it’s a great time to bond with baby too!

How to wake up baby for kick counts?

It can be off-putting to have baby move like crazy all day long and then you sit down to do kick counts and they’re quiet.

Personally, that’s why I always did them after a meal when my blood sugar was up and with a cold glass of water.  That ice water sits in the stomach which does transfer to baby and the coldness wakes them up most often.

However, if baby truly isn’t moving you need to call your provider.  On your way to the hospital you can always drink some ice water to see if baby perks up….

What are the reasons for decreased fetal movement?

Who really knows, babies are weird.  But here are a few reasons for it actually being less movement or feeling it less:

• Baby’s position (if they’re kicking towards your back you may not feel it as much)
• Not eating or drinking throughout the day (that’s why taking care of yourself is so important).
• Something being wrong with baby, or baby not getting the blood flow they need — this is clearly what we’re watching for.
• Maternal illness (like a flu or something)

I am shocked by how many moms come in saying their baby hasn’t moved and they haven’t eaten anything for HOURS. Making sure you’re giving baby the fluids and nutrition is such an important part of your pregnancy. It also rules out not eating as a factor in why baby isn’t moving.

I think this is so important important I actually added a nutrition section to The Online Prenatal Class for Couples just for this very reason.

This all to say that if baby is moving less you need to contract your provider and if you’re feeling more worried go to the hospital (I would still call your provider on your way and drink a glass of ice water).

So, What do fetal kick counts do?

A study showed that when providers promote kick counts there was 26% less. Kick counts can prevent stillbirths. That’s why I love them so much. I talk more about that in my post on when to go to the hospital for decreased fetal movement on my sister site.

When to go to hospital for decreased fetal movement?

If baby is moving less you need to go to the hospital (can I say this enough?)  I just did a post on if you should go to the ER or to labor and delivery, but you can always show-up to the ER and they can send you to the right spot.  However, it’s a good question to ask your provider at your next appointment.  You can also call the hospital to see if they do tours.  That’s something they usually address on the tours (as well as where to park).

So, as we tie-up this post on fetal movement- a few things:

1. Everyone feels fetal movement differently — don’t compare yourself to others.
2. If baby’s movements have changed you should contact your midwife or obstetrician.
3. If you’re not feeling baby move (and you normally feel a good amount of movement in your third trimester) go to the hospital asap.
4. Kick counts prevent stillborns. The end.

These are hard and fast rules. I am not kidding to say that we take fetal movement just as seriously as you do at the hospital. There is no nurse wondering why you came in. We’re glad you’re there.

All of this can be kind of scary, but The Online Prenatal Class for Couples can really simplify it for you in just a few hours.

And, if you’re not quite sure you’re ready for that whole thing, check out my free prenatal class. It’s your first step toward getting in the driver’s seat of your birth.

The post Normal Daily Fetal Movement – Kick Counts appeared first on The Pregnancy Nurse®.

Before we get started though, grab birth plans made easy right here:

Let’s break down these common pitfalls, why they happen, and concrete steps to avoid them.

Mistake #1: Relying on Social Media for Birth Preparation

In today’s digital age, social media serves as the go-to for everything—including childbirth prep for some people. While Instagram, TikTok, and other platforms are packed with birth stories and advice… not all of it is created equal (or honestly, helpful).

The Problem: Mismatched Advice

Social media is full of helpful hints, but not everyone online is offering information relevant to your situation. In fact, many of the most popular birth influencers delvier mostly at home, even though the vast majority of people deliver at the hospital. The advice just doesn’t translate well.

How to Vet Your Sources

There are three important questions to ask before trusting any online expert:

1. Do they specialize in your chosen setting?
   If you’re delivering at a hospital, take advice from those with hospital experience — and if you’re delivering at home, I actually still recommend some hospital learning as many patients do end up having to go to the hospital.
2. What are their qualifications?
   Look for credentials. Nurses, doctors, and certified midwives have specialized training. For example, I am a registered nurse (RN, BSN), I have advanced fetal monitoring training, and am certified in emergency procedures for mothers and newborns.
3. What’s their depth of experience?
   More time in the delivery room means broader experience across lots of different scenarios and patient backgrounds. Value comes from both knowledge and hands-on experience.

The Takeaway

While social media can offer real-world perspectives and comfort, make sure your birth preparation is rooted in reputable, experienced voices—ideally from professionals trained to handle the specific circumstances of your planned birth location.

Remember it’s also important to get prepared for all of birth — something that is TOUGH to do on whatever the algorithm feeds you. I 100% recommend a full birth class.

Want to know more about birth? — check out these posts:

• Labor Anxiety? These 3 Things Help You Feel in Control
• Prodromal Labor: What is it and how to avoid it?
• How To Build Confidence For Your Birth Experience
• Why Labor Pain Can Feel So Different For Each Person
• Avoid Tearing at Delivery: 3 things you can do.

Mistake #2: Staying Quiet When You Have Questions

One of the biggest pitfalls in the labor room is failing to speak up when you’re unsure or need more information. Medical decisions—like whether to induce labor, move forward with a C-section, or perform a cervical exam—should not feel like mandates. But, too many patients nod along, later feeling forced into doing something or even traumatized by their birth experience.

The Problem: Passive Agreement

It’s distressingly common for patients to simply agree with a provider’s recommendation without fully understanding it. This can stem from fear, feeling overwhelmed, or not wanting to “bother” busy healthcare staff. But birth is personal, and you deserve (and honestly, requested) to be part of every decision.

How to Advocate for Yourself

• Ask Questions:
  The moment your provider makes a suggestion—no matter how big (“I recommend a C-section”) or small (“Let’s do a cervical exam”)—is the right moment to ask what’s being seen, the risks and benefits, and if there are alternatives.
• Informed Consent Goes Both Ways:
  While it’s a provider’s responsibility to ensure you understand your options, remember that you play a vital role by voicing your concerns and seeking clarification. Only by doing so can you make informed choices that leave you feeling empowered.
• More Gray Than Black-and-White:
  Most situations are not emergencies and allow for discussion. True emergencies are unmistakable—marked by urgency and a crowded room—so in less-critical moments, don’t hesitate to slow things down and get the information you need.

The Takeaway

Active participation in your care is essential for a positive birth experience. When in doubt, speak up. It’s your body, your baby, and your experience.

Mistake #3: Not Preparing with Your Partner

All too often, the mother-to-be is the only one delving into prenatal education while partners remain in the dark. This disconnect shows up in the delivery room where partners, feeling lost, may retreat to their phones or a nap instead of providing valuable support.

The Problem: Solo Preparation

Traditional in-person classes can be inconvenient, and many online classes focus solely on the pregnant person, neglecting the partner’s needs entirely. Yet, your birth partner—whether spouse, parent, friend, or sibling—has a major role to play both at birth and once the baby is home. When partners aren’t prepared, confusion, misunderstandings, and a lack of support often follow.

How to Get Ready—Together

• Take a Class Designed for Couples:
  Choose online courses that cater to both of you. This ensures you’re on the same page and your partner feels prepared (not helpless).
• Communicate Expectations Early:
  Discuss big decisions—like sleep arrangements for the baby—or who will be present at birth well before labor. This avoids conflict and surprises when the time comes.
• Engage Your Partner:
  Encourage your partner to ask questions and be involved in the education process. Prepared partners feel more confident, supportive, and connected during labor.

The Takeaway

Don’t go it alone. When both you and your partner are prepared, you’ll have a more united and less stressful labor experience. You can even get started today right here.

Final Thoughts: Prepared, Not Scared

Labor is unpredictable, but by steering clear of these common mistakes, you set yourself up for a more confident, informed, and empowered birth.

• Vet your sources to ensure you’re getting advice tailored to your situation.
• Speak up and actively participate in medical decisions.
• Prepare with your partner so you’re both ready for what’s to come.

Which of these mistakes are you most concerned about? Share your thoughts in the comments, and remember: You deserve a birth experience that’s both safe and supported.

The post The Three Biggest Mistakes Labor Patients Make—And How to Prevent Them appeared first on The Pregnancy Nurse®.