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PT for Birth Preparation pt. 4: Birthing Position Recommendations

by Manreet Sangha, DPT

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Many women may not be aware that lying on their back to give birth is not necessary. There are a variety of positions that women can safely give birth in, and here are a few recommendations:


Side-Lying One of the most common positions is side-lying. In this position, you can rest on a bed or have someone support your top leg which will allow for a lot of space for the pelvis to open up and for the baby to descend. The side-lying position has also been shown to decrease the risk of perineal tearing.

Deep Squat

The deep squat position can also be an option as it helps open the pelvis. Some hospitals have squat bars that you can hold onto for support. This position would not be a good option for women who have pubic symphysis pain as it can aggravate or worsen it. *Make sure to talk to your physical therapist to find out if this position is a good option for you.

Hands and Knees

Hands and knees is a great position that allows you rest your head and arms on a pillow. This position is helpful for women who have pubic symphysis pain. In this position, the sacrum is not compressed which allows everything to be nice and relaxed while taking pressure off the spine. You can get into this position even with an epidural if you have people who can help support you.

Again, this will be different for every individual, depending on their condition, environment and what their body is telling them before and during birth. Remember to contact your healthcare professional or physical therapist to discuss your options and which position are safest for you and your baby.


Please reach out for further guidance or to schedule an appointment with a physical therapist. For more on PT for birth preparation, check out the other parts of this series:

Part 1: Relaxing Your Pelvic Floor

Part 2: Strengthening Your Pelvic Floor

Part 3: Performing a Perineal Massage to Prevent Tearing During Birth


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