how a doula supports labor progression with an epidural
Your birth, your way.
If an epidural is part of your birth plan, you’re absolutely still benefiting from the presence of a doula. Once you're settled and comfortable with your epidural, my role includes helping support your labor progress in gentle, effective ways. There are several things we can do to support your body and your baby.
Side note: Epidurals don’t always work perfectly. Sometimes they’re spotty, one-sided, or may wear off over time. That’s why I always encourage folks to have multiple tools in their pain management toolkit. An epidural can be one of those tools—I just recommend it’s not the only one.
Here are a few ways I support you and your labor once your epidural is in place:
✨ Intentional Stretching
I guide you through supported positions like the side-lying release, which can help open the pelvis and create space for baby to rotate and descend.
✨ Nervous System Regulation
Labor is still a big experience, even with an epidural. Simple adjustments like dimming the lights, speaking softly, and using gentle techniques like “the jiggle” (a rhythmic fascial release) help calm your nervous system and support oxytocin flow.
✨ Encouraging Pelvic Mobility
Even when you're lying down, your pelvis can still move! We can use peanut balls, hip rocking, and different positioning in bed to encourage optimal fetal positioning.
✨ Gravity-Friendly Positions
We aim for positions that support baby’s descent—like side-lying, semi-reclined, or even hands-and-knees with support. With frequent position changes, we keep your body working efficiently and gravity on your side.
✨ Space to Rest
Last but definitely not least: I make sure you’re able to rest. Epidurals often give your body the chance to relax, and rest is so important—especially before pushing. I’ll help you get cozy, stay hydrated, and feel supported throughout.
Remember, doulas support all kinds of births. No matter what your birth looks like, you deserve comfort, care, and informed support every step of the way.
