If you’re planning to give birth without drugs, Lamaze strategies can help you stay more comfortable. Here are 10 ways to help you manage your labor pain and contractions, medication-free.

1. Find a soothing environment
Choose a place to give birth that feels comfortable to you, with space to walk and bathe, as well as a variety of furniture and devices to enhance movement and pain relief: a rocking chair, birth ball, low stool, squatting bar, and soft bed. It should also have policies that encourage you to try a variety of positions. Access to appropriate medical care is crucial if problems arise.

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2. Choose your team carefully
Midwives, doctors, nurses, partners, loved ones, and doulas can play essential roles on your birth team. Choose people who will treat you with respect and patience. The proper support can help decrease stress and inhibitions, so you can find your best coping mechanisms more easily.

3. Learn about labor
You can learn a lot about labor from books, magazines, web sites, videos, classes, a hospital tour, and discussions with your health-care provider, doula, family, and friends. Familiarize yourself with the procedures and customs at your hospital or birth center, and ask about flexibility. Such discussions are best had before labor. More knowledge means fewer surprises.

4. Express your fears
Are you worried about pain, needles, medicines, or losing control? Speak with a knowledgeable and trusted friend, childbirth educator, or doula. Voicing your concerns can bring relief as well as allow you to learn more about practical solutions to your concerns. Stating your preferences in a birth plan can also help calm fears.

5. Practice rhythmic breathing
Breathing techniques can help you manage contractions. Breathe fully in a slow rhythm during contractions. Release tension with each exhalation and try moaning. Also try taking quick breaths, about one every 2 to 3 seconds (20 to 30 per minute). If you lose your rhythm, your partner can help you regain it with eye contact, rhythmic hand or head movements, or by talking you through contractions.

6. Use imagery and visualization
Focus on something that makes you happy (like your partner’s face, an inspirational picture or favorite object) to engage your senses and decrease your awareness of pain. Listen to music, a soothing voice or a recording of ocean waves, and picture yourself somewhere that’s relaxing to you.

7. Take a warm shower or bath
A warm shower can soothe you, especially if you can sit on a stool and direct a handheld showerhead onto your abdomen or back. Bathing in warm water may relax you—and it may even speed up labor.

8. Keep moving
Move around as much as you can to stay more comfortable. Walk, lean, sway, rock, and squat. Some positions will be more comfortable than others.

9. Seek relief with warm or cool compresses
Place a warm pack on your lower abdomen, groin, lower back, or shoulders during labor. A cold pack or latex glove filled with ice chips can help soothe painful areas. Cool cloths relieve a sweaty face, chest, or neck.

10. Indulge in gentle touch or massage
Touch conveys reassurance, caring and understanding—whether it’s someone holding your hand, stroking your cheek or hair, or patting your hand or shoulder. Have your partner or doula massage you with light or firm strokes using oil or lotion to help soothe you


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