Laboring Down

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Laboring down, also called “delayed pushing” or “passive descent”, may be a welcome part of the transition phase of labor.

It allows for the uterine contractions, combined with gravity, to naturally bring the baby further down into the birth canal (the passive phase of the second stage of labor).

Birthing folks may opt to rest for 1-2 hours, waiting for a spontaneous urge to push prior to beginning the active phase of the second stage of labor. 

Laboring down can help:
〰️ allow for passive fetal descent;
〰️ prevent maternal exhaustion and fetal distress; 
〰️ and promote shorter duration of pushing.

Waiting until onset of maternal urge to push or bear down, also known as the “fetal ejection reflex”, may increase length of second stage but promote shorter duration of pushing, which may be protective of the pelvic floor. 

➰In the absence of an indication for an expeditious delivery, whether or not you labor down is up to you! Unless of course the spontaneous urge to bear down takes over.

Good to know: For those who use epidurals, laboring down may not be recommended. A discussion of benefits and risks with your care provider can help you make an informed decision.