Your pain relief options in labour

There is no single right way to manage pain in labour. What helps one person may not suit another, and you can change your mind as you go. It often helps to know your options in advance so you can make choices that feel right for you on the day.

Many people start with things you can do yourself. Moving around, rocking, leaning forward, breathing slowly, having a warm bath or shower, and being massaged by a birth partner can all take the edge off. A TENS machine, which sends gentle pulses through pads on your back, suits some people in early labour. A calm, dimly lit space and a supportive birth partner make a real difference too.

Gas and air (Entonox) is widely used and you breathe it in through a mouthpiece during contractions. It takes the edge off rather than removing pain completely, wears off quickly, and you stay in control of it yourself. Some people feel a little light-headed or sick, which passes.

Pethidine or diamorphine are injections that can help you relax and cope, and are useful if you are very tired. They can make you feel drowsy or sick, and if given close to birth they can make your baby sleepy for a while, so timing matters. Your midwife will talk this through with you.

An epidural is an injection into your back that numbs the lower part of your body and is the most effective form of pain relief. It is given by an anaesthetist, needs extra monitoring, and may mean you stay in bed more, though mobile epidurals can allow some movement. It can lengthen the pushing stage for some people. Like all options, it has benefits and trade-offs your team will explain.

Whatever you choose, your wishes matter and you can ask for pain relief at any point. Tell your midwife what you are feeling, and never worry that you are making a fuss. Asking for help is a sensible, normal part of labour.

This is placeholder content and will be reviewed by a midwife before going live.