I'm Pre/Postnatal Certified and have coached plenty of women through pregnancy and postpartum, so I recognize I came into my own pregnancy with a foundation a lot of women don't have. Pelvic floor health, staying active, breathing techniques that support birth: that was already in my wheelhouse. What this pregnancy gave me was the chance to go deeper, applying what I already know about behavior change and brain patterning to my own body, and leaning into a few alternative strategies I started researching the moment we decided to start trying. Some of it sounds a little woo-woo. All of it has science behind it. Here's what I'm actually doing in my final weeks to prep for labor.
Before we go any further: none of this guarantees anything. No amount of preparation locks in an uncomplicated, easy, or perfect labor. That's not how birth works. What preparation does is set you up for the best possible experience relative to what it would have been if you'd done nothing. Your body still has to do something that's largely outside your control. Everything here is about stacking the deck in your favor, not promising a specific outcome. Work with your care team before adding anything new at any point in your pregnancy.
What does the research actually support for labor prep?
A few things have moved from fringe advice into the mainstream and are worth covering before we get to the more interesting stuff. Research on eating dates and drinking raspberry leaf tea is something I found when we made the decision to start trying. I'd used natural methods to support fertility and wanted to do the same, as much as possible, during pregnancy.
Being active and eating well before you get pregnant makes a real difference, according to ACOG's guidance on exercise in pregnancy. It supports the health of both mom and baby throughout, lowers the risk of excess cardiovascular stress during birth, and helps your joints and tissue have the strength and elasticity they need going into labor. That doesn't mean if you're already pregnant it's too late. Most of the same benefits still apply, especially to the birth process. If you're already pregnant, incorporating gentle exercise with your doctor's clearance still matters: daily walks, stretching routines, and home strength training all count. Any activity before or during pregnancy builds stamina and supports cardiovascular health, which lowers the risk of heart-related complications during labor and delivery.
Eating dates in the third trimester has been studied for cervical ripening, meaning it makes your cervix more malleable so it can stretch and open more effectively during labor. One often-cited study found women who ate six dates a day for four weeks before their due date had significantly higher cervical dilation on admission, more intact membranes, and a shorter latent phase of labor than women who didn't. The sample sizes in this research are relatively small, but the results have been consistently positive. Since there's no known risk unless you have diabetes, there's no real reason to skip them if you can tolerate them.
Raspberry leaf tea is another one. Always ask your doctor when to start; recommendations vary, but it's usually toward the end of the third trimester. The idea is that it strengthens the uterus so contractions are more efficient, which helps when it's time to push. Research on raspberry leaf shows it's safe with no identified side effects, though the evidence for how well it actually works is still pretty thin. Ask your provider first. Don't just start drinking it on your own timeline.
With the basics covered, here's the real reason I sat down to write this.
Can you actually train yourself to breathe through pain before labor starts?
Yes. I already knew the benefits of pelvic floor breathing for addressing dysfunctions like a hypertonic or hypotonic pelvic floor, but applying it to birth prep specifically was a new strategy for me. My pelvic floor specialist at Renew Pelvic Health in Atlanta guided me on this one. It sounds almost too simple, but the premise holds up: research on relaxation techniques for labor pain shows that breathing, yoga, and other mind-body relaxation methods can reduce pain and improve satisfaction with pain relief during labor, even though the quality of that evidence is still considered low.
Find positions that are mild to moderately uncomfortable and practice staying in them. Kneeling toe stretch (my pelvic floor therapist's recommendation), wall sits, or deep squats are all good options. You want a long hold in something that's not so painful you're in distress, but not comfortable either. While you're there, take slow, deep breaths and actively try to relax the muscles working hardest first. The goal isn't to grit your teeth and survive it. It's to train your body to soften instead of brace. This is also a good time to calm your mind, whether that means quieting it or shifting your focus elsewhere. Both can help you get through labor and birth discomfort.
That shift matters in labor. Tension works against you. When your muscles lock up in response to pain, things get harder. When you can consciously relax through discomfort, things move better. You can practice the same concept with everyday physical pain too. A tension headache is a surprisingly good opportunity to practice consciously relaxing the muscles in your head and neck instead of tightening around the pain. Meditation helps here as well. Learning to redirect your focus away from discomfort is a skill, and like any skill, it gets better with repetition.
Can you condition your nervous system to relax on cue during labor?
This one came from me, honestly, not from a specialist or a study. It's based on what I already know about behavior change and how the brain builds patterns. If you consistently pair specific sensory cues with a state of calm, those cues start to signal your nervous system to shift into that state. It sounds woo-woo. It's really just conditioning. The most common place you'll see this concept used in the wellness world is bedtime routines: after enough repetition of the same pattern of activities, you can train yourself to feel tired on command. All you've actually done is teach your brain to start producing melatonin in response to a specific stimulus.
To start doing this, you'll first need to choose where you're giving birth. If it's at home, your options are close to endless. If you're planning to deliver at a hospital or birth center, get a clear understanding of what amenities exist and what's actually permitted in the delivery room, ideally early enough that you have time to build the association. From there, you can start creating your routine. For context, I'm not delivering in a specialty facility or birth center. I'm giving birth at a typical hospital, but they let you bring your own music, allow some comforts of home, let you dim the lights, and happen to offer aromatherapy. The aromatherapy is probably the most unusual amenity on that list, but it's becoming more common in hospital birth wings. Given what I had to work with, I picked my scents (lavender and lemongrass) and my playlist. In the second trimester, I started pairing them during long, slow, candlelit showers and meditation or deep breathing sessions. Every time I practice relaxing, those are the conditions I set up: dim lights, candles, lavender and lemongrass, and my chosen playlist. The point is to repeat the pairing enough times that by the time I'm in labor, those cues already have a shortcut in my brain that says relax.
When I started incorporating this strategy, it was maybe once a week, sometimes less. Entering the third trimester, I made time for it twice a week when I could. By 34 weeks, it was almost daily. I'm in my 36th week now, and I've extended the routine to include the shower, deep breathing, meditation, and a bit of discomfort practice to make sure it actually translates.
How do you figure out which birth position is actually right for your body?
If you see a pelvic floor specialist, and I really think you should, even one or two visits early in pregnancy is worth it, relaxing your pelvic floor with your breath is likely something they'll teach you. It was already in my toolkit as a Pre/Postnatal coach, but having a specialist walk me through it personally is different from knowing it conceptually. Breathing in a way that softens and opens downward instead of holding or bracing is the foundation.
From there, I decided to take it further and try that breath in different positions to find where it felt most natural for my body. Not everyone opens the same way. Once I had my top two, my specialist at Renew Pelvic Health recommended I also practice pushing in those positions later in pregnancy, so I'd know what worked before I was in active labor trying to figure it out in real time. That advice tracks with the research too: a Cochrane review on birth positions found potential benefits to upright positions like squatting or kneeling during the second stage of labor, including better alignment for the baby's passage through the pelvis.
Your pelvic floor therapist and provider can help you determine the right timing for the pushing piece specifically. But finding your positions? You can start exploring that on your own once you have the breath down.
What I actually want you to take from this: none of this eliminates the unpredictability of birth. What it does is give you more tools, more body awareness, and more practice before the thing that can't be fully rehearsed. And even when birth doesn't go the way you planned, you'll likely move through it with more capacity than you would have otherwise. That's what preparation is really for.
Sources
Al-Kuran O, Al-Mehaisen L, Bawadi H, Beitawi S, Amarin Z. (2011). The effect of late pregnancy consumption of date fruit on labour and delivery. Journal of Obstetrics and Gynaecology. PubMed
Simpson M, Parsons M, Greenwood J, Wade K. (2001). Raspberry leaf in pregnancy: its safety and efficacy in labor. Journal of Midwifery & Women's Health. PubMed
Smith CA, Levett KM, Collins CT, Armour M, Dahlen HG, Suganuma M. (2018). Relaxation techniques for pain management in labour. Cochrane Database of Systematic Reviews. PubMed
Gupta JK, Sood A, Hofmeyr GJ, Vogel JP. (2017). Position in the second stage of labour for women without epidural anaesthesia. Cochrane Database of Systematic Reviews. PubMed
American College of Obstetricians and Gynecologists. (2020). ACOG Committee Opinion No. 804: Physical Activity and Exercise During Pregnancy and the Postpartum Period. Obstetrics & Gynecology. PubMed
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