When you think about giving birth, it’s completely natural to have questions and concerns about managing pain. Many women wonder if an epidural is their only option, but the good news is, it’s not. There are several effective alternatives that can provide comfort and support, helping you have a positive and holistic birth journey.
Your obstetrician or anesthesiologist can be an amazing resource, guiding you through all the choices available. Doctify platform makes it easy to find and connect with trusted specialists who can help you create a birth plan that’s right for you.
Why Some Women Prefer Alternatives to an Epidural
Every birth is unique, and so are the reasons a woman might choose to avoid an epidural. Some common reasons include:
- Concerns about side effects: While epidurals are very safe, some women worry about potential side effects like limited mobility, a longer labour, or a drop in blood pressure.
- Desire for an active birth: Many women want to be able to move around freely (walking, rocking, and changing positions) which can be more difficult with an epidural.
- Medical reasons: For some, an epidural may not be suitable due to a medical condition or an issue that arises during labour.
Medical Pain Relief Alternatives
If you want a little more than non-medical comfort, there are still effective options available.
Nitrous Oxide (Gas and Air)
Often the first medical option offered, “gas and air” is a mixture of nitrous oxide and oxygen that you breathe in through a mouthpiece. It’s fast-acting and helps take the edge off contractions, though it won’t fully block the pain. It wears off quickly between contractions and is considered very safe for both you and your baby.
IV or Injected Opioids
These are medications like pethidine or diamorphine that are injected into a muscle or given through an IV. They can provide moderate pain relief and help you relax and rest. You should know that they can cause some side effects like drowsiness or nausea, and if given too close to delivery, they can sometimes make the baby a little sleepy at birth.
Local Anaesthetics or Nerve Blocks
While not a full epidural, these are sometimes used to numb a specific part of your body. An example is a pudendal nerve block, which is an injection used to numb the area around the vagina and perineum just before delivery.
Non-Medical Pain Relief Options
Many women find great comfort and control using non-medical methods. These can be used alone or combined with medical options.
Breathing and Relaxation Techniques
Taking slow, deep, focused breaths during contractions can help reduce tension and your perception of pain. Techniques like hypnobirthing (technique that uses self-hypnosis, relaxation, and deep breathing exercises to promote a calmer, more positive birth experience) teach you to use your mind to stay calm and in control.
Movement and Positioning
Don’t feel you have to stay in one place. Walking, rocking, swaying your hips, or using a birthing ball can all help you cope with contractions and help your baby move into the right position for birth.
Water Birth / Warm Showers
The soothing, natural properties of warm water can work wonders during labour. Immersing yourself in a warm bath or standing in a warm shower can relax your muscles, ease tension, and provide a wonderful sense of calm.
Massage and Touch
Having a partner or midwife provide gentle massage on your lower back or shoulders can be a great way to reduce stress and discomfort.
Hypnobirthing
This approach uses guided relaxation, visualisation, and breathing exercises to help you feel calm and present during labour. It’s about empowering you to work with your body, not against it.
Combining Methods for Better Comfort
The best approach for many women is to be flexible and combine different methods. For example, you might use breathing techniques and massage in early labour and then add gas and air later on. Labour can change quickly, so it’s okay to adjust your plan as you go.
Talking to Your Care Team
The most important step is to talk to your obstetrician or midwife well before your due date. Discuss your preferences and ask about which options are available at your hospital or birth centre. They can help you understand the pros and cons of each method for your specific situation. Remember, there is no “one right way” to give birth. What matters most is your comfort and safety.
Conclusion
Managing pain in labour is a deeply personal choice, and an epidural is certainly not your only option. From medical alternatives like nitrous oxide to non-medical techniques like water births and massage, there is a range of effective and supportive choices available.
We encourage you to discuss these options with your healthcare team. Doctify is a great resource to help you find trusted obstetricians and gynaecologists who can provide personalised advice and guidance throughout your pregnancy and birth journey.
Find the right specialist for you. Doctify uses verified reviews so you can make the best decision for your healthcare.
Feel free to consult an obstetrician through Doctify for personalised advice whenever you want, we will be happy to help you! Find the best obstetricians in the United Kingdom or search for the best specialists globally:
- Obstetricians in the United Arab Emirates
- Obstetricians in Germany
- Obstetricians in Austria
- Obstetricians in Ireland
- Obstetricians in Australia
Medically Reviewed
Last reviewed on 14/09/2025
