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Using the birthing ball

Using the Birthing Ball, In pregnancy and in labour

Before you use the birthing ball, we advise you consult with your midwife or physiotherapist to make sure you’re getting the maximum benefit from its use. The aim of this page is to help you get the most out of using the birthing ball, and to highlight how to use it safely in pregnancy and labour.

Your safety first

A few important safety points before you start:

  • We recommend you only use the balls supplied in the Maternity Unit.
  • We only recommend the use of birthing balls that are compliant with the European Medical Device Quality Directive and bear the quality mark.
  • If you wish to use your own equipment in the hospital, please be aware you do so at your own risk.
  • A support person or a midwife should be with you at all times when using the birthing ball.
  • Wear non-slip footwear while on the ball — this will help with traction and balance.
  • The birthing ball is recommended for use by one person only at a time.
  • The use of birthing balls is not recommended following an epidural.

In pregnancy

Used regularly in late pregnancy, the birthing ball can help with comfort, fitness and preparation for labour:

  • Gentle exercise on the ball may help strengthen your abdominal and lower back muscles.
  • The ball can aid with massage and general relaxation — leaning over it or sitting on it during a partner massage.
  • The ball can be used for practising positions for birth — getting your body used to upright, mobile postures.
  • Sitting on the ball at your desk or while watching television encourages good posture and can take pressure off your lower back.

Start with short sessions (10–15 minutes) and build up as it feels comfortable.

In labour

The birthing ball can make a real difference during active labour:

  • It allows a natural back-and-forth swaying movement and gentle pelvic mobility.
  • It supports women to change position in labour.
  • Using the ball encourages an optimal foetal position by allowing you to remain upright — gravity helps your baby descend.
  • Moving onto or off the ball is easier than a chair or bed for most women.

The most important thing is that it feels right for you. Try a few positions and stick with what works.

Positions to try

Here are some suggested positions you may be able to adopt in labour while using the ball. There’s no right or wrong — find what eases your contractions.

  • Sitting Sitting on the ball can help take pressure off your lower back. As the baby descends the birth canal, the pressure on your lower back may be very intense. While sitting, your hands are free to hold the bed or your partner, while the ball takes your weight and lets you keep moving. To sit safely: Steady the ball with your hands as you sit down. Put your feet firmly on the ground about shoulder-width apart, with your hips about 10 cm above your knees.
  • Kneeling This position encourages physical and mental relaxation. It may help to make contractions less painful, as the pelvis does not stiffen, and it takes pressure off the lower back. To kneel: Kneel seated on your heels, with your legs slightly apart, arms and hands resting on the ball, with your head turned to one side. A pillow or folded blanket under your knees adds comfort.
  • Leaning forward (standing) Stand with feet hip-width apart and lean your upper body onto the ball placed on the bed. This is a good position for your partner to massage your lower back. Gravity helps your baby descend.
  • Rocking and swaying Sitting on the ball, gently rock side to side or back and forth, or move in circles. The motion is soothing and helps your baby find an optimal position.
  • Bouncing (gentle) Small, gentle bounces can help during contractions. Don’t bounce hard — small movements are the most useful.