03/13/2026
Pushing with a Heavy Epidural 🌿
“I get mum to position herself in a deep squat with the aid of the bed, in birthing chair mode, and maintain this position for the duration of active pushing… I’ve found this very successful for women with a heavy epidural block.”
— Camellia Blackmore, Midwife
Even with a dense epidural and very little sensation, positioning still matters. Upright and supported positions can help encourage descent and give mothers more effective pushing — even when they can’t feel much.
Deep supported squats, good alignment, and clear guidance can make a big difference. Visualization and connection with the baby can also help mothers find a more effective rhythm, even without strong sensation.
Birth works best when we work with the body — even when interventions are part of the picture.