Skip to main navigation Skip to main content Skip to footer For Medicare For Providers For Brokers For Employers Español For Individuals & Families: For Individuals & Families Medical Dental Other Supplemental Explore coverage through work How to Buy Health Insurance Types of Dental Insurance Open Enrollment vs. Special Enrollment See all topics Shop for Medicare plans Member Guide Find a Doctor Log in to myCigna
Home Knowledge Center Wellness Library Childbirth Pain Relief Options

Childbirth Pain Relief Options


Your pain relief choices for childbirth may include medical and nonmedical treatments. Medical choices can include I.V. medicines or epidural pain relief. Massage and focused breathing are some of the nonmedical options. Sometimes both kinds of pain relief are used. Knowing your options can help you prepare for childbirth.

What are some examples?

You have many choices to relieve pain during childbirth. These include medical and nonmedical options. You may use more than one of these choices.


Nonmedical options may help reduce pain and help you feel a sense of control during labor. These techniques include:

  • Support. Having a support person with you through childbirth may help you manage your pain better. This person could be your partner, a loved one, or a friend. Or you may use an experienced birth assistant, like a doula, whose only job is to give you constant support.
  • Distraction. During early labor, you can walk, play cards, watch TV, take a shower, or listen to music to help take your mind off your contractions.
  • Massage. Massage of the shoulders and lower back during contractions may help ease your pain.
  • Changing positions during labor. Walking, kneeling, or sitting on a big rubber ball (birth ball) are good options. The position that feels best may change as you move through labor.
  • Focused breathing techniques. Breathing in a rhythm can distract you from pain and relax your muscles and your mind. Childbirth education classes can teach you different methods of focused breathing.
  • Imagery. This involves using your imagination to decrease your pain. For instance, you could imagine your contractions as waves rolling over you. Picture a peaceful place, such as a beach or a mountain stream, to help you relax between contractions.
  • Laboring in water. Some hospitals and birthing centers offer tubs or whirlpools for labor. Soaking in warm water may help ease the stress of labor.

Other techniques that don't use medicine to control pain include hypnosis and acupuncture.


Your options for pain relief with medicine may include:

  • I.V. medicines. Examples include fentanyl and hydroxyzine. These medicines are used to help reduce anxiety and partially relieve pain. But they aren't usually used when you are close to delivery, because they can affect a newborn's breathing.
  • Spinal and epidural pain relief. This is a shot (spinal) or an ongoing supply (epidural) of pain medicine near the spinal cord. It partially or fully numbs the belly and lower body.
  • Pudendal block. This is a shot of pain medicine to numb the vagina and perineum. It can help relieve pain from the second (pushing) stage of labor. It works quickly and usually doesn't affect the baby.
  • Nitrous oxide. You can give yourself nitrous oxide through a mouthpiece or mask when you need pain relief during labor. You can decide when to use it.

What types of anesthesia are used for cesarean birth?

During a cesarean birth, you will be given anesthesia so that you don't feel any pain. You may get spinal or epidural pain relief, or both. These block pain from an entire region of the body. Or you may get general anesthesia. This uses medicines that make you unconscious. It affects your whole body.

What are the risks?

Pain relief options for childbirth are very safe. But some have risks. Talk to your doctor or midwife about which treatments you plan to use. And ask them about any risks for those options.

What should you tell your doctor?

Tell your doctor about your health history. Let them know if you or a family member has had problems with anesthesia in the past. You can also talk to the doctor about medical and nonmedical pain relief options for childbirth. Plan for what you want. But be aware that things can change during labor.

Depending on your health conditions, your doctor may want to have an epidural catheter placed early in labor. This would only be used if needed. For example, you may plan to use nonmedical pain relief but then decide later that you want medicines. Or the catheter would be used to give you anesthesia if you need a cesarean (C-section) for your or your baby's health and safety.

This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Learn how we develop our content.

© 1995-2024 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.

Related Links

Labor and Delivery

<cipublic-spinner variant="large"><span>Loading…</span></cipublic-spinner>

Page Footer

I want to...

Get an ID card File a claim View my claims and EOBs Check coverage under my plan See prescription drug list Find an in-network doctor, dentist, or facility Find a form Find 1095-B tax form information View the Cigna Glossary Contact Cigna


Individuals and Families Medicare Employers Brokers Providers

Secure Member Sites

myCigna member portal Health Care Provider portal Cigna for Employers Client Resource Portal Cigna for Brokers

The Cigna Group Information

About Cigna Healthcare Company Profile Careers Newsroom Investors Suppliers The Cigna Group Third Party Administrators International Evernorth

 Cigna. All rights reserved.

Privacy Legal Product Disclosures Cigna Company Names Customer Rights Accessibility Non-Discrimination Notice Language Assistance [PDF] Report Fraud Sitemap Cookie Settings


Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of South Carolina, Inc., and Cigna HealthCare of Texas, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see a listing of the legal entities that insure or administer group HMO, dental HMO, and other products or services in your state). Accidental Injury, Critical Illness, and Hospital Care plans or insurance policies are distributed exclusively by or through operating subsidiaries of Cigna Corporation, are administered by Cigna Health and Life Insurance Company, and are insured by either (i) Cigna Health and Life Insurance Company (Bloomfield, CT); (ii) Life Insurance Company of North America (“LINA”) (Philadelphia, PA); or (iii) New York Life Group Insurance Company of NY (“NYLGICNY”) (New York, NY), formerly known as Cigna Life Insurance Company of New York. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna.

All insurance policies and group benefit plans contain exclusions and limitations. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. This website is not intended for residents of New Mexico.

Selecting these links will take you away from to another website, which may be a non-Cigna website. Cigna may not control the content or links of non-Cigna websites. Details