For soon-to-be parents navigating natural childbirth choices, a birthing stool stands out as a practical, time-tested device that often flies under the radar. Used for generations to support labor and delivery, this ergonomic tool offers numerous benefits that modern families can still leverage today. In this comprehensive guide, we’ll cover everything you need to know about birthing stools—from their design and advantages to how to select the perfect one for your journey.
A birthing stool (alternatively called a labor stool or delivery stool) is a specially engineered seat designed to support upright or semi-upright postures during childbirth. Unlike standard household stools, a quality birthing stool boasts:
• Contoured seating to cradle the pelvis and hips comfortably
• A stable, slip-resistant base for maximum safety during labor
• Height-adjustable features (in top-tier models) to suit diverse body types
• Open-sided or open-front design to facilitate movement and medical access
Constructed from durable materials like solid hardwood, heavy-duty plastic, or rust-resistant metal, birthing stools blend comfort with functionality. They’re lightweight enough for home use yet robust enough to support a laboring parent’s weight, making them a go-to choice for home births, birth centers, and progressive hospitals alike.
One of the primary perks of a birthing stool is its ability to widen the pelvic outlet. When seated upright on a birthing stool, gravity aids in positioning the baby optimally, while the stool’s ergonomic shape can increase pelvic diameter by up to 28% compared to reclined positions. This expanded space often shortens labor time and lowers the likelihood of interventions such as forceps or vacuum-assisted delivery.
Upright positions supported by a birthing stool distribute body weight evenly, alleviating pressure on the lower back and spine—common pain points during labor. The curved seat also encourages relaxation of the pelvic floor muscles, which can soften the intensity of contractions. Many parents who use a birthing stool report reduced reliance on pain medication and a more manageable labor experience.
Unlike being confined to a hospital bed, a birthing stool lets you shift positions freely—leaning forward, swaying side to side, or resting arms on a support bar—giving you greater autonomy over your labor. This sense of control boosts confidence, eases anxiety, and contributes to a more positive birth outcome overall.
Beyond labor, a birthing stool proves invaluable during postpartum healing. Its elevated seat reduces pressure on the perineum, making sitting more comfortable for parents recovering from tears, episiotomies, or swelling. Whether feeding your baby, resting, or simply going about daily tasks, a birthing stool can significantly ease post-delivery discomfort.
Choose a birthing stool crafted from high-quality, easy-to-sanitize materials. Solid wood (such as birch, oak, or maple) offers warmth and long-lasting sturdiness, while BPA-free plastic models are lightweight and budget-friendly. Ensure the material is non-toxic and simple to clean—essential for both home and clinical settings.
An adjustable birthing stool allows you to tailor the height to your comfort, which is critical as labor progresses through different stages. Look for models with secure locking mechanisms to prevent accidental slipping. Stability is non-negotiable: opt for a birthing stool with a wide base or anti-slip rubber feet to avoid mishaps during intense contractions.
If you plan to use your birthing stool at home or transport it to a birth center, portability is key. Foldable birthing stools or lightweight designs are easier to carry and store when not in use. However, never compromise stability for portability—seek a balance that works for your lifestyle.
Ensure the birthing stool can safely support your weight. Most standard models accommodate 300–400 pounds, but heavy-duty birthing stools are available for parents with higher weight requirements. Always check the manufacturer’s weight limits before making a purchase.
• Practice during pregnancy: Get comfortable with your birthing stool before labor begins—try sitting on it for short periods to familiarize yourself with its feel.
• Consult a professional: Work with a midwife, doula, or healthcare provider to learn proper positioning. They can help you adjust the birthing stool for optimal support and effectiveness.
• Have support nearby: Ask a partner, family member, or caregiver to assist with repositioning or steadying you during strong contractions.
• Trust your body: If a position feels uncomfortable or causes strain, switch things up. A birthing stool should support you, not cause additional stress.
• Prepare the area: Clear the space around the stool of clutter, and place it on a non-slip surface (like a rubber mat) for extra security.
Many forward-thinking hospitals and birth centers provide birthing stools, but it’s wise to confirm with your facility ahead of time. If not, portable birthing stools are compact enough to bring from home—just check with staff about any restrictions.
Birthing stools are safe for most low-risk pregnancies. However, if you have a high-risk pregnancy, a breech baby, or conditions like gestational diabetes or preeclampsia, consult your healthcare provider before using one.
How should I clean my birthing stool?
For wooden birthing stools, wipe with a mild soap-and-water solution and dry thoroughly to prevent warping. Plastic birthing stools can be sanitized with disinfectant wipes or a diluted bleach solution (follow the manufacturer’s guidelines). Avoid abrasive cleaners that may damage the surface.
Absolutely—many parents use a birthing stool even with an epidural. The upright position can still aid labor progression, and the stool provides much-needed support if mobility is limited. Your care team can help you find a comfortable, safe posture.
A birthing stool is a simple yet transformative tool that empowers parents during childbirth. By supporting natural positioning, reducing pain, and fostering autonomy, it aligns with the body’s innate ability to labor and deliver. Whether you’re planning a home birth or a hospital delivery, a well-chosen birthing stool can enhance your experience and support a positive outcome for you and your baby.
When shopping for a birthing stool, focus on safety, comfort, and functionality. With the right model and guidance from your care team, you’ll be well-prepared to embrace a more natural, empowered labor journey.