Labor is one of the most intense and transformative experiences a person can have. While there are countless comfort measures and support techniques, one hands-on strategy often overlooked is hip squeezing.
This simple yet highly effective technique can relieve back and pelvic pain, open the pelvic outlet, and help baby move into an optimal position — all while giving support people a meaningful role during labor.
In this post, we’ll cover what hip squeezing is, why it works, how to do it, and how it fits into a broader plan for supportive labor.
What Is Hip Squeezing?
Hip squeezing, also called pelvic compression or sacral support, is when a support person applies inward pressure to the top or sides of the pelvis during contractions.
The goals are:
- Reduce back and pelvic tension
- Increase pelvic space for the baby to descend
- Encourage optimal fetal positioning
- Empower support partners to actively participate in labor
Unlike massage or general touch, hip squeezing is targeted and functional — it’s designed to assist the mechanics of birth, not just offer comfort.
Why Hip Squeezing Matters
Pain during labor is more than uncomfortable; it can slow labor and increase stress. Tension in the sacroiliac (SI) joints or pelvic floor can inhibit cervical dilation and fetal descent.
Hip squeezing helps by:
- Stabilizing the SI joints to relieve back pain
- Creating extra space in the pelvic outlet
- Encouraging fetal rotation to an anterior (facing the spine) position, which is associated with shorter labor and less back pain
Additionally, hands-on partner support increases confidence, reduces feelings of helplessness, and improves overall birth satisfaction.
The Science Behind Hip Squeezing
Though studies on hands-on labor techniques are limited, research on manual pelvic support and pressure therapy shows several benefits:
- Pelvic alignment: Applying pressure to the pelvis can help adjust lateral tilt and joint positioning, making room for the baby.
- Pain relief: Pressure triggers nerve pathways that can modulate pain perception, similar to acupressure or counter-pressure techniques.
- Fetal positioning: Proper pelvic support encourages baby rotation, which can reduce labor complications and the need for interventions.
When combined with partner support, hip squeezing also increases confidence, calm, and involvement, which positively affects labor outcomes.
Who Can Perform Hip Squeezing?
Anyone who is instructed and guided by the birthing person can perform hip squeezing safely, including:
- Partners
- Family members
- Doulas
Key points for safety:
- Apply pressure on the pelvis and lower back — never the abdomen
- Adjust pressure according to the birthing person’s feedback
- Stop if it becomes uncomfortable
This makes hip squeezing a great way for partners to actively participate in labor without needing medical expertise.
Step-by-Step Guide to Hip Squeezing
Here’s a detailed guide:
Step 1: Position the Birthing Person
Have them lean forward on a birth ball, chair, or bed. Forward-leaning naturally tilts the pelvis and improves the effectiveness of pressure.
Step 2: Place Your Hands
- Hands rest on the top of the pelvis
- Fingers wrap around the sides
- Thumbs may rest on the lower back for stability
Step 3: Apply Firm Pressure During Contractions
- Push inward and slightly upward
- Maintain steady pressure during the peak of each contraction
Step 4: Release Gently
- Ease pressure as the contraction ends
- Avoid sudden lifting or jerking movements
Step 5: Adjust Pressure Based on Feedback
- Pressure should never be painful
- Some may prefer alternating pressure, rhythmic compression, or tapping
Common Questions About Hip Squeezing
Q1: Does it hurt the baby?
No. Pressure is applied to the pelvis and lower back, not the abdomen.
Q2: Can anyone do it?
Yes — as long as they are instructed and the birthing person guides intensity.
Q3: When is it most effective?
During active labor, especially when contractions are strong or back labor is present.
Q4: How long should it be done?
Apply for the duration of the contraction as needed. Usually a few minutes per contraction is sufficient.
Tips for Support Partners
- Coordinate with breathing: Encourage inhaling during pressure and exhaling during release.
- Combine with other techniques: Counter-pressure, movement, and massage can enhance comfort.
- Offer verbal encouragement: Calm words and reassurance improve effectiveness.
Confidence and responsiveness matter as much as technique.
Complementary Labor Techniques
Hip squeezing is most effective as part of a broader labor support strategy:
- Positions: Kneeling, hands-and-knees, standing, leaning forward
- Counter-pressure: Direct pressure on lower back
- Movement: Walking, swaying, squatting
- Breathing and relaxation: Mindful, paced breathing
A combination of strategies supports comfort, fetal descent, and partner involvement.
Summary
Hip squeezing may seem simple, but it’s highly effective:
- Reduces pain
- Creates pelvic space
- Supports optimal baby positioning
- Empowers support partners
With practice and preparation, this technique can significantly improve labor experience and satisfaction.
Final Thoughts
Birth doesn’t have to feel overwhelming. Simple, evidence-informed techniques like hip squeezing:
- Enhance comfort
- Promote natural physiology
- Give partners a tangible role
Next Steps:
- Learn hands-on techniques with a partner or doula
- Practice positions and pressure before labor
- Include hip squeezing in your birth plan
For step-by-step guidance, hands-on practice, and partner training, check out my Empowered Birth Classes. Gain confidence, reduce intervention risk, and learn how to actively support labor for a positive birth experience.