Birthing Ball Exercises During Pregnancy, Labor And Beyond

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Most women would prefer a normal delivery to a C-section. If you do too, you can try using a birthing ball to increase your chances of a vaginal delivery.

A birthing ball can make the process of birthing more comfortable for you. MomJunction tells you all that you need to know about this handy tool and how it can be beneficial for you.

What Is A Birthing Ball?

A birthing ball or a birth ball is a big inflatable exercise ball made of rubber. It is a standard fitness ball that can be used by pregnant women for fitness during pregnancy and post pregnancy (1). The birthing ball is a safe and beneficial non-pharmacological technique to increase your chances of having a vaginal delivery.

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What Are The Benefits Of Using A Birthing Ball?

Here are a few potential benefits of using a birthing ball (2).

  • Eases back pain and improves your ability to move around.
  • Stimulates blood flow to the pelvic area, where the placenta and uterus lie
  • Offers counter-pressure to your perineum and thighs
  • Gives excellent support to your knees and ankles
  • Helps reduce spinal pressure
  • Can eases labor pain and reduce the duration of labor (3)
  • Can reduce the anxiety and pain from contractions
  • Helps open up the pelvic muscles
  • Helps you remain in an upright position, which works with gravity for efficient baby decent
  • Corrects the baby position before the birth

Note that some people may feel dizzy or ill while using the ball. If you do, refrain from using it.

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What Is The Difference Between A Birthing Ball And A Gym Ball?

Birthing balls and gym balls are almost similar and made of anti-burst materials, which means they only deflate slowly and not get punctured. However, there are a couple of differences between the two: birthing balls are bigger than gym balls, and they come with an anti-slip finish.

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What Type Of Birth Ball Should You Buy?

Buy a birthing ball which meets the following criteria:

  • The size of the ball depends on your height (see the table below). When you sit on it, your feet should touch the floor properly
  • Take the one with anti-burst feature and an anti-slip finish; In any case, do not keep these exercise balls near sharp objects, rough surfaces, direct heat generators such as heaters, radiators, blowers, open fires and stoves.
  • Should be able to bear your weight
  • Choose from a reputed brand so that you can be sure of its quality
  • It should be pressure-tested and take up to 300kg weight

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What Is The Ideal Size Of A Birthing Ball?

The ideal size depends on your height, as mentioned in the table below.

Your heightBall size (centimeters)
Less than 5’2”45cm
5’2” – 5’8”55cm
5’9” – 6’3”65cm
Above 6’3”75cm

Note: When you sit on the ball, the hips need to be higher than the knees. Otherwise, it is an indication that the ball is small for your height or it needs to be filled with more air. The birth ball usually deflates with time and can be inflated using an air pump (4).

Sitting with your knees higher than the hips can disturb the fetal position and lead to prolonged and painful labor.

Image: Shutterstock

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Tips For Using A Birthing Ball For The First Time

Here are a few tips for first-time users of a birthing ball.

  • Place the ball on a carpet or a rug and not on the floor. Go barefoot, or wear anti-skid shoes. Have someone hold your hand and support you from the back when sitting on the ball for the first time.
  • Place your feet firmly on the floor to gain your balance. Place one hand on the ball and slowly lower yourself to sit on the ball.
  • Now, place your hands on the knees and try rocking the pelvis sideways, and back and forth. Once you feel you are comfortable with it, bounce on it a little.
  • If you are not comfortable with the rocking or bouncing movements, place a chair near you for support.
  • Make sure that there is enough space around you when you exercise on the ball.
  • Breathe normally, control your exercise movements, and stop the activity if you experience any pain.

Knowing when to use the birth ball during pregnancy is essential to stay safe and make the most of it.

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When Can You Start Using A Birthing Ball?

The first trimester is the best time to start using the birthing ball. You can also start exercising on it later during the pregnancy, although you may have difficulty getting used to it, considering how much your body would’ve changed with the growing baby.

Next, we tell you about how the birthing ball can be used during pregnancy, labor and after birth.

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How To Use A Birthing Ball During Pregnancy?

During pregnancy, you can use the birthing ball:

For sitting comfortably when working or resting:

  • It is much easier to get on and off on the ball than it is to sit on a soft sofa or a hard chair.
  • Sitting on the ball is also a mini workout. Rocking and bouncing on it gently can keep your tummy and back muscles upright.

For some mild exercise:

  • Birth ball offers the needed balance, improves posture and exercises your tummy muscles. It gives the required support to bear the pregnancy weight.
  • Rock your pelvis sideways and back and forth while sitting on the ball (pelvic tilts). Hold your core tight, tilt your pelvis back slightly and try curving your lower back gently at the same time. Repeat to strengthen your uterus and lower back. You should not involve your shoulders when doing this, and movement should start from the waist and below.

  • Rotate your hips clockwise and anti-clockwise while sitting on the ball.
  • Remain in a kneeling position, and then lean over the ball (resting child’s pose). Now rock your hips front to back. It helps you relax.

You can also try pelvic floor exercises while using the birthing ball. You may find it much easier, and you will be working on the lower tummy muscles.

For changing the baby’s position in late pregnancy:

  • Lean forward on the ball and try to get on your knees. Forward-leaning positions while on the ball will help the baby adopt the upright birthing position.
  • This will make the baby move into the anterior position, with their back towards your tummy.

Though the baby is not going to remain in the same position until labor, exercising on the ball can at least offer you some relief from back pain.

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How To Use A Birthing Ball During Labor?

Working out on the ball before you go into labor can make you feel comfortable. Some healthcare providers also recommend using TENS (transcutaneous electrical nerve stimulation, drug-free option for pain relief) along with the birthing ball to cope up with early labor.

Here is how you can use the birthing ball during labor:

1. Sit on the birthing ball with your feet shoulder-width apart. Now rock your pelvis side to side and from front to back (like using hula hoops). This helps to stretch out your body so that the baby can move into the right birthing position.

2. Get onto all your fours by hugging the ball, and gently lift your bottom from a kneeling position called the resting frog squat. Rock your pelvis sideways.

4. Lean forward over the ball while standing, with the ball placed on the bed or an elevated platform. This position gives gravity needed for the baby’s descent.

5. Bouncing gently on the ball strengthens your legs and improves your ability to balance. It is also helpful in giving counter pressure you require during labor.

6. If you are worried about falling off the birthing ball, try sitting upright on the peanut ball, an alternative to the rounded birth ball. (5).

7. Lie on your side using a peanut ball. It helps you rest and sleep well. It also keeps your pelvic region open when resting.

Besides making normal delivery easy, the birthing ball can also help you stay fit and recover faster after childbirth. Check with your doctor before planning to use a birthing ball. You can get a personal trainer or a specialist dealing with women fitness, if necessary.

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How To Use A Birthing Ball After The Baby’s Birth?

You can use birthing ball after the birth of the baby in the following ways:

  • You will feel sore for some days after the delivery. Sitting on the ball is more comfortable than sitting on a hard surface.
  • Once you get the baby to latch conveniently, you can sit on the ball when breastfeeding. It can be better than slumping on the bed.
  • You can also cuddle and soothe your crying baby while sitting on the ball.
  • Exercising with the ball helps tone up your post-pregnancy body.
  • When the baby is ready, they may also like to stand, walk and scoot on the ball.

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Exercise and physical fitness are the best ways to improve your chances of a natural delivery. And a birthing ball can offer you that and more. Isn’t it nice to use the ball to ease the pregnancy and labor woes? Have you used this already? Share your story in the comment section.


MomJunction's articles are written after analyzing the research works of expert authors and institutions. Our references consist of resources established by authorities in their respective fields. You can learn more about the authenticity of the information we present in our editorial policy.
1. K Mirzakhani et al.; The Effect of Birth Ball Exercises during Pregnancy on Mode of Delivery in Primiparous Women; JMRH (2014)
2. L Lago AM, M Pan L, T Bouza E; The birthing ball: rediscovering a non pharmacological resource of great importance in the birth process; Rev Enferm. (2014)
3. Leung RW et al.; Efficacy of birth ball exercises on labour pain management; Hong Kong Med J (2013)
4. Roger Brignell, The Pilates Handbook, p.161
5. C M Tussey; Reducing Length of Labor and Cesarean Surgery Rate Using a Peanut Ball for Women Laboring With an Epidural; J Perinat Educ. (2015)
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Sarah Pearce

Sarah Pearce is a sportsperson and a fitness trainer. She has her fitness center, The Fitness Studio, in Hastings, New Zealand. She majored in health promotion and fitness management and received a bachelor’s degree in health and exercise science from Rowan University. Sarah played 32 lacrosse games in her career. 

Shikha Thakur

Shikha is a writer-turned-associate editor at MomJunction. Her core interest lies in writing articles that guide couples through their courtship to marriage and parenthood. She also specializes in baby names. Being a postgraduate in Human Resources, she likes understanding people and their relationships. This reflects in her relationship articles, where she deals with both the rosy and the grey side... more