1) Position. Vertical positions are less painful and ease the delivery. Lying on the back is a sure way to improve pain and have a longer delivery. It’s really necessary lying down, choose your left side.
2) Environment. The more personal, silent and respectful ambiance, the easier and happier birth is. Nothing can substitute the lack of freedom and warmness. A woman should have at her disposal music and any personal object. And most important of all, the people she wants by her side.
3) Massage. A relaxing massage can improve enormously the back pain during labor. Circular massage on the lower back can be done by the partner or the doula.
4) Movement. Walking is an important ingredient in any delivery. It facilitates the delivery and lessens the pain of contractions, besides controlling anxiety.

5) Breathing. The breathing should be deep and slow, up to the nose inspires and out the mouth. It improves the supply of oxygen to the baby.

6) Tools. Water is a wonderful tool to sooth and/or accelerates the birth process. Being immersed in a bath tub or under a shower it provides much relief.