What are Hilary Erickson’s secret keys to labor not commonly discussed?

Hilary here. Some of the “secret” keys to a smoother labor aren’t really medical at all, but they make a huge difference when used well:

• Environment: Dim lights, fewer people talking at you, and feeling safe can help your hormones work better and labor progress more smoothly.
• Position changes: Moving, using the ball, hands-and-knees, and side-lying positions can help baby rotate and descend.
• Realistic flexibility: Go in with preferences, but be open to changing plans if labor stalls, baby is in a tough position, or you are truly overwhelmed.
• Advocacy and communication: Telling your nurse clearly what you want (like not being asked about an epidural every hour) helps the team support you instead of derail you.
• Mental game: Expect that there will be a “this is too much” moment; having coping tools and support ready for that point is huge.

Would you like a quick checklist you can bring to the hospital with these points on it?