Counter Pressure: Mama Nurse Tina’s Magic Sauce for Labor Pain
There’s one comfort measure I’ve never had a patient tell me to stop doing: counter pressure.
Yep, it’s that good. Let’s talk about why counter pressure works and how to do it.
What Is Counter Pressure?
It’s a steady, strong push on specific spots during contractions, usually on the sacrum or hips. It relieves back labor (especially if baby’s sunny side up), decreases ligament tension, and distracts your brain from the big contraction pain.
Techniques to Try
Sacral Pressure:
Heel of your hand on the sacrum (that triangle bone at the base of your spine).
Push straight in during contractions.
Double Hip Squeeze:
Hands on the sides of the hips, squeeze inward.
Opens the pelvic outlet and gives instant relief.
Knee Push (Transition Helper):
Done sitting, semi-reclined, or even on the toilet (aka “dilation station”).
Pushes knees in slightly, loosening ligaments.
Cook Counter Pressure (for pushing):
Two fists or palms on the sitz bones.
Gives you a target to push into while helping baby descend.
Why It Works
Gate control theory: good stimuli block bad pain.
Distraction: someone’s literally pushing on you, and it feels amazing.
Pelvis opening: more space = easier descent.
Wrap-Up
Counter pressure is free, effective, and universally loved. Teach your partner, doula, or nurse — you’ll be glad you did. Want more labor tips? Follow me on YouTube for my full library of guides.