On the holy path of pregnancy and birth, breathing transforms from a physiological event to an entire process—it is a companion, a balance, and a holy rhythm that can support a woman through the labor waves. Breathwork or pranayama is a vital means in prenatal yoga, particularly for labor and delivery preparation. A woman’s breathing could powerfully impact her mind state, perception of pain, and even labor advancement.
This chapter discusses several breathing methods that can be practiced safely and efficiently throughout pregnancy and applied during labor. It blends yogic wisdom and scientific know-how to present a complete strategy for breathwork preparation for birth.
There is extreme physical strain and emotional tension experienced by the body during labor. The pain and fear may overstimulate the sympathetic nervous system (fight or flight) and contribute to shallow breathing, tension, and reduction in uterine and baby oxygenation. This can prolong labor and complicate it.
On the other hand, when a woman breathes rhythmically and deeply, the parasympathetic nervous system is triggered, which induces calmness, efficiency of the uterus, and improved oxygenation. The body is able to release natural pain-reducing hormones such as endorphins and oxytocin, and labor progresses.
Relax the nervous system
Turn the mind inward
Let go of fear and tension
Increase oxygenation to mother and baby
Improve body awareness between contractions
Use: Early labor and between contractions
How: Breathe in slowly through the nose, into the belly, ribs, and chest. Breathe out slowly and fully.
Benefits: Brings stability to the mind, eases anxiety, enhances oxygenation, and helps conserve energy.
Modification in Asana:
Sit in Sukhasana (Easy Pose) or Supported Virasana with a cushion under the hips.
Rest in Supta Baddha Konasana with bolsters and props if reclining is more comfortable.
Apply: Transition phase and active labor when increased intensity occurs
Do: Breathe in and out through the nose with a subtle constriction at the throat’s back, generating a soft ocean sound.
Benefits: Resists strong sensation, stays focused, and remains calm in mind during contractions.
Tip: Prevent forceful Ujjayi; rather, make it soft and calming.
Apply: Contractions or pushing
How: Breathe in calmly and out through pursed lips as if blowing a slow-burning candle.
Benefits: Promotes long, slow exhales that release tension and manage panic. It’s very good for pain control and energy conservation.
Integration with Movement:
Practice during Cat-Cow Pose or gentle pelvic tilts.
Use during Supported Child’s Pose to stay anchored to breath and body.
Use: When mind is racing
How: Breathe in to a 4 or 5 count, or the same or one-second longer.
Benefits: Introduces rhythm, foreknowledge, and mastery, particularly when fear is present.
Tip: Employ mental counting or hum mentally with the exhalation for extra grounding.
Use: Between contractions or during early labor
How: Breathe in deep and exhale making a soft humming sound (similar to a bee).
Benefits: Calms the nervous system, vibrates head and chest, and relaxes anxiety. Also gently opens the throat, which is energetically linked with the cervix according to yoga psychology.
This pose is good for relaxing the belly and settling into the breath. Place a bolster under the chest for increased comfort during later pregnancy.
Supports open hips and relaxation. Rest the upper body on pillows and release long exhalations.
Ideal for working on breath in late pregnancy or early labor. A pillow under the belly and between the legs supports comfort while still being able to relax deeply.
Labor positions like squatting, hands-and-knees, or supported leaning can be combined with breathing techniques to enhance their effectiveness. Breath is the connecting link between movement and stillness, physical challenge and inner calm.
Ultimately, breathwork isn’t so much about steps—it’s about awareness. A mother who is connected to her breath is connected to her baby, her body, and her inner wisdom. Even when birth doesn’t go according to plan, the breath is a familiar ally.
Breath is a holy companion during the birthing experience. It is free, needs no equipment, and is always within reach. In a hospital, birthing center, or at home, having access to being able to stay present in the breath can be a difference maker in the way a woman labors. Educating expectant mothers with these practices gives them the power to approach childbirth with more confidence, strength, and elegance.
Let each breath be a step into trust, into surrender, and into the sacred passage of bringing life into the world.