If you are experiencing anxiety about childbirth, you are not alone. Feeling worried and anxious about childbirth is commonplace. Women have heard so many horror stories and anticipate that the pain is going to be impossible to bear. But if that were true, we’d all be only children with no siblings. See what steps you can take to banish that fear, worry, and apprehension.

See yourself facing your labor with confidence, determination, and belief in your own power.

Signs and Symptoms of Anxiety During Pregnancy:

  1. Feel worried when thinking about the baby, or the impending childbirth experience
  2. Anxiety and trepidation seem to never leave you
  3. You may be more irritable than usual
  4. You have persistent thoughts and they just seem to not go away, or come back again and again
  5. Panic attacks are a common experience for you
  6. You have constant muscle tension from all the worry and stress
  7. You have trouble falling asleep and/or staying asleep

Just last week, I met an expecting couple on one of the labor and delivery hospital tours I give. After the tour, we were chatting and the husband revealed his wife has a lot of anxiety about childbirth. So, I asked, “Have you taken your childbirth class?”  Her answer was no. She explained that she was so afraid of it, that she didn’t do anything about scheduling a class.

Her husband said,” Is there a class online we can do?”

“Tokophobia” – Fear of Childbirth

“Never Take an E-Childbirth Class unless you have no other choice” was my reply. You might just as well go down the “Google Rabbit Hole” searching for all the wrong things about childbirth, learning nothing while increasing your anxiety. 

I need to clarify this because I teach a Hybrid version of a childbirth class – meaning some students are online and others are in person at the same time.  But it’s a live, interactive class.  When a class is live with a real, live teacher it’s a completely different experience compared to an “e-class”.

“Liza made it fun and engaging and it never felt like 2.5 hours of Zoom time. She has the perfect combo of positive energy, humor, and knowledge to lead. I loved learning about the birthing process from pregnancy to postpartum. It was fascinating and inspiring to learn and see what a woman’s body can do. I loved taking the time each week to come together as a couple to learn how to give birth to our baby. Liza made the class very interactive.”

You can learn so much more by being with other couples and having a live class with a childbirth educator.  Connecting with other women and couples is so valuable. You often find you are not the only one feeling like you do.

It’s so comforting to know you are not alone. You can all learn and grow together. After both my Bradley Method classes and my hospital childbirth classes, I hear, “I can’t believe how much we learned. Thank you so much!” It’s so rewarding to know that couples can benefit from the information I am privileged to share.

That River Called “Denial”

The River of Denial

Think about this possible situation. You’re so fearful about giving birth that you just go into full denial. Do you ignore the fact that your baby is eventually going to need to come out? How will you know what to do when the time comes?

If you just leave everything to the doctors, is that really your best choice? Does that absolve you of all responsibility in the decisions that are made concerning you and your baby?

All decisions need to be made, by both, informed parents, and the doctor together as a team. In order to be part of the decision-making process, you need to know all of your options – before labor begins.

If You Ignore a Problem, Does the Problem Just Go Away?

Well, what do you think? Are you the “Queen of Denial”?  What happens when you don’t take the time to be informed or prepared? Without educating yourself, a labor and birth experience can be negative.

Birth doesn’t have to be that way!

All that stress sends a message to your baby that you are in a dangerous situation.  These stress hormones can hinder any progress you will make and your baby will be under duress which could lead to an unplanned Cesarean. A Cesarean is a lifesaving technique and should only be used when truly necessary.

What Kind of Birth Experience Do You Want for You and Your Baby?

Feeling anxious, frightened, and scared of labor is totally normal. But those feelings are based mainly on what you DON’T know, and erroneous(false) information you’ve heard from others. Our society has conditioned us to think of labor and birth as a dangerous, scary, and excruciatingly painful experience. But everything you THINK you know about childbirth is probably based on drama, false information, and NOT reality.

In fact, childbirth is an inherently safe, normal, natural physiological process. Many of my students are shocked and surprised to hear that childbirth CAN BE an amazingly positive and empowering experience. It can also be the opposite of that if you don’t take time to prepare yourself, your body, mind, and spirit.

7 Steps to Banish Your Anxiety About Childbirth?

1.  Understanding the Source

Write down any possible triggers. You may have past trauma from another birth, or experiences from past events, like rape, abuse, miscarriage, stillbirth, or anything, not even related to birth. Many women who have had anxiety in the past, in general, may experience it again when anticipating the birth of their child.

Simply understanding the source of your fear or anxiety can be the first step to learning how to deal with it and get power over it. To quote a mentor of mine: “Here’s a good analogy…let’s say you’re driving your car and a red warning light comes on. It would be silly to get mad at the sensor, foolish to try and cover it up, or worse, ignore it, thinking it will disappear. The warning light is not the problem that represents our emotions. The blinking light(anxiety) is just getting our attention and signaling a problem with the unseen processing going on in our minds (thoughts). If that warning light(emotions) goes unchecked, it will cause our body to break down.

That anxiety you’re experiencing is your intuition’s red light. It’s your warning that you need to do something to prepare and deal with this anxiety.

2.  Cognitive Therapy

For many women, talking to a professional, licensed therapist will be the best way to get power over their fears. These fears can affect you in many ways, both emotionally and physically. Sometimes things we need to deal with head-on can negatively affect our health. Your body/mind will break down if you don’t deal with whatever is causing you anxiety. Think of it as healing yourself so that you can be the best mom possible. And try to remember, “There is no such thing as a perfect mother, but there are a million ways to be a good one.”

3.  Knowledge is Power

The second thing to do is to sign up for a childbirth preparation class. There are so many choices:

  • The Bradley Method
  • Birth Bootcamp
  • International Childbirth Education Association
  • Lamaze
  • Birthing from Within
  • Hypno-babies
  • Hypnobirthing
  • Your local hospitals usually have classes

When you get a clear picture of exactly what is

Testing the Dads/Coaches to see if they know the emotional and physiological signs of labor

happening in your body and why you’ll have a better understanding of the process and less fear and less anxiety. You may even be able to visualize, in a positive way, the journey you and your baby are on.

Having knowledge about the process itself can reduce your fears and give you an idea of what to expect. Often, people have anxiety because of fear of the unknown. Even the simplest, seemingly benign, new experiences can induce anxiety if you’re not sure what to expect.

4.  What to Look for in a Childbirth Preparation Class

A good childbirth class should teach you about many aspects of pregnancy, labor, and birth. Below are a few of the essentials:

Nutrition for Pregnancy

Pregnancy Nutrition is so important in growing a healthy baby and avoiding common pregnancy complications. You need 80-100 grams of protein daily during your 2nd-3rd trimester, yet you only need 300 extra calories daily. It is never too late to start. Having good nutrition during pregnancy has been shown to grow a healthy baby and can benefit your labor outcome.

The Stages of Labor

You should learn about all 4 stages of labor, what happens to your body physiologically, and emotionally, and what to expect from contractions. One can most often tell where a woman is in labor just by the things she is doing, the sounds she is making, and the physical sensations she is experiencing.


Many people are surprised that going through labor actually benefits your baby.  According to Dr. Sarah J Buckley:

“Basically, what it boils down to is that the stress of labor is good stress. As the mother labors her body produces hormones to help her deal with pain. As she does this her baby’s adrenal glands are stimulated, and they begin to produce high levels of catecholamines or stress hormones. The catecholamines are the same ones that everyone’s bodies produce in the flight or fight response to a life-threatening situation or stressful event. This fetal stress response is designed to help the baby make the transition to life outside the uterus. Here is how it helps specifically:

    • Helps baby breathe. The hormones produced increase the levels of surfactant that are secreted, this helps the newborn keep their lungs expanded. As it keeps the lungs open it helps the baby to clear amniotic fluid from his or her lungs.
    • Increases blood flow to the baby. Stress hormones help send more blood to the baby’s brain, heart, and kidneys
    • Increases energy supply to the baby. This is what keeps the baby satisfied until breast milk comes in.
    • Facilitates bonding. That alertness your newborn has is directly related to these hormones. A more alert baby draws parents in and he or she is more responsive to parents and others.
    • Increases immunity. White blood cell numbers are increased as the adrenal hormones are secreted.”

 Positions and Comfort Techniques

Learning all of the positions and comfort techniques is imperative. These positions and techniques can help you experience less pain and help your labor progress faster.

Relaxation Techniques and Lots of Relaxation Practice

Every class should teach you relaxation techniques and should require you to practice both in class and at home. Learning relaxation and mindfulness techniques is crucial to being able to relax and decrease pain in labor.

Take the time to research childbirth classes. Find a method that resonates with you.

5.  Make a Plan

Imagine planning a trip, or a vacation. Would you just get in the car and start driving without any kind of a plan, looking at a map, deciding where you’re going to stay, or how you’ll spend your days?


You’d take the time to learn about where you’re going. What sights are there to see? What activities are available? Where will you stay, eat, etc.? Planning is the key to successfully doing anything. That includes pregnancy and childbirth too! Having a plan doesn’t guarantee you’ll follow it “to a T”, but it gives you a goal, a guide, and an intention.

“A garden requires patient labor and attention. Plants do not grow merely to satisfy ambitions or to fulfill good intentions. They thrive because someone expended effort on them.” Liberty Hyde Bailey

Expend effort on preparing for the best possible birth experience for yourself and your baby by learning as much as you can.

6.  Hire a Doula

Research shows a doula’s presence facilitates:

  • 25% reduction in length of labor;
  • 60% reduction in epidural requests;
  • 30% reduction in analgesia use;
  • 50% reduction in cesarean rate;
  • 40% reduction in Pitocin use.

You can also spend time discussing with your doula your fears and anxiety. She may have the education, knowledge, and empathy to help you move through them. See how to hire a doula and where to find one.

7.  Find a Release for Your Stress

This can be exercising. One of the best ways is to practice prenatal yoga. Try my FREE 25-minute class.

I recently received this email, below, from a woman who practiced “with me” during her pregnancy 9 years ago. 

“Hi, Liza,

I just wanted to express my gratitude to you!

Though we’ve never met, you made a very important impact on my life. Nine years ago, when I was expecting my son, I discovered your prenatal yoga class on yogadownload.com. I loooooved your gentle, soothing voice and felt like I could trust you to guide me through a beautiful but frightening time of (literal!) growth. 

And you did! 

With no mother, sister, or another close friend I could lean on for support and wisdom during this time, I tethered myself to your soothing voice. I practiced your class almost daily and brought you with me on my iPod to the delivery room. I stayed so centered and calm with your help. 

The nurse said she’d never seen anyone giggle a baby out before! 

Now I’m the luckiest mother alive, with a really great kid you helped me bring into the world. I’m even exploring the possibility that I may, too, become a prenatal yoga teacher.

Thank you, Liza! You are loved and appreciated. Let your light shine!”

Kellie R.

You can do any kind of exercise – walking, running, yoga, biking, classes at a gym, or online. Or find a hobby that relaxes you, maybe something you can do with others. Practice mindfulness techniques. Head Space and Calm are free mindfulness apps. 

8.  Express Yourself by Journaling

Sometimes just getting your thoughts and feelings on paper can empty your mind of all that chatter. In yoga that mind chatter is called “Monkey Chatter” or Chitta Vritti. Also make a list of things that have you worried, or questions on your mind. Bring them to your prenatal appointments to ask your doctor or midwife.

9.  Explore all of Your Options

Knowing what all the possible options are can give you the courage and determination to have power over these fears. You can do it! You just might surprise yourself!