How to Advocate for Yourself in Labor (From an L&D Nurse Who’s Seen Both Sides)

4/18/20263 min read

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This content is for informational purposes only and is not medical advice. Always consult your healthcare provider.

Most moms aren’t afraid of labor… they’re afraid of feeling out of control.

And honestly? That fear makes sense.

Because as a Labor & Delivery nurse of 11+ years, I’ve seen both sides:

what’s happening medically

and what it feels like as a patient

And the biggest difference I see?

It’s not pain tolerance.
It’s not birth plan vs. no plan.

👉 It’s whether a mom feels like she understands what’s happening—or feels like things are happening to her.

Why advocating for yourself feels so hard in labor

No one talks about this part enough.

You’re:

in pain

exhausted

emotional

and being asked questions you weren’t expecting

And in that moment… it’s hard to process everything.

Even though you can ask questions and be involved in decisions, many moms feel like there’s no time—or don’t realize they can pause and ask for clarity

That’s where the overwhelm comes from.

Advocacy doesn’t mean arguing

This is important.

Advocating for yourself doesn’t mean:

saying no to everything

questioning every single recommendation

or going against your provider

It means:

👉 understanding what’s happening
👉 asking questions
👉 and feeling like you’re part of the decision

This is the part no one prepares you for

Because no one gives you a script.

No one tells you:

what to say

how to respond

or what questions actually matter in the moment

And that’s usually when things start moving quickly.

👉 If you want something that walks you through exactly what to expect and what to say in these moments, I put everything into one place:

Get my Induction + C-Section Prep Bundle here

What advocating actually looks like in real life

It’s not complicated—but it does take awareness.

1. Asking for clarification

If something is recommended, you can say:

“Can you explain why this is being recommended?”

“What are the risks and benefits?”

“Are there other options?”

There’s even a simple framework providers use called BRAIN:

Benefits

Risks

Alternatives

Intuition

Nothing (what happens if we wait)

You don’t need to memorize it—but knowing this exists changes how you respond.

2. Asking for a moment

Not every decision in labor is an emergency.

And if it’s not, you can ask:

👉 “Can I have a few minutes to think about this?”

Even a short pause can help you:

process the information

talk to your partner

and feel more confident in your decision

3. Communicating your preferences clearly

Simple is best in labor.

Things like:

“I’d like to try changing positions first”

“I’d prefer to wait if it’s safe”

“Can you walk me through what happens next?”

Clear, calm communication helps your team understand what matters to you.

This is where most moms struggle

Not because they don’t care…

But because:

they didn’t know what to ask

they didn’t realize they had options

and they were trying to figure it out in real time

This is where I see the most overwhelm happen.

👉 And if you want this laid out in a simple way you can actually reference, I included:

✔️ a C-section decision checklist
✔️ exact questions to ask in the moment
✔️ a realistic birth plan template that actually works with your care team

Grab the full bundle here

What I tell my patients

You are part of your care team.

You are allowed to:

ask questions

understand what’s happening

and be involved in decisions

And at the same time…

You can still:

trust your providers

stay flexible

and adjust if things change

Because both can exist at the same time.

Advocacy doesn’t mean your birth goes perfectly

Let’s be real for a second.

Things don’t always go according to plan.

But there’s a huge difference between:

👉 feeling like everything happened to you
vs
👉 feeling like you understood and agreed with what was happening

And that’s what advocacy gives you.

Final thoughts

You don’t need to know everything.

But you do need to know:

what questions matter

what your options are

and how to speak up when it counts

Because once labor starts… things can move quickly.

And the more prepared you are ahead of time,
the more confident you’ll feel in the moment.

If you want to walk into labor feeling prepared—not caught off guard—this is exactly why I created this bundle:

👉 Get prepared before your induction here