The Hidden Curveball of Labor: Exhaustion

Colleen Murtha Photography

The Part of Labor Prep No One Talks About

Protecting your energy can shape your entire birth experience. When most people prepare for labor, they picture contractions, breathing techniques, birth positions, and maybe even that triumphant “I did it!” moment. What rarely gets the spotlight?
Exhaustion.

Not the “I stayed up too late watching Netflix” kind of tired.

I’m talking about the deep, bone-level fatigue that hits after hours (and sometimes days) of early labor. The kind of tired that fogs your thinking, blurs your confidence, and makes even the most determined birthing person start questioning everything.

Here’s the truth I wish more people heard during pregnancy:
Exhaustion is the quiet force in labor that nobody really talks about — and it can change everything.

Birth plans rarely mention it. Books gloss past it. Many birth classes don’t touch it.

But in the labor room? Ohhh, it’s real. And it’s powerful.

As a doula, I’ve seen exhaustion influence decision-making more than pain has way more often than you’d think.

Colleen Murtha Photography

Why Exhaustion Matters More Than You Think

In labor, your energy is as valuable as your contractions. When fatigue hits, everything becomes harder.

  • It’s harder to think clearly.

  • It’s harder to make decisions.

  • It’s harder to stick to the birth wishes you carefully crafted.

  • It’s harder to trust yourself.

  • It’s harder to see the finish line.

And that foggy haze opens the door for self-doubt to sneak right in.

People often imagine labor as a physical event, and of course, it is, but it’s also profoundly mental and emotional. When exhaustion builds, emotions spike, clarity fades, and suddenly the birth you hoped for starts feeling out of reach.

I’ve supported countless clients who look at me in those moments and say some version of:
“I’m so tired… I can’t do this anymore.”

Not because they’ve reached their pain threshold, but because their energy has hit empty.

3 AM Decisions Hit Different Than 3 PM Decisions

There’s a reason the overnight hours hold a special kind of power.

At 3 PM, people are optimistic. Hopeful. Motivated.
At 3 AM, after hours of contractions and no real sleep? Things feel… different.

I’ve watched the most resolute, “I want an unmedicated birth” clients reach a point where the only thing they want is a nap — a true, deep rest — and the epidural becomes the fastest ticket to that rest.

Not because medication wasn’t part of their wishes, but because exhaustion reshaped those wishes.

And here’s the thing: That’s not failure.

It’s knowing your body needs to power down so it can power back up.

When Rest Becomes the Most Powerful “Intervention”

The cultural narrative around labor often pushes the idea that we must keep going, keep moving, keep “working,” keep pushing through. Rest somehow gets labeled as passive, like it’s not helping.

But rest is productive. Rest is strategy. Rest is physiological fuel.

And sometimes? Rest is the very thing that allows you to avoid other interventions later.

Here’s what I often remind my clients, even the gung-ho unmedicated folks:

Sometimes the most powerful choice you can make in labor isn’t more movement, more effort, or more intensity. It’s rest.

And sometimes, the tool that gets you that rest is an epidural.

Not because your birth plan “fell apart”, or because you weren’t strong enough, or because you “gave in.” But because you made a wise, informed, self-honoring decision.

I have absolutely had the hard conversation with clients — the ones who were 100% committed to going unmedicated — about the reality that their wishes might need to shift in the name of preserving their energy.

Because pushing on empty is miserable.
Pushing on empty is less effective.
Pushing on empty makes you feel defeated before you even get to the pushing stage.

A quick 20–30 minute nap can change the entire trajectory of a labor. Two hours of sleep can sometimes transform it.

Colleen Murtha Photography

The Role of Rest Through Every Stage of Labor

Let’s break it down stage by stage, because rest is not just a “nice to have” — it’s a key ingredient.

Early Labor: Rest Like It’s Your Full-Time Job

If you’re in early labor, this is your chance to bank energy. You don’t win any medals for pacing the living room at 1 cm. Please. For the love of all things holy, go lie down.

Eat. Drink. Nap. Watch something comforting. Protecting your energy in early labor is like charging your phone before a long hike. Start at 100%. It matters. This is where my clients with the hardest labors almost always say, “I should’ve rested more.”

Active Labor: Breaks Between Contractions Are Gold

That pause between contractions? It’s not empty space. It’s your body storing energy, regulating hormones, and preparing for the next surge.

Those tiny pockets of rest matter — even 30 seconds at a time. And you are allowed to take them.

Transition: The Deepest, Most Intense Work

This is the moment when everything feels impossible — physically and emotionally. But even now, the micro-rests help.

Shoulders down. Jaw loose. Breath steady. Let your body sink into the in-between.

You’re not being lazy. You’re being efficient. You’re saving strength for what’s next.

Pushing: Rest Between Each Push

Big secret nobody seems to teach?

You are NOT supposed to push nonstop.

Your body gives you breaks on purpose. Use them. Those moments add up. They matter for your stamina, your baby’s rotation, and your overall experience.

Colleen Murtha Photography

Partners Feel It Too

Exhaustion isn’t just the birthing person’s battle. Partners hit a wall, too.

I’ve seen the fog in their eyes at 4 AM. They’re tired, worried, overstimulated, and trying to be the rock.

And when a partner is exhausted, it affects the atmosphere — their tension, their stress, their indecision, their anxiety.

You both deserve support. You both deserve rest. You both deserve to be held through the long hours of this marathon.

You Can’t Out-Mindset Your Exhaustion

Mindset matters in labor — of course it does. But you can’t simply “power through” days of fatigue.

That’s why preparing for labor isn’t just about comfort measures and breathing patterns. It’s also about strategy.

It’s about knowing when to rest. How to rest. What options support rest. And which interventions are sometimes more helpful than harmful.


This is a huge part of what I teach inside my self-paced online childbirth class,

Your Birth, Your Options: Make Informed Choices with Confidence.


If you want to build a realistic, flexible birth plan that honors your limits and your values, this course was made for you.

Learn more

What You Can Do Now to Prepare for Exhaustion in Labor

Here are practical ways to prepare:

  • Build rest into your birth preferences list. Yes, this can be a line item!

  • Practice resting without guilt during pregnancy. (I see you, productivity-loving pregnant people.)

  • Understand your options for rest-promoting pain management.

  • Learn when an epidural can strategically help rather than detour your birth plan.

  • Talk with your partner about how to protect each other’s energy.

  • Take an evidence-based childbirth class that goes deeper than the basics — one that actually talks about real-life labor logistics like energy management. (Hi, hello, that’s exactly what my online birthing class does.)


You could also join my free newsletter for birth tips designed for people who want actual knowledge, not fluffy clichés.

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Your Strength Isn’t in How Hard You Push

It’s in How Well You Listen to Your Body

The people who have the births they look back on with pride and peace aren’t the ones who muscled through everything. They’re the ones who adapted. The ones who rested. The ones who trusted themselves enough to pause.

Your strength in labor is knowing when your body needs to power down so it can power back up.

And the more you prepare now — physically, mentally, emotionally — the more you’ll recognize that moment when it comes.


Did Exhaustion Play a Role in Your Birth?

I’d genuinely love to know.

Did fatigue surprise you? Did it influence your decisions? Would you prepare differently next time?

Share your story in the comments or send me a message — your insight helps other parents feel less alone.

And if you’re pregnant now, bookmark this post so you can come back to it when you need the reminder:

Rest is not the opposite of progress in labor — it’s part of it.


Ready for the next step?

If this topic resonated with you, here’s where to go next:
👉 Join my free newsletter for monthly pregnancy and birth tips
👉 Take my self-paced online childbirth course, Your Birth, Your Options
👉 Save this post to revisit during labor prep and/or share it with someone who could use these tips

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