@dlm_app: Replying to @Liza Dichiera Walcher’s Position with an epidural? Yes — and here’s exactly how I do it safely at the bedside. As a labor and delivery nurse, I use Walcher’s to help create space at the pelvic inlet, especially when baby is high and not well engaged. Even with an epidural, you can position intentionally and support the legs in a way that protects the patient and maintains alignment. I’ve done this many times and have never had an issue using this approach because I’m mindful of hip support, epidural lines, and patient stability. This clip is straight from The DLM App — the app I developed for nurses and birth workers who haven’t been able to attend a full Dysfunctional Labor Maneuvers workshop. (available online 🔗 in bio ) It walks you step-by-step through exactly how to perform these maneuvers clearly and confidently at the bedside. Right now it’s available on Apple iOS, and a new platform is in progress — stay tuned. If you want a preceptor in your pocket when managing stalled labor, the DOM App is it. #LaborAndDeliveryNurses #DysfunctionalLaborManeuvers #WalchersPosition #NewLaborNurse #NurseEducators

Marya | L&D Nurse
Marya | L&D Nurse
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Region: US
Wednesday 18 February 2026 02:54:10 GMT
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rhiannon790
rhiannon :
My managers would take a STROKE if they walked in and my epidural patient was lying like this 😅
2026-02-19 18:10:41
275
noneyajay
AlphaJ :
Funny enough… I did this position myself towards the end of my pregnancy not knowing it helped spinned them, solely because it felt amazing, like scratching an insane itch. Needless to say, my babies both came out within 30 mins of active pushing. 2 pushes for my first, 5 pushes for my second.
2026-05-15 02:19:34
328
faitlin_crazierr
caitlin | SAHM :
They did this with me and it got me from 4cm to 8-9cm in 2 hours after being in L&D all night admitted with no change
2026-05-28 17:39:16
183
lucy_ray23
lucy_ray23 :
Thinking about doing this while pregnant makes me wanna throw up😩
2026-05-16 02:32:38
82
mariana_igoe
Mariana_igoe :
And then hold your breath for that decel 🤪🤪🤪
2026-02-18 04:13:06
162
kaedotmone
Kel-Sei Dinkins :
How long do you stay in this position? Just curious
2026-05-29 02:22:51
8
dasbustravel
😇888 🍀 :
This is what I wanted when i was stuck at 9cm dang it and the nurse says you can’t you have epidural I was still pissed when thinking I ended csection after I have my first twins and singleton vaginally and ended cs in my 3rd pregnancy 😩😩
2026-04-20 01:30:49
9
binky8031
Laugh&Love :
How do you prevent a BP dump from decr venous return when pt is supine like this? Do you wedge their hip to one side at all? Especially after an epidural….(retired L&D RN here).
2026-06-17 05:38:37
2
jaybanks90
Jay Banks :
I laid sideways in a flying cowgirl position the last few days prior to going into labor and had a one hour 20 minute labor.
2026-05-29 02:44:40
5
jennymorrow228
Jenny Morrow :
I need to learn how to spin babies! I am new to labor and delivery and I feel like I’m failing my primes I keep getting stalled labors 🥺
2026-02-18 22:35:05
15
mediocre_mom_
Mediocre Mom :
Can personally attest that this works 😉 This was the final boss move for baby #3
2026-02-18 22:15:58
8
heatherhester912
heatherhester912 :
how long do they stay in this position?
2026-06-17 09:26:11
1
mikaylaryan1135
mikayla_ryan :
extra tip: move the bed away from the wall a little and take a flat sheet and wrap under upper back and up under armpits and have support person stand at top of bed and hold on to the sheet to help support them and prevent them from ending up on the ground!
2026-02-18 12:10:01
10
nursegyrl83
Nursegyrl83 :
Bc my patients are extra, I do a sort of modified Walchers with the lower part of the bed still attached, but lowered completely. I place a wedge or pillow wedge behind her back. When I tell you those little babies coming descending down. I love Spinning Babies!!
2026-02-18 20:02:39
40
caitbeeboppin
Cait :
How long do you do this position for?
2026-05-05 14:22:47
6
devonmichelee
devon michele :
what station is this good for??
2026-05-29 18:04:30
1
whatbethreads_
Beth📚🪩🌷| BOOKTOK :
I’m a uk student midwife, what is this for as I’ve never seen it used over here!
2026-02-19 15:43:53
3
sweeetie.ki
sweeetie.ki :
At my last facility, we weren’t allowed to do this without a physician present! So I just did a froggie watcher’s position
2026-02-19 11:17:02
8
devonmichelee
devon michele :
thank you!
2026-05-29 18:04:17
1
hannah_hunny1
Hannah Eveland :
Omg this position was so painful, they were trying to get my baby’s head to turn, no epidural
2026-05-16 11:44:43
3
zoewellness
0005757123074 :
what if it's a drug free natural birth can they still do it?
2026-05-16 22:29:13
1
ameliabradley22
Amelia 🎃👻🌻🐻🤎 :
student midwife in the UK here - can I ask how you prevent suppression of the vena cava in this position? 🩷
2026-02-20 18:11:30
2
rebekahheiland
Rebekah Heiland :
With an epidural I keep the bottom of bed attached just lowered and airplane the stirrups out to the side so there’s a gap for their legs but if they slide forward they will land on the middle of the bed that’s lowered all of the way!
2026-02-18 17:40:42
4
that.tall.nurse
Tay :
I can’t find the app 😭
2026-02-19 03:03:02
1
indi10807
𝐈𝐧𝐝𝐢𝟒𝟕 :
Were does it go
2026-02-20 16:47:41
1
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