Support your body, your baby, and your pelvic floor in preparation for labor & delivery

Preparing for birth involves more than packing your hospital bag or installing the car seat. One of the most powerful things you can do in the final weeks of pregnancy is to create space, mobility, and balance in your body — especially around the pelvis.

The Miles Circuit is a simple, three-part series of positions designed to help encourage optimal fetal positioning and support a smoother, more efficient labor. When combined with pelvic floor preparation, it becomes a valuable tool for people hoping for a confident, informed birth experience.

Below, you’ll learn what the Miles Circuit is, when to begin, how to use it for birth prep, and why pairing it with pelvic floor physical therapy gives you the best possible foundation for labor.

---

What Is the Miles Circuit?

The Miles Circuit is a sequence created by midwives and birth professionals to help babies find an ideal position in the pelvis. It focuses on:

• Creating space in the pelvis
• Encouraging mobility of the hips and low back
• Balancing soft tissues that may influence baby’s rotation or descent

It includes three main phases:

1. Open Knee–Chest Position – helps lift baby out of the pelvis to allow repositioning
2. Side-Lying Release – lengthens one side of the pelvis at a time
3. Forward-Leaning Inversion + Upright Positions – encourages baby to settle in a more optimal position

While the circuit is often used when labor stalls, it’s equally powerful as a prenatal preparation tool starting around 37 weeks.

---

Why Use the Miles Circuit Before Labor?

Using the Miles Circuit during pregnancy can:

Improve pelvic mobility

Many people develop stiffness or imbalance in the hips, low back, or side body during pregnancy. These positions restore flexibility and space.

Encourage optimal fetal positioning

While no technique can guarantee positioning, the circuit helps reduce muscular restrictions that may limit baby’s movement.

Support a more efficient labor

A baby who is better aligned with the pelvic inlet has an easier time engaging and rotating during labor, potentially shortening total labor time.

Reduce discomfort

Low back pain, hip tension, or pelvic pressure often improve with gentle mobility and positioning work.

---

How to Incorporate the Miles Circuit Into Your Birth Preparation

1. Begin Around 37 Weeks of Pregnancy

This is an ideal time to start because baby is settling into position, but there’s still enough room for movement. Most clients perform the circuit 3–4 times per week, but your pelvic floor physical therapist can personalize this schedule based on your body’s needs.

2. Move Slowly and Mindfully

The goal isn’t to rush through the circuit. Hold each position long enough to allow your muscles and ligaments to relax — generally 10–30 minutes per section, depending on comfort.

3. Pair It With Breathwork

Deep diaphragmatic breathing improves pelvic floor mobility and helps your nervous system shift into a calm, restorative state. This enhances the effectiveness of each position.

4. Use the Circuit Alongside Pelvic Floor Preparation

A pelvic floor therapist can assess:

• Muscle tension contributing to suboptimal fetal positioning
• Asymmetries in the hips or pelvis
• Mobility limitations that make the circuit less effective
• Which modifications your body may need

When the pelvic floor is able to lengthen, relax, and yield, labor typically becomes smoother and more efficient.

5. Don’t Wait for Labor to Start Trying It

Practicing the positions in advance allows you to:

• Learn what feels comfortable
• Build familiarity with the sequence
• Feel confident using it during early labor (or even before heading to your birth location)

---

Pair the Miles Circuit With Professional Birth Preparation

If you want personalized guidance for your body, pelvic floor therapy is one of the most effective ways to prepare for a supported, empowered birth experience. At our pelvic floor therapy practice in Cedar Park, Georgetown, and Belton, Texas, we help clients understand how to prepare their pelvic floor, improve mobility, and use tools like the Miles Circuit safely and effectively.

For clients across the state, we also offer virtual sessions in Texas, making expert birth preparation accessible from anywhere.

---

Ready to Prepare Your Body for Birth?

Schedule a Birth Preparation Appointment — Get one-on-one support, pelvic floor assessment, and a customized plan that may include the Miles Circuit, perineal prep, mobility work, and more.

Or start immediately with the Release for Labor Program — A guided series you can begin around 34 weeks to prepare your body and pelvic floor for a smoother, more supported birth experience.

Your body was designed for birth.
Let’s help it feel ready.