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Peanut balls are the newest labor and delivery tool, and they’re being used with great success. 

What is a Peanut Ball?

The peanut ball is an exercise or therapy ball that is shaped like a peanut: oblong shaped, larger on each end and slightly narrower in the middle. Peanut balls can be used for a variety of strength training or physical therapy needs as well as by laboring women.

Peanut Ball as a Birth Tool

Peanut balls are the latest birth tool to hit the birthing world. Although they have been around awhile, they are really taking off this year (2014). Andrea Lythgoe, LCCE and doula, in her article for a recent Science and Sensibility article shares,

“The peanut ball is most commonly used when mom needs to remain in the bed, whether because of epidural use, complications, or simply because mom is exhausted” [i]. The peanut ball is placed between the laboring woman’s legs, opening the outlet to her pelvis while she relaxes.

Research on the Peanut Ball

While there is not much research on the Peanut Ball’s use in childbirth, one study offers compelling suggestions that the use of the peanut ball may significantly reduce labor length. According to Tussy and Botsios, “The use of the PB during labor for patient with an epidural, as compared with standard nursing intervention, did significantly reduce the length of labor, without adverse neonatal outcomes” [ii]

How the Peanut Ball is Used

Peanut Balls are typically used two ways primarily:

1. The laboring mother is in a semi reclined position, with one leg over the ball, and the other leg to the side of the ball. The doula, nurse, or other support person pushes the ball as close to the mother’s hips as is tolerable to her. Many feel this position promotes dilation and descent with a well-positioned baby.

2. While the mother is in a side-lying or semi-prone position, the peanut ball is used to lift the upper leg and open the pelvic outlet. Many feel this position helps rotate a baby in a less-favorable posterior position to a more favorable position for delivery.

There are now over 50 peanut ball positions. For the best tool, take a look at The Peanut Ball Book

Instructional Guide

the peanut ball book

Book instructs on

HOW to do the position

Visual Guide

Set of 5 Charts

SHOWS client the position

Meet Your Mentors

Cheri Grant

Cheri Grant


The founder, chief contributor and inspiration for Premier Birth Tools is Cheri Grant RN, ICCE, CLC, ICD, CLD, CD BDT(DONA). Recently, Childbirth Graphics crowned her “The Peanut Ball Lady!” For over 42 years, she has served women as a labor and delivery nurse, childbirth educator, lactation consultant, national speaker, author, doula trainer and doula. She has helped with over 2,786 delivers in the 42 years. Cheri founded DONEOK, a Tulsa Doula community group of doulas that help trained and supported doulas for over 20 years.
Tiffany Graves

Tiffany Graves


Premier Birth Tools owner, Tiffany Graves, is a woman committed to bringing you the premier labor and birth tools you need to succeed in your business. Her vision is to assist you with in giving your clients the best possible birth by providing you with tools, as well as the educational materials you need to utilize them with expertise.
Premier Birth Tools is a subdivision of M&W Productions that sells birth tools and products for Doulas, Clients, Childbirth Educators, Nurses and Midwives. The company M & W Productions has been in existence over 30 years committed to equipping you with excellent resources for your professional needs. We want to excite hospital staff, doulas, midwives and others in taking care of their clients with evidence based educational resources, birth tools, and innovative labor support skills in services and power point. You can find many tools for your business or birth place in our store.

Mission Statement

To provide excellent educational resources for nurses, doulas, doula trainers, childbirth educators, and hospitals so they can provide excellent care to their clients.


To see that every labor and delivery unit at every hospital and birthing center in the United States has a peanut ball and an illustrated positional chart that shows correct positioning in an effort to lower the C-section rate in the United states and to expand these products internationally.