Delivery: Should you be on your back?

Let’s take a deep dive into the topic of should you or should you not deliver your baby while on your back. I want to start by calling out that there are definite times that this may be required; i am by no means saying one should never deliver on their backs. HOWEVER, let’s open the dialogue about what other positions are out there and why they may be a good option.

So, if you aren’t on your back, what positions should you consider? Sidelying, hands and knees and a squat are just a few positions to consider. The biggest point of interest that these positions have in common, is that they do not require mom to push the baby up against gravity in the birth canal in order to then follow a gravity path for the final stage of birthing. 

Why does this matter? When a mother is not pushing the baby against gravity, each push becomes more efficient. If pushing is more efficient, likely the length of time spent pushing will decrease. Another key point to consider, is that the mother’s risk of tearing during delivery is also reduced due to the reduction in pressure. 

From my experience, discussing birthing positions started the day we found out we were pregnant. I suggest discussing this with your significant other as well as provider. They are all there to support you! I’ll be honest, we had some staff involved in our birth that mentioned they weren’t comfortable with birthing in any position other than the traditional back position. I recall my midwife saying, “She will deliver however she is comfortable, and we will support her in doing so!” Let me tell you, this support was incredible! All of my birthing experiences in positions other than on my back, words cannot describe the empowering feeling! Momma, you can do it too!