The Birthing Position, An Effective Position For Natural Childbirth

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Birthing Position, which is Best?
Per the article by Dekker, What is the Evidence for Pushing Position, “Most women in the U.S. give birth either lying on their backs (57%) or in the semi-sitting/ lying position with the head of the bed raised up (35%). A small minority of women give birth in alternative positions such as side lying (4%), squatting or sitting (3%), or hand-knees position (1%).” During the second stage of labor, the recumbent position, in which the patient is lying on their back with the hips and knees flexed, has been the ‘gold standard’ position used in the hospital setting. Is the recumbent position the most effective position for natural childbirth, or are alternative birthing positions being overlooked and something to be considered for better outcomes? Could an alternative position be a better method for natural childbirth and aid in the reduction of complications?
Current Research
In trying to understand the various positions, we must look first at the most widely used position, the recumbent position. This position complicates the natural direction for the fetus to travel. It tilts the pelvis upward, creating a flexed position. The mother is then forced to push against gravity. The position promotes a flexed position and smaller pelvic outlet putting direct pressure on the tailbone and can compresses the femoral nerve. Per data on birthing positions from pregnancy.org, there are no advantages to the recumbent/lithotomy position and only lists
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