03/08/2026
Just say NO to delivering on your back!!!The best position for YOU to deliver in is NOT the one your OB wants you to be in.
Hospitals historically used lithotomy because it gives providers the best access to the perineum and birth ca**l.
But research shows this convenience comes at a cost to the birthing person.
Risks & Downsides (What the Evidence Shows)
1. Works Against Gravity
Pushing uphill slows descent and makes contractions feel more painful.
2. Narrows the Pelvic Outlet
Back‑lying positions restrict sacral movement and reduce pelvic space, making birth mechanically harder.
3. Higher Rates of Interventions
Studies show lithotomy is associated with:
More episiotomies
More perineal tears
Higher risk of a**l sphincter injury
Increased likelihood of forceps/vacuum or cesarean
4. More Pain & Longer Labor
A 2016 study found lithotomy increases pain and prolongs the second stage.
5. Reduced Blood Flow
Back‑lying positions can compress major blood vessels, reducing oxygen flow to the baby.