Useful positions during the second stage (or the bearing down and delivery phase) of labour
Many women find that being upright feels more natural during the active pushing stage of labour. Upright positions (such as squatting or semi-squatting) may also permit the joints between the pelvic bones to separate more easily - so increasing the overall diameter of the pelvis. It is possible, therefore, that upright positions encourage descent of the baby through the birth canal.
Some people believe that the upright position reduces the need for an episiotomy and an instrumental delivery - although this is by no means certain. If progress in the second stage of labour is slow, then changing to an upright position may be beneficial. Once delivery is imminent, however, you will usually be encouraged to assume a more reclined position to allow a more controlled delivery. Be guided by your doctor or your midwife, because they too may have special requirements during the actual delivery.
Physical support can be best provided by your companion and midwife. Discuss these positions, if you wish, with your doctor or midwife and practise them with your 'support team'.
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