Despite what you see on television, there are several positions that can be used during labor and child birth. Some doctors prefer the typical in bed position, while others are open to using upright positions during birth. Midwives are generally more open to using a variety of positions.
Upright positions allow gravity to help move the baby through the birth canal. This is said to result in a shorter pushing stage. These positions line up the pelvic bones and the birth canal, helping baby on his journey into the world.
Active birth is a method of child birth where the mother follows her instincts about positioning during labor and birth. You control the process and change positions as needed. You have a more active role in the birth process and follow the urges of your body. You are able to move around freely during birth with only intermittent fetal monitoring.
Some women have a natural instinct to squat during labor and delivery. There is a good reason for this. When you squat, it helps line up the bones of the pelvis to allow the baby to pass through easier. When you are on your back, the baby has to turn to pass through the pelvic bone.
Women who use this position have a lower rate of forceps being used in their deliveries. If you need help squatting, a bar can be attached to the bed. This bar supports you in the squatting position. Ask your doctor or midwife if this option is available where you will be delivering.
Kneeling and the hands and knees position are good for back labor. These positions take the pressure off your back. If you need a back rub, these positions are convenient and more comfortable. I had back labor with my last baby and found this position helped relieve some of the pressure.
Talk to your doctor or midwife about the positions you would like to try during labor. Be sure that he or she is willing to work with you. Some doctors prefer the typical in bed, on your back position with continuous monitoring. Others are more willing to try alternative positions with intermittent monitoring. Discuss this with your provider and include it in your birth plan.