Delivery on the hands and knees: A case study approach

Abstract

This article uses a case study approach to describe two deliveries on the hands and knees. This alternative birthing position is suggested as a means of preserving the perineal floor at the time of delivery. Explicit instruction in the conduct of a hands and knees delivery position is offered. Both advantages and disadvantages of this birth position are outlined. The primary advantage of preserving the perineum may come at the expense of the vulvar structures. Further study is urged on the use of alternative birthing positions and their effect on the birthing process.