Abstract
ABSTRACT: The recumbent positions for labor and lithotomy position for birth serve the needs of the attendant rather than the needs of the woman and fetus. Various upright positions have been chosen for birth in most cultures. The advantages of upright and ambulant positions, with full mobility during labor, include avoidance of supine hypotension, aortic and uterine artery compression, cord compression FHR patterns, and inefficient contractions which are more painful. A birth stool or chair allows mothers to push more effectively and to use the great elasticity of the pelvis during delivery.
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