Nearly 200 mothers were randomly assigned to two groups in this study; those who used a squatting position for birth and those who were on their back with their feet in stirrups (also called lithotomy.)
Results were not surprising. 7% of the mother in the supine/lithotomy group had extensions beyond an episiotomy. 9% of the mothers in the supine group had second or third degree tears, while there were no second or third degree tears in the squatting group. There were no differences between the two groups in the baby's heart rate, apgar scores or risk of neonatal resuscitation.
Mothers on other countries should discuss their options for pushing positions and/or reducing tears with their provider as soon as possible in their pregnancy.
Brenda