Avoiding the lithotomy position for birthing is a common recommendation among healthcare professionals and advocates for more natural and less intervention-heavy birthing experiences. The lithotomy position is a traditional birthing position where the birthing person lies on their back with their legs in stirrups, raised and supported by healthcare providers.

There are several reasons why the lithotomy position may be discouraged or avoided:

1. Reduced pelvic space: In the lithotomy position, the pelvis is tilted backward, which can reduce the available space for the baby to descend through the birth canal. This may make labor and delivery more challenging and increase the likelihood of interventions such as forceps or vacuum extraction.
2. Increased perineal trauma: The lithotomy position can put more pressure on the perineum (the area between the vagina and anus), potentially leading to increased tearing during delivery.
3. Less effective use of gravity: In this position, gravity doesn't work in favor of the birthing person, as it would in more upright positions, like squatting or standing. Upright positions can help the baby descend more easily and promote a smoother delivery.
4. Blood flow restriction: The lithotomy position can put pressure on major blood vessels, potentially reducing blood flow to the baby and increasing the risk of complications.
5. Discomfort and loss of control: Many birthing people find the lithotomy position uncomfortable and may feel a loss of control during labor and delivery.

Instead of the lithotomy position, try these:

• Side-lying position: Lying on the side can be more comfortable during rest and relaxation between contractions. Use a peanutball between your legs and have your top heel facing the ceiling. This will help with internal rotation of your hips which will allow your pelvis to create more space for the baby to exit. External rotation (heels in) will narrow that space during the birthing process. So remember heels out-->baby out!
• Upright positions: Standing, walking, squatting, or leaning on a birthing ball can take advantage of gravity and facilitate the baby's descent.
• Hands and knees position: Being on hands and knees can relieve pressure on the back and provide more space for the baby to move through the birth canal. Again, remember heels out baby out!
• Reclining or semi-reclining: A supported reclining or semi-reclining position can be useful during the pushing stage.

Remember to

Keep moving during labor to help with baby descending down and speeding up the process. 

Only push when you have the urge to push! Save your energy. your body's natural Fetal Ejection Reflex will let you know when it is time to push! Similar to when you have an urge to poop.

Exhale your baby out instead of pushing your baby out. Open your mouth with the exhale, hug your baby and soften your pelvic floor.