The lithotomy position (on your back, knees up) is the most common pushing position… and one of the least pelvic-floor-friendly. Gravity works against you. Your tailbone can’t move. And your pelvic outlet narrows. Birth doesn’t have to be this way. 👉 Side-lying, hands-and-knees, and supported squats all open the pelvis and protect the pelvic floor. What pushing position did YOU use? | Marcy Crouch, PT, DPT, WCS