Positions in labour: a plea for flexibility

The authors trace the use of birthing stools and their decline as the recumbent position became the predominant one for giving birth. The advantages of upright positions are summarised, supporting the idea that women should be allowed more flexibility and movement in labour and recommending that birthing stools be reintroduced as an option for delivery. Adequate antenatal preparation in the use of different positions, and encouragement from midwives and obstetricians, will help make childbirth a safer, more collaborative and satisfying experience as recommended by the Winterton Report.