Maternal Newborn Review Practice Exam 2025 – Complete Exam Prep

During the second stage of labor, the recommended position for a mother is the upright position. This position is beneficial because it utilizes gravity to assist in the descent of the baby through the birth canal, which can enhance the efficiency of uterine contractions and facilitate the overall progress of labor.

In the upright position, whether that be standing, walking, or squatting, the pelvis can open wider, potentially allowing for an easier passage for the baby. Additionally, this position can encourage better fetal positioning and can help reduce labor discomfort for the mother.

The other positions, such as supine, may hinder the natural flow of labor by increasing pressure on major blood vessels, leading to decreased oxygen to both the mother and the fetus. The side-lying position, while sometimes beneficial for specific medical conditions, does not utilize gravity to the same extent as the upright position does. Sitting can provide some benefits, but it often does not allow for the same level of freedom and assistance from gravity as standing or squatting. Therefore, the upright position is optimal during the second stage of labor, promoting better outcomes for both mother and baby.