“Do I have to push on my back?” The short answer? Nope. You can push in whatever position feels most comfortable and effective for you. Here are a few things to consider when choosing a pushing position: - Some positions allow for better fetal monitoring - Others may make it easier for your provider to perform emergency maneuvers - Certain positions can offer better perineal support and may help reduce tearing - You can’t be forced into lithotomy (flat on your back) if it doesn’t feel right for