Fact Check: Is Giving Birth On Your Back Against Your Body's Natural Anatomy?

Updated Sep 15, 2025 | 07:00 PM IST

SummaryA US pregnancy coach challenges the belief that small pelvises or big baby heads cause difficult births, pointing instead to the back-lying birth position as the problem. Research confirms that supine births slow labor, restrict pelvic space, and raise intervention risks, while upright, self-directed pushing improves outcomes for mothers and babies.
Fact Check: Is Giving Birth On Your Back Against Your Body's Natural Anatomy?

Credits: Canva

"I may or may not burst some bubbles with this comment, but what if I told you that your pelvis was in fact not too small and or that your baby's head was in fact not too big?" says Amber Grimmett, a US-based Pregnancy and

Postpartum Coach. In her post, she also writes that the position most women give birth in, also called the lithotomy position or lying on your back is "against your body's natural birth mechanics". In a video she posted on her Instagram @fierce.not.fragile, she talks about pelvis and baby's head size, explaining how the birthing position that has been made standard may not be right.

She says that when the mother lies flat on her back with knees wide, her tailbone cannot move freely and the pelvic outlet, the space baby needs to exit, "literally closes off".

This, she says, creates a domino effect. Then comes longer labors, more interventions, and higher risk of pelvic floor dysfunction. "Your body was designed to birth, but not in positions that fight against its natural design," she writes.

What Does Science say?

We did a fact check on her claim and here's what we found.

For most women in the United States today, giving birth means lying on a bed, feet in stirrups, and being told when and how to push. But mounting research, including a 2014 study published in The Journal of Perinatal Education, titled, 'Healthy Birth Practice #5: Avoid Giving Birth on Your Back and Follow Your Body’s Urge to Push' suggests this common practice, known as the supine or lithotomy position—might not actually be the safest or most effective way to bring a baby into the world.

How Birth Ended Up on Its Back

For centuries, women birthed in positions that worked with gravity, standing, squatting, sitting, or even using stools or ropes for leverage. These upright positions made physiological sense: gravity helped the baby descend, shortened labor, and reduced maternal fatigue.

Then came King Louis XIV of France. Fascinated by childbirth, he reportedly preferred to watch his mistresses deliver, and lying flat gave him the best view. The practice caught on among European aristocracy and eventually spread widely.

By the early 1900s, births had largely moved from homes to hospitals. Doctors saw childbirth less as a natural process and more as a medical procedure. Putting women on their backs gave physicians easier access for interventions such as forceps delivery, anesthesia, and continuous fetal monitoring. Convenience for the doctor—not necessarily benefit for the mother or baby, became the standard.

The Problem with the Supine Position

Research over the past three decades has consistently shown that giving birth lying flat has no clear benefits for either mother or baby. In fact, there are multiple disadvantages:

  • Longer Labor: When women lie flat, the baby must work against gravity, which can slow descent.
  • Narrower Pelvis: The supine position can actually reduce pelvic diameter, making delivery more difficult.
  • Increased Risk of Interventions: Supine births are linked with more use of forceps, vacuum deliveries, and episiotomies.
  • Reduced Blood Flow: Lying on the back can compress major blood vessels behind the uterus, reducing blood flow to the baby.
  • More Perineal Trauma: Directed, forceful pushing while on the back is associated with more tears and a weakened pelvic floor, raising the risk of urinary incontinence later.

Despite this, U.S. survey data shows that nearly 70% of births still happen in supine or lithotomy positions, with fewer than 10% of women using traditional squatting, standing, or side-lying positions.

The Case for Upright and Spontaneous Pushing

Standing, kneeling, and squatting use gravity to help the baby descend and can even widen the pelvic outlet, giving more room for delivery. Even side-lying, which is gravity-neutral, has been shown to reduce perineal tearing.

Equally important is how women push. Many hospitals still direct women to push forcefully for long periods, holding their breath. But evidence shows that spontaneous, self-directed pushing—where the woman follows her own urge, improves oxygenation, reduces maternal stress, and lowers the risk of fetal distress.

In fact, research has found that directed pushing only shortens labor by about 13 minutes on average, a difference not considered clinically significant but one that may come at the cost of pelvic floor damage.

Rethinking Hospital Policies

Some hospitals have strict time limits on how long the second stage of labor (pushing phase) can last before recommending interventions such as a C-section, even if there are no signs of danger for mother or baby. Recent guidelines from the American College of Obstetricians and Gynecologists (ACOG) now acknowledge that the second stage can safely last much longer, up to five hours for first-time mothers with an epidural.

However, there is little emphasis on letting women move freely, change positions, or delay pushing until their natural urge returns. This gap between research and practice persists, though midwives and doulas are often more supportive of these evidence-based approaches.

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Why Testing For Thyroid Matters Before Planning A Pregnancy, Explains Doctor

Updated Jan 29, 2026 | 10:00 AM IST

SummaryThyroid health plays a crucial role in fertility and pregnancy, yet is often overlooked. Even mild thyroid imbalances can disrupt ovulation, affect the uterine lining, and increase miscarriage risk. Experts stress complete thyroid testing, early detection, proper nutrition, and stress management before planning pregnancy to improve conception chances and support a healthy pregnancy.
Why Testing For Thyroid Matters Before Planning A Pregnancy, Explains Doctor

Credits: iStock

When couples plan a pregnancy, conversations usually revolve around ovulation, sperm count, and the health of the uterus. What often goes unnoticed is a small butterfly-shaped gland in the neck that quietly influences all of this: the thyroid. According to Dr Swati Rai, Consultant Gynecologist and Laparoscopic Surgeon at Motherhood Hospitals, Noida, checking thyroid health before trying to conceive is not optional. It is essential.

Why thyroid testing matters before pregnancy

The thyroid controls many vital processes in the body, including metabolism, energy levels, and hormone balance. Even a mild thyroid imbalance can interfere with fertility, yet many couples are unaware of this connection. Dr Rai explains that untreated thyroid problems can make it harder to conceive and may also affect the ability to sustain a pregnancy. This is why both partners, especially women, should undergo thyroid testing before planning a baby.

In many cases, couples spend months focusing on reproductive organs while the real issue lies elsewhere. A poorly functioning thyroid can quietly disrupt the body’s reproductive rhythm without obvious warning signs.

The thyroid and menstrual health

Thyroid hormones play a key role in regulating menstrual cycles and ovulation. When thyroid levels are low, a condition known as hypothyroidism, periods may become irregular or infrequent. Ovulation can be delayed, and eggs may not mature properly. On the other hand, hyperthyroidism, where hormone levels are too high, can cause unpredictable cycles, making it difficult to time conception.

These disruptions often lead to confusion and frustration, especially when routine fertility tests appear normal. As Dr Rai points out, thyroid imbalance is frequently the missing link in unexplained fertility issues.

How thyroid health affects the womb

The thyroid does not just influence ovulation. It also affects the womb itself. Healthy thyroid hormone levels support the growth of a thick, healthy uterine lining that is needed for implantation. If hormone levels are slightly off, the lining may not be able to support a fertilized egg, increasing the risk of early miscarriage.

Thyroid imbalance can also reduce progesterone levels after ovulation. Progesterone is crucial for sustaining pregnancy, and low levels may lead to difficulty maintaining it even after conception. Additionally, some women have thyroid antibodies despite having normal hormone levels. These antibodies can cause inflammation that interferes with implantation and early pregnancy development.

Symptoms that are easy to miss

Many women experience fatigue, unexplained weight gain or loss, hair fall, or mood changes but do not associate these symptoms with fertility problems. Factors such as stress, poor diet, iodine deficiency, and low iron levels can further disrupt thyroid function. Without testing, these issues often go undetected.

Taking the right steps early

Dr Rai advises women to undergo a complete thyroid evaluation before pregnancy, not just a basic TSH test. Early detection and treatment can significantly improve fertility outcomes and support a healthier pregnancy.

She also recommends following a balanced diet rich in iodine, iron, selenium, and protein, managing stress through yoga or meditation, and reporting symptoms like irregular periods or persistent fatigue to a doctor without delay. If pregnancy does not occur despite normal reports, seeking medical advice early is crucial.

Prioritizing thyroid health is a simple but powerful step. Addressing it in time can make the journey to pregnancy smoother, safer, and far less stressful for couples hoping to conceive.

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Danish Parenting Rule Book: Children Always Make Sense

Updated Jan 22, 2026 | 11:09 AM IST

SummaryNew Danish Parenting shifts from fear-based control to an attachment-led approach rooted in IFS and Jesper Juul’s work. Its core rule, “Children Always Make Sense,” views behavior as meaningful communication. By honoring integrity and cooperation, parents respond with curiosity, safety, and respect, helping children feel secure, understood, and supported, long-term thriving.
Danish Parenting Rule Book: Children Always Make Sense

Credits: iStock

Too much about Danish parenting is already out in the discussion, but there is something new, yet again. The rulebook to Danish parent, and its first rule is: Children Always Make Sense.

The New Danish Parenting or NDP is based on a concept which relies on the Internal Family System or IFS, an attachment theory that in Denmark is called the New Child View. This is a shift from the old ways of parenting, to a new method, which follows equality, integrity, authenticity, and accountability.

The new child view is based on the work of Danish Family Therapist Jesper Juul, Family-lab, and Blackbird Institute.

Danish Parenting: Why Is It Important?

The Old paradigm of parenting was based on fear, control, abuse of power and inequality between the parent and child. Even though parents know how children behave, the old way is ingrained into our brains so much, that it is hard to follow through in practice. The new method thus compels parents to be with their own wounded parts or the inner child. This is when it becomes even more important to be with the actual child the parent is taking care of.

Also Read: What Is Denmark's 'Cry It Out' Method Of Putting Babies to Sleep?

Danish Parenting: Why Is It Unique?

At the foundation of New Danish Parenting is attachment. It is through the attachment of oneself from within can one take care of the actual child. The new way encourages to form a sense of safety, security and attachment between the self and parts of our inner children.

The system this bases focuses on healing modality. The focus lies on feeling safe, being the parent our child wants us to be. The new method has this New Danish Parenting, the first rule is: Children Always Make Sense. Let's talk a bit about that before moving on to the other rules.

Danish Parenting Rule No. 1: Children Always Make Sense

As human beings, we live on a spectrum between integrity and cooperation. Integrity means being true to what we feel on the inside and expressing it honestly on the outside. Cooperation, on the other hand, is about fitting in, belonging, and maintaining relationships with caregivers, family, and society. Both are essential for healthy living, but the balance between them can easily tip.

We are born deeply connected to our integrity. As babies, we cry when we are hungry, uncomfortable, or scared. We turn toward connection when we need it and turn away when we’ve had enough. This isn’t weakness. It’s competence. Babies instinctively know how to communicate their needs and boundaries.

The bond between a baby and caregiver is a two-way relationship. When a baby makes a sound or facial expression and a caregiver responds with a similar one, both are engaging, learning, and growing. These small moments shape the brain and nervous system of both child and adult, building connection and trust.

As we grow, we naturally adapt to our environment. This helps us survive, belong, and feel loved. We learn to share, wait, cooperate, and consider others. In supportive environments, children learn how to be themselves while staying connected to others.

But no environment is perfect. This is where over-cooperation begins. Over-cooperation happens when children learn that certain feelings, needs, or boundaries are not acceptable. A child may hide sadness behind a smile, ignore discomfort during unwanted touch, or eat past fullness because stopping isn’t allowed.

What often looks like “bad behavior” is actually a child struggling. Children are not being difficult; they are having a difficult time. Their behavior always has meaning and usually comes from a place of self-protection.

When adults meet children with curiosity instead of punishment, children feel seen and safe. This helps them understand themselves better and slowly return to a healthier balance between integrity and cooperation.

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Meghan Trainor Opens Up About Choosing Surrogacy For Her Third Baby

Updated Jan 22, 2026 | 06:44 AM IST

SummaryMeghan Trainor revealed she welcomed daughter Mikey Moon via surrogacy, calling it the safest way to grow her family after traumatic pregnancies. The singer praised her surrogate’s selflessness and said surrogacy deserves no stigma. Trainor and husband Daryl Sabara are also parents to sons Riley and Barry together in January 2024.
Meghan Trainor Opens Up About Choosing Surrogacy For Her Third Baby

Credits: Instagram

Meghan Trainor, an American singer-songwriter and television personality opened up about her third child through surrogacy. In an interview with PEOPLE she said, :"It wasn’t our first choice, but we had endless conversations with our doctors on this journey, and this was the safest way for us to be able to continue growing our family. We are forever grateful for that option."

Trainor, 32, and her husband Daryl Sabara, 33, welcomed their daughter Mikey Moon via surrogate on January 18, and are also parents to their sons Riley,4, and Barry, 2.

What Did Meghan Trainor Say About Surrogacy?

"Our surrogate is one of the most selfless, strong and loving people I’ve ever met. We felt so connected throughout the entire journey, and I’ll always be grateful for the care and love she showed our daughter. She gave us the greatest gift of our lives. She graciously answered our many check-in texts to make sure she was doing okay."

Meghan also said that she wants people to know that surrogacy is just another beautiful way to build a family. "It is not something to whisper about or judge. It is rooted in trust, science, love, and teamwork. Every family's journey looks different, and all of theme are extremely valid."

Read: Your Child’s 2026 Vaccine Checklist: What to Take, When, And Why It Matters, According To Doctor

Why Did Meghan Trainor Choose To Have A Child Through Surrogacy?

Trainor wrote Dear Future Mama, a pregnancy and parenting book in 2023, where she talked about her struggles during her first two pregnancies. She mentioned how traumatic was it for her after Riley's birth, when she also faced post-traumatic stress disorder, when her son was rushed to the NICU. At the same time, Trainor was being treated on the surgery table. "Usually when you're being sewn up for 45 minutes, you're like, 'Look at my gorgeous baby. We did it. This is everything.' But I was laying there alone."

She said in that very moment she was so drugged that she called her mother and cried. She had to learn how traumatic that was for her. She also told PEOPLE that she had reached a "breaking point" and struggled with her mental and physical health after Barry's birth. In an essay for Today.com, she wrote: "I was alone with Barry and he would not stop crying and then I was crying. I was having a panic attack and I was just over-exhausted, but I felt like I was dying. I felt if I stood up, I would pass out. I didn’t feel safe holding the baby and at the same time I felt like my body was giving up on me."

With the past medical reasons, especially the impact on her mentally, and other complication, after medical consultations, Trainor chose to go for surrogacy.

Also Read: Parents Are Now Preferring Girls Over Boys; What Led To This Shift?

What Is Surrogacy?

As per Yale Medicine, surrogate mothers are impregnated through the use of in vitro fertilization or IVF. In this process, doctors create an embryo by fertilizing eggs from the intended mother or an egg donor with sperm from the intended father or a sperm donor. Since the surrogate mother does not provide the egg, she is not genetically related to the child.

Emre Seli, MD, a reproductive endocrinologist and infertility specialist tells Yale Medicine, “Gestational surrogacy is a great option for people who really want to be parents but have faced long odds."

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