I've noticed in hospital births that there is a lack of consideration when it comes to birthing. On several occasions I have had to identify to medical staff that my mama is unable to have her legs pushed back to give birth, due to medical conditions that prevent the hips from splaying comfortably apart. These are little details that anyone who presents themselves to a whanau, be they a doula or medical professional should really inform themselves of. In my situation, I find that birthing standing or kneeling have given the best results for me and have been comfortable for me due to a botch up of my slipped epiphysis operations at age 12. A jagged edge of bone has prevented a full range movement of my right hip and with the addition of the pins, plates and screws holding it in place, it's unlikely to be rectified until I have a full hip replacement. So I've had to accommodate for this issue to ensure that I am better able to birth in a manner that is still peaceful and gentle. I have not experienced any tears in this position and have seen good results in the births that I have attended.
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