Which position is best for pushing to avoid tears with epidural?

Question

Which position can you do with epidural?
Also please tell without epidural too?
Which worked for you and you were able to avoid tears.

Answer

Usually with an epidural there is an increased risk of tears because you can’t feel what’s going on. 
Usually on your back requires more effort, can be considered more difficult and puts more pressure on the perineum, side lying usually has fairly good outcomes as far as pushing length and tearing as well as squatting since they put less pressure on the perineum. Labouring down rather than pushing right when you reach 10cm definitely impacts that too though.
Ask your care providers to walk you through it and talk to you about what the benefits and drawbacks would be for each.

Answer

I was sat up into a squatting position to push. I had an epidural. My bed was put into a sitting position so I was leaned forward with support and grabbed my legs.

Answer

If you have an epidural you can ask to push laying on your side or assisted squatting like someone else said. Anything that you can do to avoid pushing on your back and being coached to push

Answer

I didn't have any other options for pushing while I had the epidural besides on my back. But I was able to feel pressure and no pain so I knew when to push. They ended up having to reach in and grab my girl because the cord was around her twice. I tore because of that but I don't believe I would have torn otherwise

Answer

When I birthed with an epidural, they let me push squatting at the edge of the bed with my knees up. I had an episiotomy though as well so can’t speak on what position preventing tearing.

Answer

So I’m not sure if it’s because I never asked, but I had an epidural all 3 times and wasn’t given an option but to push on my back.  I know you have A LOT more freedom without the epidural.

Answer

Every time I’ve delivered. Each with no epidural.. I was basically reclined a little. (Not flat on my back) delivered in the hospital.

Answer

I never had the epidural, first time they made me push on my back and I had a minor abrasion but no real tears.
After that, I pushed however I felt comfortable.  Second was squatting at the end of the bed, third was laying on my side, fourth was hands and knees.  No tears with any of them

Which position is best for pushing to avoid tears with epidural?

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