No, lithotomy position does not protect the perineum. Here’s why: ⬇️⬇️⬇️ 🚫You’re literally sitting on your baby’s head! 🚫Your uterus has to push baby UPHILL past the pubic bone. 🚫Holding your breath to push tightens the vaginal muscles around baby’s head. 🚫If baby has not rotated yet, you are pushing a flexed baby (babies are born in extension, not flexion). 🚫It’s damaging to your pelvic floor. 🚫It’s more likely to cause swelling and severe tearing 🚫It’s more likely to lead to fetal distr