The Claim

Spontaneous pushing in the lateral position during the second stage of labor increases umbilical cord blood pO2 levels by approximately 9.5 mmHg (28.3 vs. 18.8 mmHg) compared to Valsalva pushing in the supine position, while having no significant effect on umbilical cord pH or Apgar scores in healthy nulliparous women.

Source: Spontaneous Pushing in Lateral Position versus Valsalva Maneuver During Second Stage of Labor on Maternal and Fetal Outcomes: A Randomized Clinical Trial

What the research says

Supports is higher

Support is ahead, but a single strong opposing study can change this.

Supports
49score
Challenges
0score

These are independent scores, not a percentage. Higher-grade studies count more, so a single strong opposing study can outweigh several weaker ones.

Quantitative
1 study reviewed
In plain English

When women push naturally while lying on their side during childbirth, their baby’s blood gets more oxygen compared to when they push while lying on their back using a forceful breath-holding technique—but it doesn’t change the baby’s blood acidity or Apgar score.

See the scientific wording

Spontaneous pushing in the lateral position during the second stage of labor increases umbilical cord blood pO2 levels by approximately 9.5 mmHg (28.3 vs. 18.8 mmHg) compared to Valsalva pushing in the supine position, while having no significant effect on umbilical cord pH or Apgar scores in healthy nulliparous women.

What the research says

1 study
  1. Study: Spontaneous Pushing in Lateral Position versus Valsalva Maneuver During Second Stage of Labor on Maternal and Fetal Outcomes: A Randomized Clinical Trial

    When moms push naturally on their side during birth, their babies get more oxygen in the umbilical cord blood, but their health scores and blood acidity stay just as good as when moms push lying on their back. So side-pushing helps babies breathe better without any downsides.

Score breakdown, mechanism chain, raw evidence, ideal studies needed & 1 supporting studies

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