The Claim
The rate of cesarean delivery is not significantly different between spontaneous pushing in the lateral position and Valsalva pushing in the supine position during the second stage of labor in nulliparous women.
What the research says
Supports is higher
Support is ahead, but a single strong opposing study can change this.
These are independent scores, not a percentage. Higher-grade studies count more, so a single strong opposing study can outweigh several weaker ones.
When giving birth for the first time, whether a mom pushes naturally while lying on her side or uses a forceful breath-holding technique while lying on her back doesn't seem to change how likely she is to need a C-section.
See the scientific wording
The rate of cesarean delivery is not significantly different between spontaneous pushing in the lateral position and Valsalva pushing in the supine position during the second stage of labor in nulliparous women, with only three total C-sections across 69 participants, suggesting that spontaneous pushing does not increase the risk of surgical birth.
What the research says
1 studyThis study found that when first-time moms pushed on their side without holding their breath, they felt less pain and tiredness, and their babies were fine — and just as many had C-sections as when they pushed lying down and held their breath. So, pushing naturally doesn’t make C-sections more likely.
Score breakdown, mechanism chain, raw evidence, ideal studies needed & 1 supporting studies
Not medical advice. For informational purposes only. Always consult a qualified healthcare professional before making health decisions.