The skilled attendant also has the

The skilled attendant also has the role of
encouraging the mother to adopt positions for active pushing that are
culturally appropriate, comfortable, and mechanically beneficial; for example,
squatting or sitting up as opposed to lying flat on a bed. Unfortunately,
in many hospitals in low-resource countries, lying supine while
in labor has become the norm—a tendency exacerbated by a lack of
available cushions or the use of nonflexible delivery beds where the
upper part cannot be elevated—and the use of stirrups is common.