Was true for me, I think he started to turn as he came out, but didnt make it right round. The middies and then 3 obs all had thier hands "in there", and none of them could figure out which way he was facing.LOL I dont know it I made labor any harder, but I do know on my back was the only "comfy"possie, anything else was excruciating back pain. It certainly didnt seem to affect him at all (HB etc) but may be part of the reason for the vacum. It was fine tho, I wouldnt be worried if I had another posterior bub.