When my clients have been pushing for a long time and close to a 'cut-off' I get them in a supported squat position. My last client was fully dilated for an hour or two then given an hour to push, they were getting out the lithotomy poles when I suggested the squat and baby's head was on view right away. This happens often and usually a change of position to better facilitate pushing works well. Flat on your back/reclining is harder for you to use your stomach muscles and is more painful, and more likely to tear. So many are having epidurals that standing is even not possible for a big percent that make it to 10cms.

Rupture is a risk with an induction, caesarean or VBAC. The risk of rupture is 0.7% and that includes everyone, not just VBAC women. Consider that if you have an amnio you have about that or more risk of miscarriage, but its seen as far more acceptable and recommended by the medical profession. Yet VBAC is far less supported even though its very healthy. I've supported some awesome VBACs, not only did the mums get their VBACs but drug free too. Amazing things happen when you believe, get great support and put your heart and soul into it. Not to mention a VBAC supportive carer/place of birth.