I was on my back (leaning up on the bed/pillows) for the actual pushing both times. First time it was all going a bit fast and not real well and I didn't really have a choice. I HATED the parts of labour where I was on my back but pushing I was OK with it, or maybe the epidural made me feel like it was OK Second time I wasn't on my back at all during labour but was for pushing, all 3 minutes of it. I suspect if pushing was going longer I may have been looking for other options but given the immediacy of the situation there wasn't a lot of scope for adjusting or getting other equipment, and I was totally fine on my back.