With DS I was most comfortable on the hospital bed but semi reclined, I had shaky legs and it was the most comfortable and supported position I could find. I tried sitting almost upright but found I needed to be a bit reclined so I could push better. I recall the midwife dropped the bottom of the bed down so my legs were lower and not as much up in the air if that makes sense. I remember holding onto the hospital bed rail for support and for something to 'brace' myself against as I pushed