Most independent/ homebirth midwives have never ever done an episiotomy, some remember just one they had to do one time. Think that speaks volumes about the ability of our amazing bodies and those who care for us.

Most of us go into birth without any emergencies. But the amount that do at home vs hospital is huge. Not saying where you should give birth, but to take note at the natural ability you are given to birth without interference and differences of whats possible for you - we all plan to birth a certain way - question is - what are you doing for yourself to give yourself the very best chance at that?
I agree.

I have no doubt, that I been left to my own devices, I would have "felt" the need to change positions.. my daughter was posterior (we didnt know at the time), and had I gotten up off the bed, and onto all fours (where 4 of my 7 have been born!), I believe she would of come down fine. A tear may of resulted, but prob not an epi.