Hands & knees felt best to me. No one coached me at all. But then DS' HR was dropping, so my MW had me get on my left side - in addition to them giving me oxygen. I felt like it hurt more & I didn't have as much power in my pushes. So when his HR recovered, I got back on H&K but then it dropped again. MW said, "Meg you may like that position but baby doesn't." So I got back down & pushed him out that way with the MW, then DH helping hold my right leg.
Side-lying is supposed to be good to avoid tears & I'm glad such a simple 'intervention' (if you could even really call it that) easily resolved the non-reassuring hear tones, so I was happy with that.
That's interesting! I always heard side-lying was meant to slow the pushing phase down (which is why it's good for preventing tears - gives the mother time to stretch), but with dropping fetal heart tones wouldn't they usually want to get the baby out as fast as possible? Or did they figure there was just something about the hands and knees position that was specifically upsetting the baby - like pressure on the cord, or something? I've been reading a lot of Ina May Gaskin on the topic of positions recently, so I'm curious. :)