This kills me. Infuriates me. This country, its medical system, and its practices are so screwed up. (See exerpt below. Original from wikipedia here)
The Lithotomy position is the position of lying on the back with knees bent and elevated above the hips with the thighs apart.
As a birth position, it has been popular in the past with obstetricians as it allows a good view of the birth process. However, the position is not conducive to a smooth labor as it constricts the birth canal, puts pressure on the coccyx, prevents the fetal ejection reflex from occurring, and does not allow the mother to move during the process, therefore increasing pain in labor. Today, few birth centres or labour wards in Western countries use the lithotomy position for active labour. One notable exeception, however, is the United States, where the lithotomy position remains common for active labor.
A friend of mine who is also pregnant is currently having trouble deciding where to have her baby. As a nurse herself, who works in the NICU at a local hospital, she wants to birth somewhere other than her workplace to maintain her privacy. She is appalled, however, that no OB or hospital will even entertain having her birth with them without a mandatory IV. Not to mention, most places she has queried has told her it is unlikely she'll be allowed to move about freely during labor, even if she is a healthy, low-risk, normal candidate. They like to keep women tied down to their beds hooked up to monitors and IVs and whatnot.
Ugh. That is exactly why I stayed away from the hospital. Not to mention I normally can't stand hospitals in general. I seem to always get light-headed and feel like I can't breathe in them.