BACKGROUND: The main objective of our research was to study the fetomaternal outcome in alternate birth positions during second stage of labour.Evidence suggests that the freedom to choose birthing positions positively impact the woman's comfort level, progression of labour and intra-partum birthing experience. Material and Method: In the present study we counselled our antenatal and intra-natal patients about the benefits and risks of alternate birthing positions. We enrolled 50 consecutive consenting parturients with prior vaginal delivery, who opted to adopt alternate birthing positions during second stage of labour. Duration of second stage of labour, amount of blood loss during second and third stage of labour, occurrence of perineal tears, birth weight, APGAR score and NICU admission requirement of the newborn were documented and analysed.