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I absolutely hate, cannot stand, despise, stirrups. Do you HAVE to have them during labor?
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I have NEVER used them during any of my births. If you put it in your birthplan or let the hospital staff know how opposed you are to them... it shouldn't be a problem. I think some hospitals may still use them because laboring woman often don't have the energy to hold their legs in a certain position or simply don't know "what to do" with their legs when pushing. I would say "No", you don't have to use them and shouldn't be made to.
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