This narrative review examined the available scientific evidence on free positions during the second stage of labor and their impact on pelvic floor protection.[1] Researchers analyzed studies from the PubMed, Embase and Cochrane Library databases using keywords such as "upright position", "second stage of labour" and "perineal trauma".[1] Findings suggest that loose positions during labor reduce early postpartum urinary incontinence and improve maternal satisfaction, independence, and comfort.[1] However, evidence supporting long-term protection against pelvic floor dysfunction remains insufficient.[1] The authors of the conclusion recommend considering free positions as a low-intervention strategy to improve short-term birth outcomes and the maternal experience.[1] Successful implementation requires targeted training of healthcare professionals and comprehensive patient education.[1] Future research should prioritize longitudinal studies with standardized outcome measures to strengthen the scientific basis for long-term pelvic floor protection.[1]