What You Need to Know About Pushing

Well, the first thing to know about pushing is that it means you're almost ready to meet your baby!

A fascinating thing happens once you've gone through "transition" (going from 8 to10 centimeters to become fully dilated, a particularly intense part of labor). Your body takes a natural rest; contractions often stop for a time in order for you to get a second wind.

When contractions begin again, you will sometimes have an overwhelming desire to push. Go with it. It can actually also help to make deep groans. (An open, relaxed mouth and throat actually open and relax the vagina!)

The most physiologic position in which to push is either on your hands and knees or in a squatting position. This actually opens up the pelvis several centimeters and gives the baby's head more room to get through.

Pushing too hard and too long can damage the pelvic floor muscles. Therefore, try to avoid the "football coach" approach where well-meaning birth attendants encourage pushing that is too vigorous and in which you hold your breath and purse your lips with determination.

Push down while exhaling. And know that your uterine contractions are also working to get the baby out.

Don't set a timer on pushing. If the baby is doing well, there's no hurry. Just relax with the process.