When do you start pushing




















In some studies, women who delayed pushing rather than pushing as soon as they reached 10 cm dilation had higher rates of :. One study concluded that delayed pushing for an hour or more was associated with a modest increase in cesarean delivery and assisted delivery. Want to learn more about the process of labor and delivery? Our Childbirth Class Videos will teach you the signs and stages of labor, pain management techniques, medical procedures, and more.

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Learn more about our editorial and medical review policies. Approaches to limit intervention during labor and birth. Committee Opinion The American College of Obstetricians and Gynecologists.

Cahill A et al. Effect of immediate vs delayed pushing on rates of spontaneous vaginal delivery among nulliparous women receiving neuraxial analgesia. JAMA 14 Pushing methods for the second stage of labour.

Cooper K. Exploring the effects of second stage management from the maternal and midwifery perspectives: Are there any benefits to directing women? DiMascio D et al Delayed versus immediate pushing in the second stage of labor in women with neuraxial analgesia: a systematic review and meta-analysis of randomized controlled trials. American Journal of Obstetrics and Gynecology 2 : Koyucu R et al.

Effects of pushing techniques during the second stage of labor: A randomized controlled trial. Taiwanese Journal of Obstetrics and Gynecology 56 5 : Lee N et al. International Journal of Nursing Studies Lemos A et al. Cochrane Library. Yee LM et al. Maternal and neonatal outcomes with early compared with delayed pushing among nulliparous women. Join now to personalize. Photo credit: iStock. Is there more than one way to push during labor? What is delayed pushing?

How is coached pushing done? How does spontaneous pushing differ from coached pushing? How does having an epidural affect pushing? What other factors might affect pushing? Is coached pushing or spontaneous pushing better? Are there disadvantages of coached pushing? Use of this site is subject to our terms of use and privacy policy. Registry Builder New. How to Push During Labor. Medically Reviewed by Oluwatosin Goje, M. Medical Review Policy All What to Expect content that addresses health or safety is medically reviewed by a team of vetted health professionals.

Dianne Hamre. Once your labor is complete, it's time to push and deliver. Back to Top. In This Article. Continue Reading Below. Read This Next. View Sources. Pregnancy Groups.

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Pushing: The Second Stage of Labor. Contractions During the Pushing Stage During the second stage of labor, the uterus continues to contract about every five minutes and each contraction lasts to seconds. Delayed Pushing Pushing is most effective when the mother feels the urge to push.

Positions for Pushing There are many different positions that may be used for pushing. Stopping your Pushing There may come a time when you may be asked not to push with a contraction.

Breathing Techniques for Pushing The breathing techniques used for pushing are varied and depend upon which works best for you. Related Articles. More Resources. Medical Library Look up helpful health information. Diseases and Conditions See our full library of diseases and conditions. Patient Information Practical info for Sutter patients. Tools and Quizzes Online tools to help you make decisions about your health.

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