Second Stage : Pushing
Getting Ready to Push
During transition , you will likely start to feel pressure low in your rectum / bottom , similar to the urge to have a bowel movement . This sensation often means that you are almost ready to start pushing . Occasionally , labor includes a resting phase , where contractions slow or subside briefly between first and second stage . If this happens , you can enjoy the break , or try moving upright to encourage the baby to descend .
The Urge to Push
When the baby ’ s head descends low enough , the Ferguson reflex is triggered . This reflex causes your body to spontaneously bear down with contractions . This feels like an intense wave of pressure from the top of the uterus
( fundus ) that moves the baby down . The urge to push is often overwhelming . Pressure grows stronger as your baby moves lower .
Preview
How to Push
Typically , the urge to push begins around
Once you are ready to push , it can take practice the same time as you reach full dilation . to figure out how to push effectively . Take a
Occasionally , if using an epidural , you may not
few deep breaths as the contraction begins and feel the urge to push . In this case , research wait for its strength to build before you start supports active pushing as soon as the cervix is pushing . As it ends , breathe deeply and rest . completely dilated .
In second stage , contractions may space out to 3 – 5 minutes apart ( lasting 60 – 90 seconds ), giving you time to rest in between . Second stage can take 30 minutes to a few hours . Baby ' s descent is gradual . Their head comes down with pushes , then slides back up between pushes . Pushing is typically longer with first babies and patience is important .
Sometimes , there is a premature urge to push before the cervix is completely dilated . This can happen for a variety of reasons . Research is limited , but it is possible to make the cervix swell by pushing hard too early . If you experience a premature urge to push , it may help to assume a position that reduces the sensation of pressure , such as side-lying or hands and knees .
There are two different approaches to pushing . Research supports using the technique that works best for you .
Spontaneous ( physiologic ) pushing occurs when you follow your instincts and urges . You breathe at your own pace and may blow out while pushing rather than holding your breath . Spontaneous pushing may provide more oxygen to you and baby , as well as reduce fatigue , cesarean rates and pelvic floor trauma .
Directed pushing is when you are given instructions , such as encouragement to hold your breath , push harder and / or counting to prolong pushes . Instruction can be helpful if using an epidural , if second stage is prolonged or if it is difficult to follow your body ' s signals . Direction can also be helpful if anxiety is preventing you from pushing effectively .
11 Labor and Birth