pushing

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Contrary to what many people think, our data show that delayed pushing is not beneficial in reducing instrumental deliveries and leads to significantly longer labors," she said.

Delayed Pushing in Second Stage of Labor Doesn't Spare Anal Sphincter

We now recognize that pushing during the First Stage of labor (dilation to 10 cm.

Frequently moms are told to immediately start pushing and to push as many times as possible during each contraction, sometimes even having someone count to ten, telling the mom not to stop pushing until she/he reaches the count of ten.

To Push or Not to Push

Women in the delayed pushing group were advised to avoid voluntary expulsive efforts for at least 2 hours after randomization unless the woman felt an irresistible urge to push," explained Dr.

If the fetal head was visible or there were signs of a shortened second stage, the pushing advice was countermanded.