When a mom feels the urge to push, there are so many things running through her head… excitement that this journey is almost over, nervousness that now she has to push a baby out, relief at being able to actively engage with her contractions… for me it was “SOMEONE SHUT THE DOOR!” (Seriously though, who leaves the door open to a hospital room while a woman is growling out a baby? Who does that?)
In a hospital setting a lot of things begin to happen at the very same time. A nurse begins prepping all the doctors/midwifes tools. They help the care provider get dressed in a special gown. Depending on how fast you are pushing, they call the baby team in who then begins preparing their station, all while you are trying to navigate the pushing phase. The cacophony of voices can become a little distracting.
So here are some tips to navigate the pushing phase…
1. Find a position that works for you
Don’t be afraid to try different positions. Many women, if left to their own ways, would choose position that is relatively upright… squatting, kneeling, leaning over a bed, hand and knees, even some standing positions can be great. Often women end up on their backs, and while a baby will still come out, it isn’t the most helpful position. Try side-lying instead of laying on your back if possible.
2. Wait for the swell
If you can push spontaneously then wait for the swell and go with your body, push when you feel the urge. When the swells goes, let go of your pushing. Wasted energy is draining.
3. Push like you have to poop
I know this sounds weird, but if you push in this way, then you have good form. And guess what, if you poop, then you are REALLY doing a good job! (Also, no one will draw attention to you pooping, in most cases you and your spouse will not even know it happened because doctors and nurses are amazingly discrete about it.)
4. Ask for supportive feedback
Pushing is not the easiest task and there are lots of people in the room who have different perspectives and may be able to give you helpful tips to either open your pelvis wider or release pent up tension in one part of your body to help you to direct it to another part.
5. When it burns, breathe lightly
When you feel that “ring of fire” it is your bodies way of saying slow down, let me open gently. It is your body’s way of trying to prevent tearing. And guess what, It won’t last long, PROMISE!
6. Tune into one voice
If you need coaching throughout your pushing phase, listen to the voice that resonates above all the others – the one voice that you understand. Tell them you are relying on their lead and they will be glad to help!
7. Ask for a mirror
Sometimes being able to see what your body is doing can be helpful. When you see how one style of pushing had more progress than another style, it empowers you to keep at it!
8. Try a Birth Stool/Birth Bar
Using gravity to your advantage will assist your pushing progress. ***Ask if these things are available before the pushing phase begins or else you may not remember them as an option.
I wish you the best of luck!
You are about to find out how strong you truly are!
If you would like more pushing practice, please check out my Birth Boot Camp class series!
If you don’t live in the Winchester/Shenandoah area, I have online classes available.
And lastly, if you need the support of a doula, please message me and we can get together!
I am a birth doula, childbirth educator, wife to an amazing man, and mother to four beautiful girls. I love serving families as they bring new life into the world!
Serving Virginia's Shenandoah Valley & West Virginia's Panhandle
Winchester // Stephenson // Stephens City // Strasburg // Berryville // Purceville // Leesburg // Inwood // Gerrardstown // Shepherdstown // Martinsburg // Charlestown // Middletown // Front Royal
Doula // Childbirth Educator // Placenta Encapsulation Specialist