16/02/2026
“I started pushing with contractions, but I wasn’t fully dilated so I was told to stop pushing”
“They examined me and said I was 10cm so they told me to start pushing with contractions. I didn’t have any real urge to though.”
“They were telling me to take a deep breath, put my chin to my chest and push with all my might. I had to do this through the whole contraction. It was really hard and exhausting.”
…these are the sorts of things that I hear repeatedly in my work. Such actions and instructions often completely disrupt an otherwise perfectly normal birth. Pushing before we are physiologically ready (which a 10cm dilated cervix does NOT necessarily tell us) is a recipe for exhaustion and the consequent need for other interventions – forceps/ventouse, CS. It can also lead to a higher chance of fetal distress, baby getting stuck and PPH, not to mention the fallout from any ensuing trauma.
I worked with a woman a few years ago who shared the following…
She was labouring well. Her midwife did a VE and discovered she was 10cm dilated. She told the woman to start pushing even though she had no urge to push whatsoever. This woman pushed in vain for 2 hours because, despite feeling that she was pushing against a brick wall and feeling that the baby was stuck, she trusted her midwife was telling her to push for good reason. At this point the Dr was asked to come and access things and found she was only 3cm dilated. That completely ‘undid’ this poor woman. She gave up, exhausted, as you would and caved to the epidural that she desperately had wanted to avoid. Her birth went from good to traumatic, and it was completely unnecessary.
Just as our bodies almost invariably know how to grow a healthy baby without the need for instruction or interference, so they know how to birth the baby. Other mammals don’t need to be told when and how to push during birth. We are mammals, too. As women, we are designed for birth. We innately know how to do this very normal, healthy thing.
It is, quite honestly, ridiculous to assume otherwise.
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