03/02/2021
Squishy babe!
Let’s talk about pushing! Mother led pushing. Following the primal instinct to bring your baby earth side. *This scenario will be uninterrupted, no intervention birth. **You can still experience one, some, all or none of this with or without intervention.
The rest. Sometimes after transition or complete dilation, birthing people may experience a rest. Contractions can slow. This is a natural way for your body to take a break before pushing! Fall into this feeling and breathe. I’ve seen some birthing people sleep during this “resting phase”! At a hospital they may instruct you to start pushing if you are dilated to 10cm even though you have no urge to push. If you’d like, tell them you’d like to wait until you are ready!
The urge to push: baby is able to descend without pushing, you may experience shaking legs, increase in bloody show, extreme re**al pressure, bearing down, membranes rupture, expulsive grunt upon exhalation, etc. Trust your body and your journey!
Positioning your body: can be upright, keeping your body in alignment, legs should be parallel, pelvis should be free & find what is comfortable for you in the moment!
When pushing, focus on the muscles surrounding your vaginal canal (pelvic floor muscles)-practice by imagining you are pushing out a tampon. Follow the urge to push during a contraction. This is the time in which you get to utilize the contractions by more action. This action of pushing can feel good! You know when to push (during the contractions) and when not to push. You feel confident and in control.
When your baby’s head is right at your perineum, slow down and breathe. Trust. You will be flooded with hormones to help cope with this “ring of fire” stretch you may feel of the vaginal/perineal tissue.
In a hospital setting this can be hard to accomplish yet can be done if no intervention is needed. Tell your doctor in prenatal visits and when you arrive to the hospital that you would like mother led pushing. Having your voice be heard is important. Ask your partner or doula to be that voice when you need it for yourself.
Happy pushing y’all!