How to Push During Labor
Introduction to How to Push During Labor
Ah, pushing—the moment we’ve all heard about in countless birth stories, movies, and maybe even your own birth class. It’s often portrayed as this dramatic, grueling event, but let’s slow things down for a minute. Pushing doesn’t have to be chaotic or confusing. In fact, understanding how to push during labor can make the experience a whole lot more manageable—maybe even empowering.
There’s a lot happening during this stage of labor: your body’s fully dilated, your baby descends through the birth canal, and before you know it, you’re meeting your little one for the very first time. But knowing when and how to push (and when to stop pushing) can make a big difference in how smoothly things go. Let’s break down what you need to know so you feel ready when the time comes.
Understanding the Second Stage of Labor
So, when exactly do you start pushing? This is called the second stage of labor—it kicks off when you’ve hit 10 cm dilation, meaning your cervix is fully open and ready for your baby to make their way out. Sounds straightforward enough, right? But here’s the thing: just because you’re fully dilated doesn’t mean you should start pushing immediately.
Sometimes, your provider might suggest delaying pushing—waiting until you truly feel the urge to push. Why? Because waiting can help conserve your energy and give your baby more time to descend naturally through the pelvis. Plus, pushing when your body isn’t ready can lead to unnecessary exhaustion or even intervention during labor.
Pro tip: when you feel that unmistakable urge to push, it often feels a lot like needing to go to the bathroom for a bowel movement. So yeah, it might not be glamorous, but trust your body—it knows what it’s doing.
How to Push During Labor: Techniques and Tips
When it’s time to start pushing, your birth team will guide you through the process, but knowing a few techniques ahead of time can help you feel more in control.
1. Spontaneous vs. Directed Pushing
• Spontaneous pushing is when you follow your body’s natural urge to push. You’ll push only when you feel the need, which tends to be more effective and less tiring since you’re working with your body’s rhythm.
• Directed pushing, on the other hand, happens when your provider instructs you to push—usually during a contraction—often while holding your breath for several seconds. This can be helpful if you’ve had an epidural and don’t feel the urge to push as strongly.
Both methods have their place, and your birth team will recommend what’s best for your situation. If you can, though, spontaneous pushing generally feels more intuitive and less exhausting.
2. Breathing While Pushing
Breathing is key—sounds obvious, but in the moment, it’s easy to forget. Taking a deep breath before each push helps you focus your energy. Then, while you push, you can either hold your breath briefly or exhale slowly—whatever feels better for you. Just remember to fully relax and breathe out between contractions.
Pro tip: If you’re not making much progress, try using your upper body strength to bear down while keeping your pelvic floor as relaxed as possible. It’s kind of like channeling all your energy downward in a controlled way.
3. Best Positions for Pushing
Did you know you’re not limited to lying on your back? In fact, being in an upright position (like squatting or using a birthing stool) can actually help gravity do some of the work. Here are a few positions to try:
• Squatting or sitting: Great for using gravity to help the baby descend.
• Side-lying: If you need to rest but still want to keep things moving, this is a gentle option.
• Hands-and-knees: This position can relieve back pressure and encourage your baby to get into the best position for birth.
Your provider or doula can help you find what feels most comfortable—don’t be afraid to move around and experiment!
When to Stop Pushing
Believe it or not, there may be moments when your provider asks you to stop pushing. This often happens when your baby’s head is crowning (that’s when the widest part of their head is emerging). Why stop at such a critical time? It’s all about giving your perineum time to stretch gradually, which can reduce the risk of tearing.
In these moments, take deep breaths and focus on staying as relaxed as possible. You’ll be delivering your baby any moment now, and gentle, controlled pushes can help things go more smoothly.
How Long Does Pushing Take?
Honestly, it varies a lot. For some, pushing might last 30 minutes, while for others—especially first-time parents—it can take several hours. If you’re feeling like it’s dragging on, try to stay focused on each contraction rather than thinking about the total time. Your body knows what it’s doing, and every push is bringing you closer to meeting your baby.
If pushing goes on too long without much progress, your provider might suggest intervention during labor, like using a vacuum or forceps to help things along. And that’s okay—you’re doing your best, and the goal is a healthy, safe delivery.
Trust Your Body, Trust Your Team
Pushing during labor is no small feat, but you’ve got this. By knowing how to push effectively, listening to your body, and working with your birth team, you can make this stage as smooth as possible. Remember—whether it takes 30 minutes or three hours, each effort brings you closer to holding your baby for the first time.
If you have any questions or want to learn more about preparing for labor and birth, don’t hesitate to reach out to Nets here at Fruit of the Womb. She’s here to support you every step of the way!
FAQs
1. What if I don’t feel the urge to push?
It’s common, especially if you’ve had an epidural. In this case, your provider will guide you on when to push to help deliver your baby safely.
2. How can I conserve energy during prolonged pushing?
Rest as much as you can between contractions. Try side-lying or semi-sitting positions to conserve energy while still keeping things moving.
3. Is it normal to feel like I need a bowel movement while pushing?
Yes, completely normal! The sensation happens because your baby is descending through the birth canal, putting pressure on your rectum.
4. How can I reduce the risk of tearing during labor?
Controlled pushing, perineal massage before labor, and listening to your provider when they ask you to stop pushing can help reduce tearing.
5. How long is too long to push?
If pushing lasts more than 3-4 hours without progress, your provider may recommend interventions to assist with delivery.
About the Author, Tori T.
Tori is a Reiki Master, yogi, and healer, certified in sound, color, and crystal therapies. With a passion for holistic wellness, she combines ancient wisdom with modern practices to guide individuals on their journey to balance and harmony. Through her work, Tori aims to inspire and empower others to achieve their highest potential.
