Natural Methods to Assist Delivery during the Second Stage of Labour: Part II: Timing and Type of Pushing

Abstract

As women experience their partirution in health care facilities, they expect the best possible outcomes for them and their newborn, as interventions are supposed to be made accurately. Women in labour, are often directed to push as soon as the cervix reaches full dilation but this technique contradicts normal physiology. In contrast, when a woman is free to follow her instincts, by making spontaneous bearing down efforts, the time spending for pushing might be decreased and also urodynamic parameters after delivery are improved. In this second part of the effort made for detection of natural methods to assist delivery, it is presented an overview of the physiology of both the directed and the spontaneous pushing and a review of the literature suggesting that women in labour should be letting free to choose the labour technique that they prefer in terms of timing and type of the bearing down efforts.