Directing women to push has been commonplace in the birth room far too long. The cultural expectation of how second stage should look has infiltrated movies, TV and people’s minds. Women are constantly told when to push, when not to push, how to push, and where to push. To understand and support physiological birth we need to reconsider the assumptions upon which this practice is based and how it affects the overall experience of birth. This workshop discusses both supporting instinctive pushing during uncomplicated, physiological birth and the fact that the descent and rotation of the baby through the pelvis is directed by primitive reflexes that guide the baby into the pelvis, out of the pelvis and up the abdomen for attachment to a breast. We will examine the multidimensional and individual nature of birth physiology through photos, video and discussion.
Learning Objectives:
Objective 1: Identify four fetal primitive reflexes and their associated movement through the pelvis;
Objective 2: Discuss the difference between active and passive second stage;
Objective 3: Compare and contrast the advantages and disadvantages of directed pushing versus spontaneous pushing
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