Unfortunately, when patients here the words "you're complete" they think they have to start pushing, urge or not. If they have an effective epidural, no urge, and are -3/-2, sometimes I tell a little white lie ans say they're an anterior lip. And explain that it's not time to push yet.
15 years ago I worked with a wonderful OB who truly believed in laboring down. Heck, mom is exhausted whether she pushes for 15minutes or 2 hours. And usually after about 1 hour, they aren't the best pushers.