I do NOT count to ten while pushing. It's annoying. Plus, have YOU ever tried to hold your breath and bear down for ten seconds? Do it. Repeatedly. With a giant watermelon in your vagina. It's next to impossible. :chuckle
I also coach people to breathe, but dang, I do a little breathing coaching, then move on.
I know exactly what you mean by people sounding like they're at a football game.
I try to keep it very calm and quiet with my patients. The last thing they need is an obnoxious nurse yelling "PUSH!! ONE!! TWO!!! THREE!! FOUR!! HARDER!!! FIVE!!..." you get my drift.
Yes, nurses who do that annoy the crap out of me. I want to smack them.
. I can see that it may be necessary for a few, but in general i think it's just plain annoying and unnecessary, especially when the patient is doing fine w/o it. I prefer calm reassurance and encouragment and keeping the mood/ atmosphere a bit calmer.
EXACTLY. You hit the nail on the head.