Out of curiosity, wondering how long your docs/midwives allow your moms to push before they cut, bearing no complications, reassuring fetal heart tones? Ours will rarely allow our moms (first time) to push much longer than 2-3 hours. I wanted to see what everyone else does.
Feb 17, '05
"laboring down" refers to allowing a woman's uterus to contract and push the baby down to a low station by itself, without the woman actively pushing. It is useful in the labor patient with an epidural and no urge to push. If we let it, the uterus will push the baby low and allow us to let mom rest, thus cutting down pushing time by as much as two hours or more.....
I never have moms who are complete push unless there is an urge to, or the baby needs to come out soon. (signs of distres---and even here, you can help the baby by allowing a few contractions w/o active pushing, giving the baby a "break").
Of course, working nights is great this way, cause the doctors don't hang around telling us to have a woman begin pushing just cause she is completely dilated. It's a LONG way from zero to plus 4/5 station, ya know! Conserve her energy!!!! so....
I let women 'labor down" until they either feel an urge to push, or their babies are VERY low station, close to crowning. It really does work and moms will thank you for it.
Last edit by SmilingBluEyes on Feb 17, '05