Why is this one hard to come around on? There are so many things that we have come around on. In my facility we have ended all elective inductions prior to 39 weeks, no longer no the pit to distress and many other things as well. I am new in Labor and Delivery but it's kind of weird - every class, every article all state that that it is OK and better for baby to allow mom to make noise during pushing. Yet every time and I mean EVERY TIME this never happens. And it's everybody - nurses, doctors and nurse-midwives. It's hold your breath, count to ten, 3-4 times with every contraction.
In truth I do see more effective pushing this way - but I am guessing this is not so much an issue of how quickly you can push baby out but an issue of how well oxygenated baby remains through the process.
Is this just my facility or does everybody run into this? How can I help make change?