I used to work at a facility that highly discouraged pushing with a rim...it was always best to wait and let mom labor down first. (Concerns about cervical swelling and lacerations). This was for both primips and multips.
At my new job, I checked my pt and she was 7cm, and the doc said to see if she could push through it. The other nurses think I'm nuts because I refused. It may be the norm at this facility but I don't feel comfortable doing it.
Does anyone agree?