To Push or Not to Push… That is the Question.

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I have learned a lot about birth over the years. I have seen a lot of patterns in labor that lead to the “same” outcomes. I have heard a 1000 variations of generally the same story. One thing I had not seen a pattern in was a C-Section that was needed NOT bc of Pitocin causing fetal distress, NOT bc an Epidural slowed things down resulting in “Failure to Progress”, & NOT bc a true emergency arose. No, the one trend I had not put two & two together was a C-Section that was needed due to the poor advice from a medical professional over this issue of To Push or Not to Push.

I have 2 dear friends who went through nearly the exact same scenario. It’s almost eerie how similar their birth stories are! I would like to share these 2 birth stories with you (with their permission, of course!) and then tell you my analyzations. :)

For privacy purposes I have chosen to not list their names specifically. :)

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Friend A was excited about doing a natural birth. She and her husband went to childbirth classes. They practiced and prepared for a normal, healthy, natural birth. They did a lot of research about where to deliver and what birth team to have for the best possible experience and outcome. The big day finally arrived and Friend A started her labor right on track. She worked with her contractions with relative ease. She made it through transition like a champ! Things were going great!

When she was checked in late labor for progress, it became clear that she still had a lip of cervix that had not fully dilated (a common occurrence in first time moms). She was encouraged by her medical provider to push with the next many contractions to help that lip move out of the way. So with each contraction she pushed & poured her energy into bearing down, in hopes that it would move things along. As time went on it became clear that this wasn’t working as hoped. She was checked mid-contraction to see that as she pushed her cervix was going from a 9 to a 4 due to swelling. By this point her cervix was agitated, stressed, & swollen due to pushing.

Realizing that pushing was hindering and not helping she was instructed to not push any longer, but her body’s natural urge had taken over she began to feel the urge to push, and had to work against it during each contraction, in hopes that it would allow her cervix to return back to normal. Contraction after agonizing contraction she fought. Eventually, an epidural was administered in hopes that some time for mom to relax would help that lip open up and her cervix would become less agitated. Hours later her cervix finally did relax and dilate fully and pushing began.

Unfortunately at some point her baby got wedged into an awkward position and was unable to be born vaginally. A C-Section was needed. Friend A was a champ, an admiration to me in all she went through. Baby was healthy, beautiful, alert and happy. Baby weathered the birth so well, not a single sign of fetal distress was shown throughout it all. Friend A was disappointed, exhausted and overwhelmed, but so strong. I analyzed for a while what might have caused Friend A’s situation to occur as it did. Her body was capable… something else got in the way.

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Friend B and her husband also took childbirth education classes. They researched their birth place of choice and the medical staff thoroughly. They read, studied, prepared for a natural, drug free birth. Excitedly, the big day arrived! Friend B worked with her contractions, listened to her body and took one contraction at a time. Her coach was supportive, encouraging and a vital role. The labor progressed smoothly. Friend B pressed forward.

After roughly 13 hours of labor Friend B was encouraged by her medical professional to start pushing with the contractions to see if it wouldn’t help “speed things up”. She did as encouraged. Contraction after contraction mom became more and more exhausted as she put forth so much energy pushing. She was checked, and it became clear that each time she bore down to push her cervix was swelling and digressing in dilation. In the end a C-Section was needed. Friend B was disappointed and confused as to why her birth ended this way. Her body also was capable… something else was the problem…

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I was amazed to learn how similar my 2 friends births were. Both took the time, energy and effort to prepare, practice and study. They chose their place of birth wisely & moved forward in trust of the natural process. Both seemed to labor well, with things moving right on track. Both were encouraged to push BEFORE their body naturally told them to & both ended up with a abby in a “mal-position” and a C-Section.

Our bodies are amazing during labor. Baby can communicate to mom throughout labor and really sit in the “drivers seat” throughout the birth. Baby can tell mom when they need a break and cause what has been dubbed the “Natural Alignment Plateau” where labor progresses but does not increase in intensity for many hours (See Blog Post on this subject). They can push against moms uterus while in labor to make sure they get into the correct position. If a mother was to be knocked unconscious for some reason (like a car accident) and she was in labor, baby could in essence deliver themselves.

When we tamper with the natural process and don’t listen to our bodies or are given poor medical advice which encourages a mom to go against her body, we see more negative effects than positive ones.

If you are pregnant remember to LISTEN TO YOUR BODY no matter what anyone tells you. If you dont feel the urge to push, dont push yet. If you feel the urge to push before you have fully dilated, push with that urge (a topic for another day :) ). If you feel like walking, walk. If you feel like rocking, rock. If you feel like being on your hands and knees, dont let anyone get inthe your way of assuming whatever position feels right to you. We cant fully grasp how intricite our human bodies are, nor how tighly knit the communication lines between moms brain and baby really are. We need to just trust and go with it.

I am saddened by my friends birth experiences. What should have been their first ever, life changing, amazing experience ended in disappointment and confusion. I feel angry for them that their individual medical providers encouraged them in the very thing that was their demise. I feel hopeful for them to not have to go through that ever again. I admire all that they went through in hopes of achieving their natural labors and the strength they have shown in how they have healed from their experience.

Please feel free to comment below. Both girls in this story will read this blog, so feel free to ask questions of them, leave encouraging comments to them or any other comment related to the post that you would like to leave.

~Julie~