{"id":4637,"date":"2021-10-17T19:26:46","date_gmt":"2021-10-17T18:26:46","guid":{"rendered":"https:\/\/psychosomatic-osteopathy.com\/pushing-methods-for-the-expulsion-phase-of-childbirth\/"},"modified":"2026-05-31T10:02:30","modified_gmt":"2026-05-31T09:02:30","slug":"pushing-methods-for-the-expulsion-phase-of-childbirth","status":"publish","type":"post","link":"https:\/\/psychosomatic-osteopathy.com\/en\/pushing-methods-for-the-expulsion-phase-of-childbirth\/","title":{"rendered":"Pushing methods for the expulsion phase of childbirth"},"content":{"rendered":"<h2>Overview of pushing methods<\/h2>\n<h2>Power pushing<\/h2>\n<p>Take a deep breath with each contraction and push for the entire duration of the contraction<\/p>\n<h2>Spontaneous pushing<\/h2>\n<p>Women follow their own instincts, usually 3\u20135 times per contraction.<\/p>\n<h2>Delayed pushing<\/h2>\n<p>Women only push when they can no longer resist the urge to push or when the presenting part has reached the perineum.<\/p>\n<h2>Differences between pushing methods<\/h2>\n<h2>Spontaneous pushing compared to power pushing<\/h2>\n<p>Hardly any differences<\/p>\n<h2>Delayed pushing compared to immediate pushing (both with epidural anesthesia)<\/h2>\n<ul>\n<li>With delayed pushing, the expulsion phase is prolonged by approximately 56 minutes (<em>low evidence<\/em>)<\/li>\n<li>Delaying the pushing process in women with epidural anesthesia shortens the duration of pushing and increases the likelihood of a spontaneous vaginal delivery<\/li>\n<li>Lower umbilical cord blood pH is more frequent with delayed pushing<\/li>\n<\/ul>\n<p>Lemos et al. 2017&nbsp;<\/p>\n<h2>ENGLISH VERSION: Pushing methods for the expulsion phase of birth<\/h2>\n<h2>Power pushing<\/h2>\n<p>Take a deep breath with each contraction and push for the entire duration of the contraction.<\/p>\n<h2>Spontaneous pushing<\/h2>\n<p>Women follow their own instincts, usually 3\u20135 times per contraction.<\/p>\n<h2>Delayed pushing<\/h2>\n<p>Women push only when they can no longer withstand the urge to push or when the presenting part has reached the perineum.<\/p>\n<h2>Differences in pushing methods<\/h2>\n<h2>Spontaneous pushing compared with power pushing<\/h2>\n<p>Hardly any differences<\/p>\n<h2>Delayed pushing compared with immediate pushing (both with epidural anesthesia)<\/h2>\n<ul>\n<li>Delayed pushing prolongs the expulsion phase by about 56 minutes (<em>low evidence<\/em>).<\/li>\n<li>Delayed pushing in women with epidural anesthesia reduces duration of pushing and increases likelihood of spontaneous vaginal delivery.<\/li>\n<li>Delayed pushing more likely to result in low pH of cord blood.<\/li>\n<\/ul>\n<p>Lemos et al. 2017<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Overview of pushing methods: Power pushing \u2013 take a deep breath with each contraction and push for the entire duration of the contraction; Spontaneous pushing \u2013 women follow their own instincts, usually 3\u20135 times<\/p>\n","protected":false},"author":2,"featured_media":2562,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_seopress_titles_title":"Comparison of pushing methods during the expulsion phase","_seopress_titles_desc":"Power pushing vs. spontaneous pushing: methods, breathing, and contraction dynamics during the expulsion phase for informed birth support.","_seopress_robots_index":"","_seopress_robots_follow":"","_seopress_robots_imageindex":"","_seopress_robots_snippet":"","_seopress_robots_primary_cat":"","_seopress_robots_breadcrumbs":"","_seopress_robots_freeze_modified_date":"","_seopress_robots_custom_modified_date":"","_seopress_robots_canonical":"","_seopress_social_fb_title":"","_seopress_social_fb_desc":"","_seopress_social_fb_img":"","_seopress_social_fb_img_attachment_id":0,"_seopress_social_fb_img_width":0,"_seopress_social_fb_img_height":0,"_seopress_social_twitter_title":"","_seopress_social_twitter_desc":"","_seopress_social_twitter_img":"","_seopress_social_twitter_img_attachment_id":0,"_seopress_social_twitter_img_width":0,"_seopress_social_twitter_img_height":0,"_seopress_redirections_value":"","_seopress_redirections_enabled":"","_seopress_redirections_enabled_regex":"","_seopress_redirections_logged_status":"","_seopress_redirections_param":"","_seopress_redirections_type":0,"_seopress_analysis_target_kw":"","_seopress_news_disabled":"","_seopress_video_disabled":"","_seopress_video":[],"_seopress_pro_schemas_manual":[],"_seopress_pro_rich_snippets_disable_all":"","_seopress_pro_rich_snippets_disable":[],"_seopress_pro_schemas":[],"iawp_total_views":0,"footnotes":""},"categories":[106],"tags":[],"themenbereich":[],"class_list":["post-4637","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-osteopathic-research-clinic"],"acf":[],"_links":{"self":[{"href":"https:\/\/psychosomatic-osteopathy.com\/en\/wp-json\/wp\/v2\/posts\/4637","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/psychosomatic-osteopathy.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/psychosomatic-osteopathy.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/psychosomatic-osteopathy.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/psychosomatic-osteopathy.com\/en\/wp-json\/wp\/v2\/comments?post=4637"}],"version-history":[{"count":1,"href":"https:\/\/psychosomatic-osteopathy.com\/en\/wp-json\/wp\/v2\/posts\/4637\/revisions"}],"predecessor-version":[{"id":5413,"href":"https:\/\/psychosomatic-osteopathy.com\/en\/wp-json\/wp\/v2\/posts\/4637\/revisions\/5413"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/psychosomatic-osteopathy.com\/en\/wp-json\/wp\/v2\/media\/2562"}],"wp:attachment":[{"href":"https:\/\/psychosomatic-osteopathy.com\/en\/wp-json\/wp\/v2\/media?parent=4637"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/psychosomatic-osteopathy.com\/en\/wp-json\/wp\/v2\/categories?post=4637"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/psychosomatic-osteopathy.com\/en\/wp-json\/wp\/v2\/tags?post=4637"},{"taxonomy":"themenbereich","embeddable":true,"href":"https:\/\/psychosomatic-osteopathy.com\/en\/wp-json\/wp\/v2\/themenbereich?post=4637"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}