How long is too long to push?

For first-time mothers the average length of pushing is one-to-two hours. In some instances, pushing can last longer than two hours if mother and baby are tolerating it. Normally, the baby is born with his face looking toward mother's back (referred to as an anterior position).

The pushing stage occurs after the cervix is completely dilated and no longer in front of the baby's head. A smooth passageway now exists through which you can push your baby from the uterus and down through the birth canal to delivery.

Your contractions may decrease just prior to getting the urge to push. You should take this time to rest prior to pushing. The length of this stage varies with the position and size of the baby and your ability to push with the contractions. For first-time mothers the average length of pushing is one-to-two hours. In some instances, pushing can last longer than two hours if mother and baby are tolerating it. Normally, the baby is born with his face looking toward mother's back (referred to as an anterior position). However, some babies are facing the mother's abdomen (referred to as a posterior position). Posterior babies may have a more difficult time passing through the pelvis, which may cause pushing to be more difficult or require more than two hours of pushing.

During the second stage of labor, the uterus continues to contract about every five minutes and each contraction lasts 45-to-90 seconds. The contractions are usually strong and forceful and may or may not be accompanied by an urge to push. This can make this phase somewhat more enjoyable since you are now working with each contraction. A renewed sense of energy may occur as you feel the closeness of your baby's birth!

However, sometimes after a long or difficult labor, the pushing stage can be exhausting and uncomfortable.

Most women will feel increased pressure in their perineum, rectum, and low back at this stage. For many women, the rectal pressure feels the same as having a bowel movement.

As the baby's head begins to appear, you may feel a stretching or burning sensation. You may want a mirror positioned so that you can see your progress.