Hello,
We are Kathy Herschderfer and Marlies Rijnders, both midwives and
researchers working at a large research institute in the Netherlands in the
perinatal epidemiology unit. We haven't as yet introduced ourselves properly
and will do so at a later moment. At this time we are writing a proposal for
a large grant to study the effects of late versus early pushing at full
dilation (without the urge to push) in normal deliveries. As you probably
already know, in the Netherlands, this means usually birth at home, with a
midwife and without epidurals or other pain relief.
What we urgently need to know is:
Does anyone know if this subject has been researched?
We would like to find answers to the following questions from either
research findings or you own personal clinical experience.
How often does this situation occur?
What is the maximum amount of time one can wait at full dilation for
the urge to push begins ?
Are there any known contra-indications for not beginning on the
second stage before the woman feels the urge to push?
Thank you for your help. Greetings.
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