Delivery of the baby involves pushing on the side of the mother. What many mothers are unaware of is that the baby contributes actively in the delivery process both in its initiation and in assuring its successful outcome. To stimulate labour, the baby exerts a trust on the membrane of forewaters and this rubs off the membrane from it desidual attachment and so brushes off certain co-factors which will in turn act on the uterine muscle fibres to commence necessary contractions. As the second stage of labour reaches crescendo the baby undertakes various navigational movements to do trust down. It's noteworthy that while the baby is making all these moves she feels embarrassed as she struggles to go back up cause she feels she is 'falling'. The pushing reflex occurs once the baby is lodged in the Ferguson's nervous plexus, the woman needs to work with the attending staff to achieve a favourable outcome. Pushing when full dilatation of the cervix has not been achieved could lead to cervical laceration or even vulval tear. In more than 90% of cases, the left cervical lip effaces before the right. In such case it will benefit the woman to lie at the right side to effectively achieve full cervical dilatation. On pushing, the best outcomes are associated with the woman holding, firmly at her shin, closing the mouth and pushing while fixing her gaze at her navel. This posture will transform her tursor into a rigid pillar to enable her baby to descend.
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