Follow the guidance of your doctor, midwife, or labor nurse
Push only when you feel the urge or when instructed
Take a deep breath at the start of a contraction
Hold your breath briefly while pushing if directed
Push downward and outward, as if having a bowel movement
Use your abdominal muscles and pelvic floor
Push for about 5 to 10 seconds at a time if coached
Rest and breathe between pushes
Push 2 to 3 times during each contraction if instructed
Change positions if recommended and comfortable
Keep your chin tucked and relax your face, shoulders, and hands
Empty your bladder if possible
Stop pushing if told to pause
Ask for help if you feel dizzy, exhausted, or unable to continue