Are We Pushing Too Hard

If I had to pinpoint one element of Hypno- Birthing that women have the most difficulty getting their heads around it is ‘pushing’ or to be more specific the lack of ‘pushing’. During Hypo-birthing classes we teach ‘mums’ that there is no need to do lots of forced ‘purple’ pushing. This is a very outdated concept and comes from a time that women used to be anaesthetized, and unable to birth their babies, and so forceps were used to extract the baby from the vagina. As times changed, women were conscious when birthing their babies and forceps were no longer routinely used and so it was felt that if the babies were no longer being pulled out of their mothers then surely the mother would have to push them out (maybe as they get older there might be a need to push them out of the nest for their own good but not this young surely).

Yet again we find that doctors think they know more about birth than mother nature does. But for a women with no special circumstances there is absolutely no reason why both she and her baby cannot be left quietly alone and for the baby to gently makes its way down and ultimately out.
Note: New midwives are now trained that forced pushing is not necessary, however, some old school midwives will still try and get you to start pushing just because you are fully dilated. You will want to ignore this instruction (put on your birth plan that you want to do mother-directed birth breathing and have no outside instruction from the midwife as your birth companion will be supporting you with this). For those who feel that it would be difficult to go against what a professional is telling them, please read the attached paper written by the Royal College of Midwives, which supports what we are saying during Hypno-Birthing classes.(please note however that the prompts suggested for midwives are to support women who have not had Hypno-Birthing training and do not necessarily have the help of a knowledgeable birth companion)

Forced pushing is stressful on both the mother and the baby and can in fact slow things down as it closes the sphincters of the vagina ahead of the descending baby. It can be an overwhelmingly exhausting experience for a woman and is one of the reasons why doctors like to intervene if a woman isn’t progressing at a pace they are happy with. Unfortunately, it is the fact that they want to intervene at the birthing stage and make the woman push that leads them to think they need to intervene earlier so that she has enough energy to push.

Oh! I’m exhausted just writing about it. However, there is no need. We have a natural expulsive reflex that will gently nudge the baby down and out. Unlike other techniques you will learn on a Hypno-Birthing course you can’t practice birthing your baby(I’m sure I don’t have to explain why :-)).

However, there is another function within the body that uses the natural expulsive reflex…… Have you guessed what it is yet? Of course you have – it is when we are having a ‘poo’. Now don’t ask me why but when my husband attended one of my Hypno-Birthing courses, when I was pregnant with Evan, and we got to this part of the course he got a little upset with me (not openly but afterwards he said “Dany do you have to mention poo so much can you not say when you open your bowels?” Oh please anyone reading my blog will know that I’m going to say poo – quicker, easier, more simple – actually just like birthing using hypnosis. I digress back to pooing (not literally you understand)!Think about it – you don’t think to yourself “do you know at some point today I’m going to want to poo so I’ll go and sit on the loo for the next few hours and push with all my might until one comes out”. Of course you don’t. You wait till you get a sensation that you are going to poo, you go and sit on the loo whilst your poo makes its way down and then maybe you might give a little push at the end. Erm! I do say poo rather a lot don’t I?
This is exactly what you want to do when you are birthing your baby and because you will be using the same natural expulsive reflex you can practise your birth breathing technique whilst having a poo. This often becomes labeled by my ‘dads’ as ‘poo breathing’ and is the first thing they love to share with people about Hypno-Birthing.

Right so if you are still with me let’s focus on how you practice your ‘poo/birth’ breathing. The following explanation of the Hypno-Birthing birth breathing technique is taken from ‘Hypno-Birthing- The breakthrough approach to safer, easier, comfortable birth’ by Marie Mongan:“…you will take in a short, deep breath and breathe down. Your birthing companion will prompt you to direct your breath and love downward to help your baby move smoothly down to crowning. As you exhale, breathe down and visualize the opening of your vagina, like the petals of a rose, folding outward as your baby moves to the perineal rim….”Now as I was saying you can’t for obvious reasons practice this until your baby is ready to be born. However, as you also have a natural expulsive reflex that helps you poo you can practice whilst on the loo.

But before I explain how I’m going to digress once more. If you had never done a poo. ever in your life before, and someone said to you that you were going to pass something relatively big out of a hole that appears quite a bit smaller than your poo you’d quite probably be scared. As it was making its way down you’d probably tense and tighten and be full of fear. In fact it is quite interesting watching my 2 year old daughter at the moment. Her poos are becoming more solid and we’re not quite potty training yet but she’s becoming very much more aware of what’s going on down there. You can see the look of surprise sometimes just before she does a poo as she starts to feel her poo making its way down (and the look of surprise on mine when I find she’s poo’d in my slipper but I won’t go on about that again).
For your practise. When you are doing a poo, firstly become aware of how your poo feels as it is nudging its way down. Then take in a short, deep breath and breathe down directing the breath around your poo and noticing how the muscles relax around it and help its progress. You can practise using the opening bud blossom described above too to visualise more space around and in front of your poo. This technique is also particularly useful for anyone suffering with constipation. Just once you can also squeeze and tighten and notice how your poo pops back up. 

So often midwives will say that they could see the baby’s head and then it popped back up again. This is a really useful way of appreciating how very clearly tightening and tension will not only stop the baby’s descent but also potentially move him or her back the other way (talk about two steps forward and one step back).The more you practise ‘poo’ breathing the more you are learning how to tune into the natural expulsivereflex of your body and experiencing how your breath and focused attention can enable everything to remain relaxed and open easily.

When it comes time to have your baby you will be fully prepared to work with your natural expulsive reflex to help nudge your baby down and out.