It is very common to see deliveries in which professionals control both the moment they arrive to tell the mother when they have to bid and when they do not.
We have seen this so much on television and in the cinema, that it is even strange to think that a mother can give birth without the help of a midwife who shouts that "a little more, push, push!"
However, it is customary does not mean that it should be accepted as a favorable practice, since the benefits of pushing a woman are increasingly questioned.
What the scientific evidence says about targeted bids and spontaneous bids
In a study that compared women who gave birth with targeted bids with women who gave birth with spontaneous bids, it was observed that At three months after delivery there had been no differences in the rate of episiotomies, tears of the anal sphincter, epidural analgesia in the second stage, use of forceps or the use of oxytocin.
However, in the group of women to whom the bid was directed, a decrease in bladder capacity and an affectation of urinary urgency was observed.
In a meta-analysis in which 7 studies were analyzed, with a total sample of 2,827 women, it was observed that when the women who had received the epidural gave birth without the indication to bid increased the chances of having a spontaneous vaginal delivery, the risk of having an instrumentalized delivery decreased and the woman was also less time bidding. However, there were no differences in the number of caesarean sections, tears in the perineal area or episiotomies.
Conclusions
Ideally, it is advisable for a woman to follow her feelings and to push only when she feels she has to. The problem comes when a woman is given epidural anesthesia and she loses the sensation of a push (depending on the dose administered, a decrease in pain can be achieved without eliminating the feeling of a push).
If this happens, if the mother does not feel the need to push, It is recommended to direct the bid only when the delivery is in the active phase of the second stage of labor, that is, when you are already in the ejector.
