By Lovetti Lafua
Nurse • Midwife • Biologist • Human Optimization Researcher

The solution is not another technique.
It’s supporting physiology—and trusting women again.

During Pregnancy
• Ask about expectations for the pushing stage
• Build confidence in the body’s innate birthing ability
• Encourage hearing birth stories from other women
• For hospital births: prepare for common practices like directed pushing; consider a doula & clear birth plan

During Labour
• Interfere only when necessary
• If she feels the urge to push, reassure her it’s a good sign
• Avoid coaching unless medically required
• Trust that a shift from “urge to push” to “pushing” will happen naturally

Instinctive pushing is not taught.
It is allowed.

When an Epidural Is Involved

Epidurals change the physiology of pushing, so a different evidence-based approach works best:

The most effective strategy

Wait for the baby’s head to be visible before active pushing.

This:
• reduces instrumental birth rates
• shortens pushing time
• lowers fetal distress

Also, avoid semi-supine positions.
Side-lying has been shown to reduce instrumental births for first-time mothers with epidurals.

Medical & Coaching Disclaimer

Please note: The educational resources, mentoring, and coaching services provided by Lovetti Lafua are intended for informational, educational, and emotional support purposes only. They do not constitute medical advice, clinical diagnosis, psychotherapy, or psychiatric treatment. Always consult your primary physician, OB/GYN, or a licensed mental health professional regarding individual medical conditions or persistent psychological distress.