I never ever had the urge to push. I had an epidural at 10 cm just to slow labor enough for me to rest so I could
push -- I was exhausted (HB transfer after 2 days). Five hours later they said, "ok, you should probably start pushing this baby out now" and I was like, "can I sleep a little longer first??" In hindsight, I probably should have waited until my body felt ready, b/c the pushing stage was a grueling 4 hours and nothing really happened for the first hour -- I didn't feel baby at all, and just wore myself out trying to go along with the nurses' coaching.
I'd like to second the recommendation to not
go into labor with any preconceived ideas about how you will actually birth. I had every intention of birthing in a squatting position - even practiced squats to strengthen my legs - and in the end, I had NO strength to hold myself up. And squatting was horribly painful.
Originally Posted by UmmAbduRahman
But other than that, whatever position you feel most comfortable in is probably the best for you (other than flat on the back!!!
Actually, this is the position that worked best for me! In my case, after trying a bunch of positions, my MW finally recommended
lithotomy position because the baby was having trouble getting under my pubic bone and that position actually seemed to make the most difference in helping her descend into the birth canal.
Once I was in the hospital, the epidural and IV made changing positions very difficult, but I tried a few anyway, I was so determined NOT to birth on my back. But in the end, it really was
most effective (especially with as exhausted as I was - I was falling asleep between contractions). So you never really know what will work until you're in the moment.