Originally Posted by erin_brycesmom
I have noticed that most of the worst tears I have heard about come from women who were told not to push for whatever reason. I do believe that trying to hold back pushing puts you at greater risk for tears/severe tears. I'm thinking it is because once you finally get the ok or you finally can't hold it back any longer, the baby just comes out with too much force, an unnatural force.
In my experience, I tore the least (just a tiny papercut) when they were actually holding his head in while he was crowning. There was meconium in the water and the NICU team wasn't there yet, and boy was I hollering to try to avoid pushing. Personally, I think that being forced to give the baby more time at the crowning stage allowed me to stretch more. Once they said okay he came out pretty quick.
With my first, I had a precipitous delivery as well.. the OB wasn't able to get gloves on and my husband said the baby flew out so fast that he rolled across the bed. I had first degree tears up and down, but not too bad.
I'm actually going to talk to my midwife about this because the babies came out super fast both times, and I'm wondering about her ideas re: my position when pushing. I've never had any problems pushing while in bed, where the idea of pushing while squatting kind of scares me.. I don't want the baby to come any faster.
Oh, and about the previous post mentioning an OB saying he likes epidurals because women can stop pushing.. hah. I had an epidural with both boys and while I didn't feel any pain while pushing, the urge to push was tremendous. I couldn't stop at all with my first, and with my second, if the nurses' hands hadn't been there, he would've come right out. I also had a premature urge to push with both boys, too. I've always said I had the perfect epidural.. no side effects, perfect pain relief, helped me dilate MUCH faster than pre-epidural, and didn't hinder pushing at all. Too bad they're not all like that.