I pushed for over three hours with my first, and he was finally born via vacuum. The whole birth was an induction. My practitioner was horrible, and I was naive. He weighed 9 pounds, 8 ounces. I never had an urge to push -- most definately was "You're 10! PUSH!"
With my second I also never got the urge to push. I waited with a cervical lip for almost 3 hours. In hindsight I should have gone knees/chest to floor, but I was in so much pain it was all I could do to lie on my side. I finally got tired of waiting, and I told my midwife I wanted to try and push. She told me to go ahead. It hurt so bad EVERY SINGLE TIME I PUSHED. I felt disoriented, like I wasn't sure how to even push. After 90 minutes of pushing, he was finally born. He was posterior and asynclitic. I had no back pain at all -- instead I had terrible lower abdominal pain, so bad I asked for numerous ice packs.
With this baby I really want to wait to have the urge to push, as I feel that will greatly cut down my pushing time.
We are so conditioned to "get to 10," so we can start pushing. But really, we should be waiting until a woman says, "I need to push!"
I had a friend who had her babies in Ecuador. She said in their hospitals all the laboring women are sitting in chairs in a room together. The routine is to wait for a mom to say "Nurse! Nurse! I need to do poopies!" Then they move the mom to a more private area, and more times than not, she goes on to deliver a baby pretty soon after that. Could you imagine? That sounds *almost* theraputic to me!