Really teaching lamaze: what about pushing?
A reader is justifiably puzzled when a Lamaze childbirth educator tells her that directed pushing is the Lamaze way. The author of this column discusses second stage in the context of normal, natural birth, guidelines for pushing, evidence-based practice, and strategies to access and incorporate evidence into practice.
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J udith L othian is a childbirth educator in Brooklyn, New York, and the Chair of the Lamaze International Certification Council.