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Really teaching lamaze: what about pushing?

J A Lothian1

  • 1J udith L othian is a childbirth educator in Brooklyn, New York, and the Chair of the Lamaze International Certification Council.

The Journal of Perinatal Education
|February 3, 2007
PubMed
Summary
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Directed pushing may be presented as the Lamaze method, but this column clarifies second-stage labor practices. It explores normal birth, pushing guidelines, and evidence-based strategies for incorporating research into childbirth education.

Area of Science:

  • Obstetrics and Gynecology
  • Childbirth Education
  • Evidence-Based Practice

Background:

  • Lamaze childbirth education often includes directed pushing, which may confuse expectant parents.
  • There is a need to clarify the evidence surrounding pushing techniques during the second stage of labor.

Purpose of the Study:

  • To discuss the second stage of labor within the context of normal, natural birth.
  • To examine guidelines for pushing during childbirth.
  • To explore strategies for accessing and incorporating evidence-based practice into childbirth education.

Main Methods:

  • Literature review on second-stage labor and pushing techniques.
  • Analysis of current evidence-based guidelines for normal birth.
  • Discussion of practical strategies for educators to integrate research findings.

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Main Results:

  • Directed pushing is not universally the 'Lamaze way' and evidence supports individualized approaches.
  • Current guidelines emphasize physiological pushing and maternal autonomy.
  • Barriers to evidence-based practice in childbirth education exist but can be overcome.

Conclusions:

  • Childbirth educators should provide accurate, evidence-based information on all aspects of labor, including pushing.
  • Promoting normal, physiological birth requires understanding and applying current research.
  • Strategies for accessing and integrating evidence are crucial for effective childbirth education.