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Push when you feel the urgeMarathon pushing is not necessary and may even be detrimental. Your uterus will push the baby out all by itself, without any additional effort from you...however most women do get an irresestible urge to push. Wait until you feel this urge to add oomph to your pushing using your diaphragm, and then push only when you feel the urge. Do not hold your breath for an extended period of time (more than five or six seconds) as this is depriving your baby of oxygen.
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