In S2E36, Kemi Birthjoy Johnson and Shellie explore coached pushing, “purple pushing,” the Valsalva maneuver and the contrast to physiological or undisturbed pushing —and why shouting instructions to push may work against the body’s natural instincts. They discuss spontaneous pushing, the role of birth positions, and what the evidence says about maternal fatigue, pelvic floor injury, and outcomes for babies.The conversation also looks at how coached pushing became common, whether strict time limits for the second stage of labor are useful, and how people can make informed choices that support physiological birth.


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