our findings, midwives might sugges

our findings, midwives might suggest
techniques to alleviate the urge to push and to
help the woman cope with it, such as change
of maternal position, breathing techniques,
vocalisation, lumbar back massage and use of the
bath. Epidural analgesia could be proposed by
midwives when the woman is struggling to cope
with EPU after alternative non-pharmacological
techniques are suggested. However, there is no
available evidence supporting the idea that early
pushes are harmful in physiological conditions