There is no evidence available to conclude on beneficial or harmful effects of manual fundal pressure. Good quality randomised
controlled trials are needed to study the effect of manual fundal pressure. Fundal pressure by an insufflatable belt during the second
stage of labour does not appear to increase the rate of spontaneous vaginal births in women with epidural analgesia. There is insufficient
evidence regarding safety for the baby. The effects on the maternal perineum are inconclusive.