Descent Stage

 Perineum begins to bulge and the baby’s scalp becomes visible

 The baby’s head does its rotation and descends

 Waves occur every 2 minutes and last about 120 seconds

Physical signs

• The intensity of the waves returns

• Pushing strength gradually rises

• Strong pressure is felt in the vagina

• Baby rotates and descends lower in the vagina 

• Baby’s head descends with each push and goes back up when not pushing

Emotional reactions

• The desire to do something to speed up the delivery

• Feeling nervous because of the pressure

• Loss of confidence when things seem to take too long

• Unintentionally holding your breath, feeling tense, and complaining

What can the mother do?

• When you get the urge to push, breathe from your diaphragm and push using your abdominal muscles

• Rest between waves

• Listen to the instructions of the midwife and the doctor

• Focus on relaxing the perineum

• If things slow down too much, try changing your position (holding up the leg against which the baby’s back rests)

What can the father do?

• Don’t try to rush your partner, don’t raise your voice

• Remind her to relax her perineum while pushing

• Help her assume the necessary positions

• Give her ice, water and hydrate her lips

• Apply warm compress on the perineum and hold up a mirror if she wants to see the baby’s head

• Support her back as she pushes and remind her to look at the baby


Burcu Kutluk


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