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abdominal able amniotic fluid baby baby's head birth canal born breathing technique called centimeters dilated cervix child child's head childbirth coccyx completely relaxed concentrate conditioned reflexes contraction begins course deep cleansing breath deep-slow breathing delivery room delivery stage doctor effaced effleurage Ellen episiotomy expulsion feel felt fontanel give birth happen hard hospital husband Ingrid inhale knees Lamaze method legs lesson lungs massage membranes minutes mother mouth mucus mucus plug muscle fibers nurse occiput oxygen pain Patsy pelvic floor pelvis perineum pillows placenta position practice pregnancy prepared pressure psycho-prophylactic method pubic pubic bone pubic symphysis pull relax completely relaxation exercises ruptured sacrum seconds short-relax breathing shoulders side signals stage of labor strong contractions tell thing threshold of perception tion told tractions transition breathing umbilical cord urge to bear urge to push uterine contraction uterus vagina woman women