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Pelvic Floor Awareness
The Influence of Maternal BearingDown Efforts
Maternal Positions for Second Stage
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active management analgesia anesthesia avoid baby baby's head bearing-down efforts benefits birth blood breathholding Caldeyro-Barcia catgut cause cervix childbirth educator clinical comfortable contraction decelerations descent dyspareunia effects encouraged epidural episiotomy episiotomy rate expulsive feel fetal distress fetal heart rate fetal hypoxia fetal well-being fetus Figure fingers forceps delivery Gynecol hands-and-knees healing hospital hypotension incision increase indicated infection intact perineum intercourse intrauterine pressure lithotomy position maternal position mediolateral episiotomy midline episiotomy midwives mother National Childbirth Trust normal second stage Obstet_Gynecol obstetrical obstetrician pain patient pelvic floor muscles Penny Simkin percent perineal massage perineum physiologic management positions for second postpartum practice pregnancy presenting procedure prolonged relaxation repair result second stage management sensations sexual Sheila Kitzinger shoulders spontaneous squatting position stage of labor stitches straining stress stretching supine position sutures tear techniques third-degree lacerations upright positions urge to push usually uterine uterus vagina woman women