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Immediate vs. Delayed Pushing

Simpson, Kathleen Rice PhD, RNC, CNS-BC, FAAN

MCN: The American Journal of Maternal/Child Nursing: March/April 2019 - Volume 44 - Issue 2 - p 124
doi: 10.1097/NMC.0000000000000503
ONGOING COLUMNS: Perinatal Patient Safety

When a woman in labor reaches 10 cm cervical dilation, she can either begin pushing immediately or wait until she feels the urge to push. As evidence continues to evolve about advantages and disadvantages of each option, nurses must keep up-to-date and be ready to have a discussion as part of the clinical team that includes the woman as a full partner and covers the important considerations. A recent study about immediate or delayed pushing for nulliparous women with epidural analgesia is reviewed.

Kathleen Rice Simpson is a Perinatal Clinical Nurse Specialist in St. Louis, MO, and the Editor-in-Chief of MCN. Dr. Simpson can be reached via e-mail at

The author declares no conflicts of interest.

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