"Effect of Immediate vs Delayed Pushing on Rates of Spontaneous Vaginal Delivery Among Nulliparous Women Receiving Neuraxial Analgesia: A Randomized Clinical Trial" - a deeper dive to see if its conclusions hold up to closer scrutiny.
A new study suggests there is no need to labor down with an epidural and supports immediate pushing after complete dilation with no change in cesarean rates or need for forceps or vacuums, with some benefits to parent and baby.
Laboring down - is it a good idea? Recent literature seems to indicate that it increases complications for both parent and baby, but is this conclusion based on good evidence? Researcher and writer Henci Goer takes a look at what the current research actually tells us on the topic of laboring down,