IMHO, if you need to push, you will know it. with both my babies I have never needed someone to tell me. I think I would have ripped their heads off. I honestly had NO Control over whether I pushed or not. My body just did it. I pushed like an Ox with DD as I felt that that's what I needed to do. Especially once she was crowning, I just wanted to get it over and done with. Her head kept going back and forth a few times and it hurt so much that I instinctively held bakc with the pushing a little. At some point I couldn't handle the burning sennsation any longer so I birthed the head with one almighty push. I tore my labia. Not badly, but I needed stitches. With DS I had planned to breath him out slowly to avoid tearing again as I found the stitches worse than labour pain. But I had no say in it the second time around either. My body told me to push, so I didI tore "along the dotted line". But it didn't bother me.
The concept of "breathing the head out" still appeals to me. But I found it impossible. DS came out like a freight train(didn't even make it to the car, let alone to the birth centre).
I do believe your baby will come out even if you never get the urge to push and never consciously push. The contractions are pushing for you.
Sasa
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