With DD, I screamed so much my throat hurt more than my vagina. Well, not quite but it was pretty thrashed.

Send the energy down.... not out and up through the mouth!
Kelly, that is pretty much exactly what my midwife said to me, use the scream to push through your bottom. And wadaya know... it worked!

(If anyone is interested, DD’s birth story is in my signature, just click on “DD”)