I was the same as most of these girls. I never made a decision to push. My body just pushed as it wanted to. The pushing contractions were spontaneous and erratic because I probably had an anterior lip. My MW did a very basic VE when I was in a forward leaning position and suggested that I float on my back for awhile, just so that the lip wasn't crushed between the babies head and my sp. when I did float on my back the contractions intensified but actually decreased the lower abdo pain I was experiencing. But it was amazing the way my body just curled up and pushed on its own. I really was a bystander to my body at that point.