Hey SamanthaP

great Q

with an epidural there is often no urge to push...with no assistance the uterus does still contract and this action pushes the baby into the birth canal and into the world...but often and instrumental delivery is the case

I have looked after women with a full block that have had a vaginal birth with no pushing...as the epidural has relaxed them and allowed the body to work at birthing the baby

my 2nd baby was born without pushing, lots of breathing and relaxing...its called the fetal ejection reflex

xx yogababy