When is pushing during labor indicated?

Pushing during labor is indicated when the client is fully dilated to 10 cm. At this stage, the cervix has opened completely, allowing for the descent of the fetus through the birth canal. Effective pushing at this point helps to facilitate the delivery process by utilizing the mother's contractions and voluntary efforts to assist in moving the baby down and out.

In the earlier stages of labor, particularly during the first stage, the cervix is still dilating, and pushing is typically not recommended as it may lead to increased discomfort or even maternal fatigue without contributing positively to the progress of labor. Waiting until full dilation ensures that the mother is physically prepared and that the process can be effectively managed both for the safety of the baby and the mother. The fourth stage of labor refers to the period following delivery where the mother's body is recovering, and pushing is not relevant at this time.